This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been processed accurately. The incumbent will employ data mining and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. The incumbent will assist department leadership in managing productivity a

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

At Dearborn Group, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This Position Is Responsi

An independent Claims Handler role focused on low to mid value Employment Practices Liability claims with no significant coverage issues to help achieve the Beazley vision of being the highest performing specialist insurer. To contribute to the overall performance, development, and management of the Beazley claims function. To proactively manage claims, primarily at the i

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

At Hortica, we believe people are our competitive advantage. We strive to attract, train and motivate our employees to keep Hortica as a market leader in our industry. We are committed to hiring people with the potential to excel. As a brand of the Sentry Insurance Group, we are the insurance specialists for the horticultural industry in America. What You'll Do The ideal R

Colliers Mortgage is seeking a driven, customer focused, and detail oriented Commercial Insurance Analyst to support our internal Escrow Department. This is a great opportunity for someone who is looking to break into both the commercial real estate and/or commercial insurance industry. This individual will build strong cross functional internal relationships, correspond

The claims auditor will be responsible for coordinating and completing audits as well as compiling and reporting results and trends accurately, appropriately, and timely. ESSENTIAL FUNCTIONS Logging/Tracking all Claims/Tasks to be audited Audit for accuracy as well as workflow compliance; Release of appropriate claims using established workflows Assist with all audit prog

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaboarte with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with who express strong emotions or concerns about ongoing inspections or claim resolutions Provide

Manage claims and litigation for hospital members, insured physicians and physician groups Presuit evaluation of claims including investigation, medical record review, liability analysis, expert retention and discussion with insureds and clients Retention and supervision of outside defense counsel for claims in litigation Responsible for case strategy and implementation a

Should have over 5 years of experience in OFSAA involving working in several modules Credit Risk Management, Liquidity Risk Management, etc. Should be able to support Credit Risk applications by designing and developing data processing solutions using Oracle OFSAA Basel Strong configuration experience in metadata and OFSAA PR2 framework Strong understanding of data lineag

AXIS is seeking a Senior Claims Specialist Excess Claims to join our North America Claims team and will report to the Claims Manager. Under limited direction, the candidate should act as highest level individual contributor directly reviewing excess casualty claims to determine nature of loss, coverage provided, and scope of claim and to make recommendation regarding sett

TransUnion's Job Applicant Privacy Notice Personal Information We Collect Your Privacy Choices What We'll Bring At TransUnion, we have a welcoming and energetic environment that encourages collaboration and innovation. We are consistently exploring new technologies and tools to be agile. This environment gives our people the opportunity to hone current skills and build ne

1. Manage a high volume of healthcare claims thoroughly to maximize savings opportunities on each claim within the established department production standards and individual goals by contacting provider on all assigned claims and presenting a proposal while maintaining high quality standards. Perform provider research to provide support for desired savings Address counter