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. JOB ROLES AND RESPONSIBILITIES 1. Achieve measured production, quality, an

Claim Manager I Casualty The Auto Club Group What you will do The Auto Club Group is seeking prospective Casualty Claim Manager I who willmanage the daily operations and administer policies and procedures within our Casualty Claim unit. In this position, you will have the opportunity to Perform specialized claims functions within assigned region such as organizing and man

The Allied Advocate Quality and Training Specialist will be responsible for ensuring the continued quality of department workflows and processes and continuing training and development of best practices. ESSENTIAL FUNCTIONS Work closely with the individual teams and department leadership to determine ongoing training needs. Design and assist in developing training materia

About Us Curi is a full service advisory firm that serves physicians and medical practices. Equal parts fierce physician advocates, smart business leaders, and thoughtful partners, Curi's advisory, capital, and insurance offerings deliver valued advice that is grounded in client priorities and elevated by their outcomes. From data driven advisory services to private wealt

OF DUTIES Protect the fiduciary interests of the Corporation through collection efforts, and prompt investigation and administrative handling of personal injury and property damage claims brought by passengers, employees and others. ESSENTIAL FUNCTIONS Thoroughly investigates liability and damage aspects of accidents/incidents involving reports of personal injury and prope

Independently manage a diverse portfolio of high severity claims including coordinating an investigation into liability and exposure and review and interpretation of policy language in an effective and efficient manner Evaluation and negotiate the resolution of assigned claims in a timely manner, within appropriate authority and in accordance with laws and best practices

Senior Claims Operations Analyst Requisition ID 2024 25152 Job Locations US IL Lake Zurich Position Type Regular Full Time Category Finance & Accounting Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Under the general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical operational support s

Expedite and oversee administrative process of clients' insured claims as assigned within region, including but not limited to general liability, builders' risk, professional liability, pollution, and auto liability claims. Essential Duties & Key Responsibilities As directed by Claims Manager, report claims in timely manner to applicable insurance carriers, and gather per

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

Job Purpose The position is responsible for the business analysis and process design/implementation for one or more end to end processes within SDO; documenting the detailed end to end process including its technological underpinnings; supporting operational process owners to modify, monitor, continually improve, and standardize in scope processes to achieve best in class

At HCSC, 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 The Employer Document Unit supports

Apply if looking for Flexibility and Financial Freedom

Apply if looking for Flexibility and Financial Freedom

Apply if looking for Flexibility and Financial Freedom

Position Highlights Position Location 4201 Winfield Rd, Warrenville, IL Full Time 40 hours Hours Monday Friday 8 00AM to 4 30PM Required Travel No What you will do Prepares referrals/FMLA/disability forms per payer criteria for designated providers ensuring timely response to requests and meets established turnaround time. Prepares pre authorizations and FMLA/disability f