You will be a great fit for this role if You are highly engaged in innovative clinical practice and prioritize excellent patient care You are motivated and excited to lead a high performing team of clinically focused pharmacists You are flexible and work well in a fast paced environment You enjoy and can demonstrate independent decision making and problem solving skills Y

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

Location Green Bay, WI Shift 1st Shift Work model Hybrid Schedule Full time; Monday Friday, 9 30 a.m. 6 00 p.m. Schneider is seeking a Claims Specialist to join our thriving team! You will be supporting tasks that enable successful adjudication of INS Insurance claims. Your primary responsibility includes processing FNOL (first notice of loss) calls from drivers, law enfo

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

Assure equitable claim service is performed in a timely manner involving commercial surety claims. Interpret bond language to determine company liability on commercial claims. Identify issues that need to be escalated. Coordinate the investigation of commercial surety claims and evaluate resolution options. Utilize information gathered to establish and maintain appropriat

Claims Specialist Administration 1265 John Q. Hammons Drive, 1265 John Q. Hammons Dr. , Madison, Wisconsin, United States of America Req #1830 Wednesday, April 24, 2024 Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER The Claims Specialist ensures the accurate entry of inpatient and outpatient claims per the data entry guidelines, and ensures the timel

Provider Enrollment Analyst Job Locations US WI ID 2024 2088 Category Provider Relations Type Regular Full Time Overview Quartz is thrilled to offer opportunities for professional growth in our Provider Enrollment Department. The Provider Enrollment Analyst will build and maintains Practice Locations, Facilities, Practitioners and Contracts in both the Provider Database a

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

Supervise direct reports, make recommendations for performance management and disciplinary action. Train subordinates to achieve goals. In addition, contribute to the new employee selection process. Supervise the claims department workflow. Distribute and allocate work to ensure efficient and timely processing of claims. Develop and maintain standard operating procedures

Conducts moderate to complex subrogation investigations, evaluations, and communications to determine liability and recovery potential when third party responsibility has been identified. Determines recovery payments in accordance with assigned authority limit. Handles and/or assigns collection efforts to outside vendors such as attorney or collection agencies as appropria

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

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

Content Claims Specialist Field Level II Requisition ID 2024 24437 Job Locations US MN Minneapolis | US MN Saint Cloud | Rochester | US WI Eau Claire Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi faceted role, which focuses primarily i

Investigates and maintains auto physical damage claims. Determines liability, secures information, reviews coverages, arranges appraisals, and settles claims. You will report to a Manager, Adjusting Services. Position Compensation Range $55,000.00 $90,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. Job Description

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