Medical Claims- Regulation - Chicago

This position is responsible for auditing, creating reports, managing findings and reporting results based on regulatory requirements and operational controls evaluating and monitoring activities and functions delegated to contracted entities. · The job duties include overseeing ...

You have a clear vision of where your career can go and we have the leadership to help you get there at CNA. · We strive to create a culture in which people know they matter and are part of something important ensuring the abilities of all employees are used to their fullest pote ...

The Claims Compliance Officer is a senior role supporting U.S. insurance claims operations in a complex environment. · Own and support claims compliance oversight across all U.S. jurisdictions. · ...

This is a Claims Manager role that involves handling complex commercial lines claims and professional lines claims. · ,(investigate Professional Lines claims) · ,(determine appropriate reserving levels) · ,(exercise significant limits of authority in claim handling) · ,(), · Req ...

We are hiring a remote Workers Compensation Claims Adjuster to join our team. · Flexible salary range based on experience · ...

This is a Senior Claims Manager role that oversees complex commercial lines claims and professional lines claims. The ideal candidate should have strong negotiation skills and excellent written and verbal communication skills. · ...

Seeking a skilled and detail-oriented Auto PD/Bodily Injury Claims Adjuster to handle claims arising from commercial auto accidents involving bodily injury. · ...

A leading Property & Casualty insurance carrier is seeking an experienced Claims Director to oversee Third-Party Administrator (TPA) relationships. · ...

Join Sedgwick and be part of something truly meaningful. Grow your career with us, experience our caring culture, and enjoy work-life balance. · ...

GoTo Telemed seeks a detail-oriented and compliance-minded Dental Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our internal dental clinics. · Primary Responsibilities · ...

Directly handle manage and/or oversee commercial and financial lines Public and Private D&O Financial Institutions E&O EPL Fiduciary and Crime/Fidelity claims. · Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial co ...

We are seeking an experienced attorney to lead program-level large or complex loss management and directly work in partnership with Claims to successfully administer our most complex or visible claims. · ...

The PIP Unit Supervisor will be responsible for supervising overall productivity and personnel of the PIP Unit. · Lead, motivate, and provide direction to PIP Specialists, Sr. PIP Specialists, and MP/PIP Adjusters. · Conduct file and diary reviews for the purpose of monitoring PI ...

We seek a detail-oriented Dental Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our internal dental clinics. · Verify patient dental insurance eligibility and benefits prior to appointment scheduling · Maintain accurate insurance information in pract ...

Chubb is looking for an experienced Outside Property Claims Field Adjuster to handle field property claims in the local Chicago, IL and surround area. · ...

ISMIE is seeking a Claims Technician to provide technical assistance and support to the Claims Division. · ...

We believe that great talent can thrive from anywhere. We offer flexibility and the comfort of working from home while ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband ...

The Role · Provides oversight of personal and commercial lines property claims. · Review claims submitted by TPAs · Analyze coverage to ensure accuracy in coverage letters · Audit assigned TPAs and review monthly reports · ...

MEM Insurance is looking for a Claims Manager to lead a team of seasoned claims professionals handling higher-complexity workers' compensation claims. · ...

The role involves adjusting primary and excess cyber claims, conducting coverage analysis, reviewing claims for accuracy and consistency in coverage analysis. · ...