PRINCIPAL RESPONSIBILITIES AND DUTIES Independently process and respond to routine questions, processing issues, and requests according to company defined procedures. Thoroughly analyze issues and requests and clearly communicate them verbally and in writing using company approved methods and tools. Make customers and their needs the primary focus of one's actions by deve

Appeals Specialist I to be responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid . This position is fully onsite. Works schedule is M F 8am 5pm. Location 5055 E Washingt

Senior Casualty Adjuster Requisition ID 2024 25381 Job Locations IN Merrillville | US IN South Bend Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary Under moderate to light supervision, investigates, reserves, negotiates, evaluates and settles casualty claims of complex exposure includin

Function as a clinical liaison to internal and external managed care customers. Partner with external case managers to transition patients to appropriate levels of care. Monitors variances in service utilization and implements improvement processes with staff. Monitors service utilization, cost, and rehospitalization. Collaborate with the education department, identifies

Company Description Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary tests, vast data sets and advanced analytics. The Guardant Health oncology platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes and lower healthcare costs across all stages of the ca

The Settlements Specialist (Associate) will be immersed in a fast paced environment supporting daily settlements processes for Capital Markets derivative trading business as well as provide support for the derivative business conducted by group companies in New York, London and Hong Kong. Covered products FX, OTC Derivatives, Cleared Derivatives, Margin, and USD and CAD T

Provides timely and accurate investigation, evaluation, analysis, and settlement on basic to moderately complex total loss, loss of use, towing and storage claims. Negotiates settlements with claimants and attorneys that fall within prescribed authority limits. Documents claim files with all pertinent information and disposition. This position will be located in Sentry's D

Job Title Sr Claims Representative, AGL (Spanish)/Sr. Claims Adjuster Auto Bodily Injury and Property Damage Location Dallas, TX Duration 6+ months on W2 Contract Note Job Schedule 40 hours per week in office while training. Manager will re evaluate a Hybrid schedule after training Job Hours 8 00am 4 00pm (CST) Job Responsibilities Duties include but are not limited to Un

Medical Administrators on the Heartbeat program work at client sites in the Northern Virginia region, providing a variety of office support and customer service duties within a medical office setting. Responsibilities will vary based upon the medical office's day to day needs and may include; Providing front desk/reception support Answering phones and routing calls Facili

Contacts insurance carriers / patients regarding outstanding insurance claims to obtain proper payment based on EOB and / or Experian contract modeling expectations. Knowledge of clinic operating policies to help in the identification of denial root causes. Prepares proper documentation for appeals to insurance carriers. Processes the appealing of claims reimbursed incorr

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en