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Q.B.E North America
- Sun Prairie, WI / Topeka, KS / Missoula, MT / 59 more...
Respond to crop claims by completing field inspections, communicating with involved parties, performing investigations, determining appropriate adjustments and administering insurance policies to ensure compliance with state and federal regulations. Primary responsibilities Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and
Posted Today
Imagine this. Everyday, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one's better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representative
Posted Today
Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact. As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities. Here at Change Healthcare, we're using our influence to drive positive changes across t
Posted 6 days ago
Do you have the analytic skills and insights to find what our clients are looking for in a pile of health plan administrative claim data? Do you have current experience designing and leading research based on at least one of the following databases Truven MarketScan commercial, CMS Medicare 5% and 100% samples or health plan administrative claims data? Do you thrive in a fast paced environment? Mi
Posted 13 days ago
MAIN RESPONSIBILITIES Review and analyze newly reported vehicle damage claims Maintain a current and accurate diary Process claims within appropriate time frames Contact customers within 24 hours of receiving the First Report of Incident for an auto loss Arrange appraisals and replacement rental vehicles Maintain professional standards in complex claim situations Handle heavy customer contact via
Posted 23 days ago
Medical Claims Handling Adjuster will handle multiple states including but not limited to NY, PA, VA and MD. This position will work out of our Syracuse office. Position Responsibilities Investigates and confirms medical coverage according to policy language and case law. Determines the correct payment for medical bills, loss of earnings, essential services, funeral and death benefits applying fee
Posted 1 month ago
We are looking for a Claims Representative PD/Physical Damage Adjuster to work in our Syracuse office. You will be a part of our claims handling group that delivers on a promise to provide exceptional service to our customers who have experienced a recent insurance loss. Your required knowledge of coverage and liability investigations as well as legal terminology will allow you to evaluate damages
Posted 1 month ago
UnitedHealth Group
- Rochester, NY / Livingston, NY / Buffalo, NY
Support Advocate initiatives to achieve measurable improvements in the provider service experience for the market Support Provider issue resolution with internal teams and follow up with providers to close the loop of issues Present regional and market level performance reports to management on project updates, project cycle, and expected results Assess and interpret customer needs and requirement
Posted 1 day ago
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Flexible? Friendly? Fast on your feet? That's a great start. Accurate? Accountable? Self Directed? These traits can take you places. O
Posted 4 days ago
Use pertinent data and facts to identify and solve a range of problems within area of expertise Investigate non standard requests and problems, with some assistance from others Work exclusively within a specific knowledge area Prioritize and organize own work to meet deadlines Provide explanations and information to others on topics within area of expertise Job roles includes value based contracti
Posted 6 days ago
Manage claims adjudication by identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care, Commercial Insurance and other payers. Analyze, audit and recover outstanding receivables. Identify trends in payments, underpayment/overpayments and denials. Work with respective departments to evaluate trends and be part of the team that works towards resolution
Posted 1 day ago
Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Intervene with care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistanc
Posted 17 days ago
Review, research, analyze and process complex healthcare claims by navigating multiple computer systems and platforms and accurately capturing the data/information for processing (e.g. verify pricing, prior authorizations, applicable benefits) Ensure that the proper benefits are applied to each claim by using the appropriate tools, processes and procedures (e.g. claims processing policies and proc
Posted 17 days ago
Provide timely and accurate communication, information gathering, and rendering decisions on Long term Disability (LTD) claims according to provisions of LTD certificates. Communicate with a variety of constituents (claimants, doctors, nurses, employers, and attorneys) to gather information relevant to rendering decisions based on the provisions of the policy. Claim Specialist Trainees will be rou
Posted 1 day ago
Processes moderately complex and various types of claims according to prescribed standards and timeframes; resolves system driven edits and ensures proper adjudication of claims. Identifies and escalates system problems, documentation needs, and potential process improvement opportunities. Works with team members to balance workloads and effectively manage backlogs. Provides training and guidance
Posted 1 day ago
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