-
Senior Property Claims Adjuster
6 days ago
Progressive Insurance Milwaukee, United StatesJoin Forbes' 2024 Best Employer for Diversity · This position includes a $5,000 starting bonus · As asenior field claims adjusteron our Home & Property team, you'll manage the coverage and damage analysis of property claims. Handling claims from start to finish, you'll support ...
-
Senior Property Claims Adjuster
1 week ago
Progressive Insurance Milwaukee, United StatesJoin Forbes' 2023 Best Employer for Diversity · This position includes a $5,000 starting bonus · As asenior field claims adjusteron our Home & Property team, you'll manage the coverage and damage analysis of property claims. Handling claims from start to finish, you'll support ...
-
RCIS Crop Claims Field Adjuster I
1 week ago
Zurich Insurance Company Ltd Milwaukee, United StatesZurich is currently looking for a RCIS Crop Claims Field Adjuster Ito join our Rural Community Insurance Services (RCIS) team. RCIS is one of the leading crop insurance providers in the U.S. RCIS offers insurance protection in all 50 states through a national network of about 3,6 ...
-
Technical Service Representative Ii
19 hours ago
Generac Power Systems Waukesha, United StatesCompany Generac Power Systems · Name Technical Service Representative II · Req # 64790 · Employment Type Full Time · Shift 1st · At Generac, our people help make the world safer, brighter, and more productive. We are united by our efforts to inspire change for a better world; imp ...
-
Claims Administrator
1 week ago
Royal Plus Berlin, United StatesRoyal Plus, Inc. is currently seeking an Claims Administrator for our Berlin,MD office. Duties include, but are not limited to: · - Handle Emergency Mitigation/Restoration calls · - Work closely with Estimators, Project Managers and Field Technicians · - Data entry · - Spreadshee ...
-
Claims Assistant I
1 week ago
Old Republic Surety Company Brookfield, United States**Old Republic Surety Company** (ORSC) is currently seeking a **Claims Assistant I** to join its **Claims Team** at its home office located in Brookfield, WI. Under the guidance of the Claims Administrative Supervisor, the Claims Assistant I provides administrative support to adj ...
-
Shipper & Receiver - 1st Shift
1 day ago
D&S Manufacturing New Berlin, United States**Technical Metal Specialties** is looking to expand their team** · **Job Location**: · **16555 W Ryerson Road** · **New Berlin, WI 53151** · **1st Shift - Monday through Friday** · **With experience, make up to $23.50 per hour.** · **Summary** · Receives records, unpacks, and ex ...
-
Claims Support Supervisor
1 week ago
Old Repubic Surety Company Brookfield, United States**Old Republic Surety Company** (ORSC) is currently seeking a **Claims Support Supervisor** to join its **Claims Team** at **Brookfield, WI.** In general, this position supervises the claims support team and ensures the prompt and efficient handling of claims. · **DUTIES AND REPO ...
-
Accountant
1 week ago
Greendale Schools Greendale, United StatesResponsibilities include: · - Perform reconciliation functions pertaining to the cash account, general ledger accounts, and various revenue and expenditure items and accounts. · - Complete all bank reconciliations. · - Maintain journals, ledgers, and other accounting records. · - ...
-
Customer Service Representative
1 week ago
A.B. Data, Ltd. Milwaukee, United StatesDuties include: · - Claim Processing - accurately and promptly: · - Enter Class Action lawsuit case claimant information into the processing systems. · - Learn the intricacies of individual cases to accurately process claims according to their specific procedures. · - Make adjust ...
-
Account Rep Iii
2 days ago
Medical College of Wisconsin Milwaukee, United StatesAccount Rep III · - Requisition ID #: Job Category: Medical Billing- Employment Type: Full Time- Experience Level: Experienced (non-manager)- City, State: Milwaukee, WI- Work Location: Research Park Center- Department: Clinical Practice Services- Education: High School DiplomaPos ...
