Promptly investigate all assigned claims for coverage, liability, damages, subrogation and contribution Ensures timely disposition of all claims in accordance with regulatory and statutory requirements Within granted authority, establish appropriate loss and expense reserves with documented rationale Maintain and adjust reserves over the life of the claim to reflect chang

The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand (1) the procedures bi

Claims Adjuster I Job Locations US FL Maitland Requisition ID 2024 16356 Category Claims Workers Compensation Position Type Regular Full Time Overview The Workers' Compensation Adjuster I is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds,

The Advocate provides support for medical services by assisting with treatment plans; treatment plan reviews; patient assistance programs; IDP, outcomes; authorization overrides; follow ups, State paperwork and referrals. Conducts face to face visits; handles medical service related telephone calls with individuals receiving medical outpatient mental health services. Illu

The Audit Coordinator will work collaboratively to coordinate and schedule premium audits directly with Policyholder's for members of the Key Account Team (KAT) and Virtual Audit Team (VAT). The Audit Coordinator will be responsible for contacting clients to schedule audits, answer questions regarding the audit process and timeline, and assist with ensuring appropriate re

Surety Claims Counsel Job Locations US United States Requisition ID 2024 16620 Category Claims Specialty Lines Position Type Regular Full Time Overview Provides effective claims handling, serving as decision maker on the more complex contract and commercial Surety matters and multi project defaults. Works with head of Surety claim in establishing priorities, driving chang

Subrogation Adjuster Commercial Property Job Locations US United States Requisition ID 2024 16392 Category Claims General Liability Position Type Regular Full Time Overview The Commercial Property Subrogation Adjuster II is responsible for prompt and independent review of subrogation claims through effective coverage analysis, investigation, evaluation, negotiation and in

Founded in 1965, Herc Rentals is one of the leading equipment rental suppliers in North America with trailing twelve month total revenues of nearly $2.7 billion as of September 30, 2023. Herc Rentals' parent company, known as Herc Holdings Inc., listed on the New York Stock Exchange on July 1, 2016, under the symbol "HRI." Herc Rentals serves customers through approximate

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Claim Support Assistant I The Auto Club Group What you will do The Auto Club Group is seeking prospective Claim Support Assistant I who provide support to the Claims department by completing intermediate level tasks that require a basic understanding of the claim or functional business concepts and processes, and the organization and workflow for one or more Claims lines

JOB DESCRIPTION Position Type Full time Type Of Hire Experienced (relevant combo of work and education) Travel Percentage 1 5% FIS is a leading provider of technology solutions for merchants, banks and capital markets firms globally. FIS stays ahead of how the world is evolving to power businesses in today's fast changing competitive landscape and help our clients run, gr

3000 DaVita Way,Deland,Florida,32724 2039,United States of America Job Description GENERAL PURPOSE OF THE JOB The Specialist I, Denials (Lab) is responsible for the review and resolution of denied claims due to benefit issues, verifying applicable insurance coverage for multiple states, and determining correct coordination of benefits information. Applies the knowledge and

3000 DaVita Way,Deland,Florida,32724 2039,United States of America GENERAL PURPOSE OF THE JOB The Specialist I, Cash Posting (Lab) knows and performs all essentials duties and responsibilities as outlined below. Understands the job and applies knowledge and skills to complete a wide range of tasks at a level which meets department standards and ensures goals and objectives

3000 DaVita Way,Deland,Florida,32724 2039,United States of America GENERAL PURPOSE OF THE JOB The Specialist I, Collections (Lab) is to secure maximum reimbursement on all claims based on payer terms. Applies the knowledge and skills to complete a wide range of tasks at a level which meets department standards and ensures goals and objectives are achieved. Ensures claim ad

JOB DESCRIPTION Position Type Full time Type Of Hire Experienced (relevant combo of work and education) Education Desired Bachelor of Business Management Travel Percentage 10 15% Job Description Are you curious, motivated, and forward thinking? At FIS you'll have the opportunity to work on some of the most challenging and relevant issues in financial services and technolo