As a Fraud Support Representative, you will have the opportunity to create a difference in the lives of our customers every single day. You will use sound judgement to assess the risk level when reviewing accounts for possible fraudulent activity. You will also assist with investigations on fraud cases with direction from your Team Leader. Skills & Attributes Needed The f

Provides technical expertise and work direction to a claim unit by reviewing and assigning claims to claim representatives. Ensures prompt and accurate file handling by prioritizing workloads and conducting file quality audits. Supervises and motivates assigned staff to provide quality file handling and settlement with superior customer service. This role will work out of

of Responsibilities Manage a team of senior level claim specialists and/or supporting technical staff. Claims processed are primarily third party claims on our personal lines and commercial lines of business but could include all lines of business. Oversee the investigation and settlement of all claims, litigated and non litigated assigned to the team. Provide advice and d

Company Cities and Villages Mutual Insurance Company Location Wauwatosa, WI Position Safety & Risk Management Specialist SERVICE FIRST. INSURANCE ALWAYS. Are you a Safety or Risk Management professional who loves to create that awareness and appreciation in others? Do you enjoy flexibility and variety in what you do each day? Cities & Villages Mutual Insurance Co. (CVMIC)

Claim Representative III Commercial Liability Job Locations US ID 20243337 Category Claim Type Regular Full Time Introduction Looking to join a vibrant organization that makes a difference? At Church Mutual, our customers are at the heart of everything we do. For more than 125 years, we've made it our business to protect those who serve and inspire others through our spec

Health & Group Benefits Consultants are an integral part of the overall client management and client relationship function in Milliman's Employee Benefits Consulting practice. The successful candidate will have at least ten years of Health & Welfare consulting experience, with a strong working knowledge of benefits design, delivery, vendor management, and strategy. This f

We are seeking an exceptional Principal Biostatistician with strong statistical and computational skills to participate in the discovery, development, validation, and post marketing support of genomic biomarker assays that help cancer patients and their physicians make better treatment decisions. This role will directly collaborate with internal and external thought leade

Providing cancer patients access to clinically actionable diagnostics that transform treatment decisions and outcomes is part of Exact Sciences guiding principles. Successful market access outcomes are fundamental to the achievement of Exact Science's mission and requires a high level of commitment, eager to overcome challenges and pave the way. The Senior Manager Market

Investigate all non standard claim problems (25%) Investigates for COB and determine the primary payer (25%) Investigate and process adjustment requests (25%) Adjust claim payments resulting from duplicate payments, incorrect payee, etc. Recover expended funds for managed care plans System documentation of investigation results Training of Coordination of Benefits claim p

Develops fraud prevention policies used by fraud investigators. Explores new technologies that may be applied to combat emerging trends in fraud activity such as Internet fraud and identify theft, incorporating technology into processes and card products. Utilizes company system reports in identifying overall fraud loss trends across organizational units. Provides summari