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Under the direction of the Safety & Transportation Director and Claims Manager, the Safety / Claims Support Specialist will perform a variety of traditional and analytical administrative functions related to the Companies’ Safety and Claims departments as outlined below. Regular interaction with other departments within the company is required consisting of HR, Repair Facilities, and Man
Posted 1 day ago
DentaQuest
- Milwaukee, WI
Must have clinical experience in reading dental radiographs and ability to provide clinical interpretation of dental radiographs. Responsible for independent interpretation of utilization reports to detect patterns and potential areas of fraud, waste or abuse. Responsible to query data to conduct comprehensive drill down data analysis to detect patterns and trends of under and over utilization. Re
Posted Today
Rural Mutual Insurance Company has a great opportunity for an experienced safety and loss control professional to join our growing team. We are seeking a highly motivated, ambitious, experienced, and outgoing safety and loss control professional that will be equipped to work from home throughout northern Wisconsin. You will be meeting with farms, agri business, commercial, and municipalities to pr
Posted 9 days ago
Vizance, Inc., formerly RC Insurance Services, Inc. is currently seeking motivated and ambitious sales professionals to join our energetic team. We are looking for new associates who thrive in a team based, family atmosphere that provides a great financial opportunity. If you have an entrepreneurial spirit, this may be the role for you. A history of consistent growth, combined with the support of
Posted 9 days ago
Responsible for the total loss cost management, service, and recovery within a broad range of assigned areas including subrogation, salvage, deductible, third party administrator errors and omissions, to resolve duplicate and over payment of claims to meet claim objectives. Primary Responsibilities Ensure coordination with vendor and QBE stakeholders, including assigned lines of business (LOB), ve
Posted 14 days ago
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
Research potential overpayment scenarios through the use of client policies and provider contracts, seeking to identify overpaid claims used to build recurring algorithms Identify and refine criteria to successfully build and enhance new and existing algorithm logic ensuring correct claim payment Research and quickly Identify patterns of claim payment abnormalities through big data analysis Develo
Posted Today
Job Summary This role provides clerical services in opening, identifying, prepping and sorting all incoming mail/documents for all lines of business and contracts in order to bring them under initial control within a strict timeframe. Characteristics and Responsibilities Perform various clerical tasks requiring some diversity and application of several established procedures. Pull rejected claims
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
HCA Asset Management
- Milwaukee, WI
Are you highly motivated and want to work in an environment that rewards for performance? Want to travel to see all 4 corners of the United States? Think it would be exciting to work with a group of energetic and self motivated team members? Are you an “A Player” and looking for a company that has a lot of fun? If all of this is sounding pretty good, then here is a little more about wh
Posted 15 days ago
DentaQuest
- Milwaukee, WI
Must have clinical experience in reading dental radiographs and ability to provide clinical interpretation of dental radiographs. Responsible for independent interpretation of utilization reports to detect patterns and potential areas of fraud, waste or abuse. Responsible to query data to conduct comprehensive drill down data analysis to detect patterns and trends of under and over utilization. Re
Posted Today
We are currently seeking a Hazard Insurance Claims Tech. Will be performing a variety of retail loan escrow tasks related to taxes, hazard insurance, flood insurance and force placed insurance. Will take accountability for the entire process from receipt of work to resolution and closure. Tasks require coordination of information among various operations areas and customers. Must have the ability
Posted 3 days ago
Must have large loss commercial remediation and restoration experience to apply! The Large Loss Senior Project Manager will manage all facets of high cost commercial catastrophic events such as fires, floods, and other property losses. The ideal candidate will have extremely strong problem solving and communication skills, be highly detail oriented to juggle multiple tasks at all time, and have st
Posted 2 days ago
Our client, a Premier (National) Leader in the Fire & Water Restoration Industry is looking for an " Experienced " ESTIMATOR Ideal candidate will have SOLID WORK HISTORY Minimal of 5 to 5 + “Current” years of Industry related Estimating via the use of Xactimate in both Commercial and Residential (Fire/Water) Losses A Book of Business relevant to the job Ability to see Pro
Posted 18 days ago
The QTI Group is currently hiring two Provider Relations Specialists on behalf of a client in Verona, Wisconsin. These full time, contract to hire roles operate Monday through Friday from 8 00 AM to 4 30 PM, with some flexibility in the hours. These individuals are responsible for responding to provider calls related to claim status, denials, and resubmission of claims, as well as instructi
Posted 1 day ago
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