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Position Summary: The main purpose of Investigator is to investigate premises liability claims. Minimum of 5 years in law enforcement/military required OR prior experience as an insurance field investigator required.
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The Accounts Resolution Specialist II reports to the Supervisor of Billing; this individual specializes in the resolution of patient accounts transferred from the PBO. This position will investigate and follow up on claim edits and work denials and underpayments by insurance carriers regarding open balance to obtain payment.
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As a dedicated Sr Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations.
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We are a commercial property & casualty insurance company looking to fill entry-level recovery specialist positions. Insurance courses such as IIA or AIC courses in coverage, subrogation, legal principles.
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The Investigator’s primary focus is to investigate the insurance claims field for a variety of coverage to include workers’ compensation, general liability, property and casualty, disability, life, and healthcare.
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REMOTE WORK FROM HOME AVAILABLE Investigate and resolve workers compensation claims. CONSIDERED EXPERIENCE INCLUDES: Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp DiedreMoire InsuranceJobs ClaimsRep WorkersComp JobSearch JobHunt JobOpening Hiring Job Jobs Careers Employment jobposting DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application.
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Secure and analyze reports, policies, appraisals, releases, statements, reports or other documents to investigate claims. Ensure claims payments are issued in a timely and accurate manner.
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The Investigator’s primary focus is to investigate insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty, and disability.
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Work in conjunction with the Corporate Safety Manager to investigate incidents and prepare reports for insurance carrier; Workers Compensation claims administration, OSHA reporting and OSHA compliance.
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Handle claims in compliance with statutes, regulations and other legal requirements, and applicable company procedures and policies. Nothing herein is or may be considered a promise, guarantee, offer, pledge, agreement, contract, or oath.
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For complete details contact Greg Foss at: (609) Linguistics used herein may use First Person Singular and First Person Plural grammatical person construction for and with the meaning of Third Person Singular and Third Person Plural references.
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Prepare and review all billing forms to ensure accuracy and completeness for claims submission to insurance carriers and back up for Medicare and Medicaid claims. Process claims electronically or hard copy with 100% accuracy and mail claims to insurance carriers timely.
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We use an email quality control service to maintain security and a remove and dead address filter. Determine settlements and reserves within prescribed limits, and seek supervisor approval on cases exceeding personal authority.
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Response to a specific posting or advertisement may result in consideration for other opportunities and not necessarily the incentive or basis of the response. Indicated location may be proximate or may be desirable point of embarkation for paid or unpaid relocation to another venue.
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Diedre Moire Corporation Education Requirements: Bachelor DegreeMinimum Experience Requirements: 2-5 yearsJob City Location: East ProvidenceJob State Location: RIJob Country Location: USASalary Range: $90,000 to $120,000 Diedre Moire Corporation, Inc. diedremoire.com WE ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, sex, national origin, handicap, disability or marital status.
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