Claims Examiner or Associate Claims Examiner - Charleston - USLI

Responsibilities & Duties:Claims Processing and Assessment: · Evaluate incoming claims to determine eligibility, coverage, and validity. · Conduct thorough investigations, including reviewing medical records and other relevant documentation. · Analyze policy provisions and contra ...

The Casualty Complex Claims Director will handle and analyze general liability and auto claims on behalf of the West Virginia Board of Risk and Insurance Management.Additional responsibilities include analyzing and processing bodily injury and third-party property damage claims b ...

The Complex Director will handle and analyze general liability and auto claims on behalf of the West Virginia Board of Risk and Insurance Management. The position also ensures ongoing adjudication of claims within the Company standards, industry best practices and specific client ...

Nature of Work · This job opportunity is not in the classified service and is not covered by the West Virginia Division of Personnel merit system. *** · Division: Workers' Compensation - Claims Services · Office Location: 900 Pennsylvania Avenue, Charleston, WV 25302 · The Claims ...

+The Claims Processor is responsible for reviewing and adjudicating Overseas paper/electronic claims. They must determine proper handling and adjudication of overseas claims following organizational policies and procedures. · +Examines and resolves non-adjudicated overseas claims ...

· Nature of Work · ***This job opportunity is not in the classified service and is not covered by the West Virginia Division of Personnel merit system. *** · Division: Workers' Compensation - Claims Services · Office Location:  900 Pennsylvania Avenue, Charleston, WV 25302 · The ...

We are reimagining the way we help customers to manage risk. Join us as a Claims Examiner III, Accident & Health to play your part in that transformation. · Analyze and process bodily injury and third-party property damage claims by investigating and gathering information to dete ...

Resp & Qualifications · PURPOSE: · Responsible for answering member/ inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. Proactively provides information and education to members, providers & b ...

SUMMARY DESCRIPTION: The Residential Field Adjuster is responsible for investigating, inspecting, negotiating, and bringing to final resolution property claims of all named-peril losses. For claims where the damage is less severe, the Property Field Adjuster may be assigned tasks ...

+This position is responsible for answering member inquiries pertaining to product information and providing customer service via telephone. · +Provides first-level problem resolution to member inquiries via telephone.Uses knowledge of products to provide customer service and edu ...

Provides customer service to members via phone and handles inquiries about product information and claims resolution. · The role involves providing education to members on various health programs and assisting with basic technical issues. · Essential Functions include resolving m ...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. · This is a remote role.Receives claim, confirms policy coverage and acknowledgement of the claim · Determines validity and compensability of the claim by inves ...

Will conduct Medical Disability Examinations (MDE) for veterans who file disability claims for hearing conditions through the Veterans Benefits Administration as part of the Compensation and Pension Program. · Performs age-appropriate audiology assessments and examinations for Mi ...

· Nature of Work · The Transportation Investigator in this position will serve in the Investigations Section of the Human Resources Division. This position involves conducting advanced investigations to gather evidence of reported fraud or violations of state agency rules and la ...

The West Virginia State Tax Division is seeking a candidate who will primarily examine and audit tax returns and other related documents for completeness, accuracy, · and compliance with WV law.verifying the accuracy of return filings utilizing well established rules · and proced ...

JOB · ***This job opportunity is not in the classified service and is not covered by the West Virginia Division of Personnel merit system. ***Division: Workers' Compensation - Claims ServicesOffice Location: 900 Pennsylvania Avenue, Charleston, WV 25302The Claims Services unit wi ...

The West Virginia State Tax Division is seeking an advanced candidate who will primarily examine and audit complex tax returns and other related documents for completeness, accuracy, · and compliance with WV law. · The incumbent will have in-depth knowledge of state tax laws, reg ...

This job opportunity will not be in the classified service and will not be covered under the Administrative Rule of the WV Division of Personnel. · This position will be located at Mountaineer Racetrack. Under general supervision of an audit supervisor.Conducts field audits, exam ...

We're building a world of health around every individual — shaping a more connected, · convenient and compassionate health experience. · Conduct high level, · complex investigations of known or suspected acts of healthcare fraud and abuse. · ...

+Job summary · This job opportunity is for an Insurance Complaints Specialist in Charleston. The ideal candidate will have excellent verbal and written communication skills and be proficient in Microsoft Office. · Responsibilities include investigating complaints filed against in ...

+Conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. · ...