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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
Appeals Resolution Investigate and resolve provider and dental home (TX only) appeals in accordance with State and/or Plan guidelines. Respond to Level 1 requests (TennCare only) Coordinate and resolve HICS cases received via HICS system Establish and maintain professional communications with provider offices. Manage workflow to meet department, Plan, State, and company goals and deadlines Resolve
Posted Today
Position Description Purpose To perform basic tasks in the area of claims submissions, posting, and/or account follow up utilizing billing computer software. Primary Functions Sort, review, or follow up on claims with minimal filing guidelines, to include obtaining required documentation such as EOB's, EOMB's Medical Records. Develop and review internal and external reports from various prayers
Posted Today
Handle a steady volume of new referrals daily Understands concepts of coverage, policy interpretation and liability determination to analyze and move claims towards resolutions Research applicability of laws, regulations and other requirements to cases Ensure compliance with Health Insurance Portability and Accountability Act Validate claim liability, adjuster's contact information, claim status,
Posted 2 days ago
Description Summary of Responsibilities Handle complex claims with minimal supervision and guidance from the manager. Utilize current Claims technology. Research and formulate a basis on which coverage decisions will be made, conduct thorough investigations, evaluate damages and liability. Negotiate settlements with insureds, claimants and attorneys. Responsibilities also include active file man
Posted 3 days ago
This position provides credible appraisals to internal and external clients by following the provisions of the Uniform Standards of Professional Appraisal Practice (USPAP) and maintains sales data and valuation systems. Supports both core markets and Agri Access review. Successful candidates will Apply approved appraisal practices and procedures to produce credible, reliable, and well supported va
Posted 3 days ago
Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs) Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems Own problem through to resolution on be
Posted 4 days ago
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
Healthcare
- Milwaukee, WI
Prepares new accounts, conducts updates for current patients on computers (insurance change, personal information) for all departments. ESSENTIAL FUNCTIONS AND DUTIES Assist with the preparation and maintenance of all patient billing records and preparation of third party insurance claim forms. Check accuracy of patient information (demographic and other personal information) to be entered into co
Posted 3 days ago
Open new client files & request accident reports as needed Provide exceptional customer service to clients while updating them on claim status and obtaining medical status updates Send letters of representation to third party liability carrier(s) Work with health care providers to ensure that medical bills are being billed to client's health insurance or med pay Update insurance companies
Posted 3 days ago
Are you ready to help injured workers get back to work? Are you passionate about customer service?
Posted 6 days ago
Wisconsin Public Service (WPS), a subsidiary of WEC Energy Group, is a regulated electric and natural gas utility delivering safe, reliable energy to more than 450,000 homes and businesses in northeast and central Wisconsin. Learn more at Equal Opportunity/Affirmative Action Employer All qualified candidates, including minorities, women, veterans and people with disabilities are encouraged to appl
Posted 6 days ago
Claims Specialist – Property Claims Middleton (Madison), WI CapSpecialty seeks a dynamic versatile claims professional to add to its experienced, team oriented staff. This claims professional will investigate, evaluate and resolve claims involving Commercial Property, Business owners Property, Inland Marine, and Commercial Crime claims. This position also requires frequent interaction with o
Posted 7 days ago
Due to an increase in business, A.B. Data, Ltd., is looking for a MS Office Excel proficient Claims Administrator to process electronically received claims in our Class Action Administration Division. This division manages the complexities of various types of class action lawsuits, including securities, consumer, antitrust, employment, civil rights and environmental cases. The Claims Administrator
Posted 10 days ago
WPS Military and Veterans Health (MVH) provides cost effective claims administration, customer service, and other related activities for the U.S. Department of Defense’s TRICARE For Life and TRICARE Overseas Program, TRICARE East, as well as the U.S. Department of Veterans Affairs. These programs provide benefits for active duty military personnel, veterans, their families, survivors, and fo
Posted 3 days ago
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