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Manage workers’ compensation claims and reporting. Daily processing of benefits, including proper handling of enrollments, terminations, changes, leaves, COBRA, beneficiaries, disability, accident and death claims, and assist as needed with any rollovers, QDROs, QMCSOs, distributions, loans, and hardships.
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Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
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Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized. Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties, etc.
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Assist in the warranty claims process in the field by sending data and information to the Warranty team/Customer Service Department. Develop and maintain relationships with distributor management and distributor sales representatives.
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Performs review of new Workers' Compensation claims in order to ensure compensability, proper documentation of injury, completeness of information and determine current medical status. Has responsibility for performing a variety of duties requiring the regular use of independent judgement to manage and administer assigned Workers' Compensation Claims.
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Maintains the Sales Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and identifying shrink and damages.
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Knowledge of insurance, claims, and workers’ compensation statutes, regulations, and compliance is a plus, but on-the-job training will be provided to the chosen applicant. Prepares reports on investigations, settlements, denials of claims, evaluations of involved parties, etc.
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As an auto damage claims adjuster , you’ll serve as Progressive’s point of contact with customers – directing and making decisions regarding the repair process from beginning to end. Evaluate and handle claim payments and resolution of claims without payments.
$63,800 - $82,600 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Behavior Health coder/Billing Specialist works with the Billing and Behavior Health departments ensuring all claims are reviewed for accurate documentation, submission and reimbursement. Work claims and claim denials to ensure maximum reimbursement for services provided.
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Manage warranty claims to customer satisfaction while minimizing financial exposure to company. Investigate and process customer complaints, warranty obligations, claims or other details.
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Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability. Allied Universal® is hiring a Surveillance Investigator.
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Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager.
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Using data from the monthly aged accounts receivable report, calls payors or looks up claims status online to inquire about unpaid insurance claims that are 45 days old; records response or activity in the computer system "notes.
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EXPERIENCE A minimum of three (3) years of billing, claims management or contract compliance experience in a hospital/healthcare computerized accounts receivable environment. Identifies, organizes and presents issues created by Managed Care contracts, complex billing regulations and other specific payment requirements and works directly with the Patient Account Specialist, the Senior Patient Account Specialist, Manager, Patient Account Analysis and the Third Party Payers as necessary to determine possible solutions.
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Establish & maintain good working relationships with company personnel (underwriters, marketing representatives, companies service center, and claims representatives). Servicing and selling commercial insurance products to prospective and existing clients.
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edd claims jobs in Shelton, CT
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