-
Account Rep Ii
19 hours ago
Medical College of Wisconsin Milwaukee, United StatesAccount Rep II - Medicaid · - Requisition ID #: Job Category: Medical Billing- Employment Type: Full Time- Experience Level: Experienced (non-manager)- City, State: Milwaukee, WI- Work Location: Research Park Center- Department: Clinical Practice Services- Education: High School ...
-
Account Rep Ii
1 week ago
Medical College of Wisconsin Milwaukee, United StatesAccount Rep II - Medicaid · - Requisition ID #: Job Category: Medical Billing- Employment Type: Full Time- Experience Level: Experienced (non-manager)- City, State: Milwaukee, WI- Work Location: Research Park Center- Department: Clinical Practice Services- Education: High School ...
-
Warranty Quality Specialist
1 week ago
Generac Waukesha, United StatesCompany Generac Power Systems · Name Warranty Quality Specialist · Req # 64529 · Employment Type Full Time · Shift 1st · At Generac, our people help make the world safer, brighter, and more productive. We are united by our efforts to inspire change for a better world; impact our ...
-
vocational case manager i
1 week ago
CorVel Waukesha, WI, United StatesThe Vocational Case Manager provides vocational rehabilitation services and medical case management to physically disabled individuals through coordination with client, referral source, physician, employer, attorney and others with the ultimate goal being the client's timely retu ...
-
Technical Service Representative I
1 week ago
Generac Power System, Inc Waukesha, United StatesTechnical Service Representative I · Company Generac Power Systems · Name Technical Service Representative I · Req # 63925 · Employment Type Full Time · Shift 1st · It's a challenge and an invitation. Most importantly, it's an opportunity to join an industry leader that's shaping ...
-
Technical Service Representative II
1 week ago
Generac Power System, Inc Waukesha, United StatesTechnical Service Representative II · Company Generac Power Systems · Name Technical Service Representative II · Req # 64790 · Employment Type Full Time · Shift 1st · At Generac, our people help make the world safer, brighter, and more productive. We are united by our efforts to ...
-
Technical Service Representative II
1 week ago
Generac Power System, Inc Waukesha, United StatesTechnical Service Representative II · Company Generac Power Systems · Name Technical Service Representative II · Req # 65191 · Employment Type Full Time · Shift 1st · At Generac, our people help make the world safer, brighter, and more productive. We are united by our efforts to ...
-
Technical Service Representative II
5 days ago
Generac Power System, Inc Waukesha, United StatesTechnical Service Representative II · Company Generac Power Systems · Name Technical Service Representative II · Req # 64106 · Employment Type Full Time · Shift 1st · At Generac, our people help make the world safer, brighter, and more productive. We are united by our efforts to ...
-
Vocational Case Manager I
3 days ago
CorVel Healthcare Corporation Waukesha, United StatesJob Description · Job DescriptionThe Vocational Case Manager provides vocational rehabilitation services and medical case management to physically disabled individuals through coordination with client, referral source, physician, employer, attorney and others with the ultimate go ...
Claims Adjuster - Waukesha, United States - CommUnityCare
Description
**Claims Adjuster**
Dolphin Drive - Waukesha County, 1801 Dolphin Drive, Waukesha, Wisconsin, United States of America Req #1894 Monday, February 7, 2022 ***Community Care has adopted a mandatory COVID-19 vaccination policy. This policy requires that all Community Care, Inc. employees verify they are fully vaccinated or have an approved medical or religious exemption.*** Community Care is hiring a Claims Adjuster. This rewarding opportunity is perfect for someone who enjoys team collaboration, being part of a mission driven organization and who shares our mission to help elderly individuals and adults with physical and intellectual disabilities continue to live as independently as possible in the community. This is a full-time opportunity at our Waukesha Office.
Claims Adjuster Job Responsibilities :
Claims Analysis/Resolution
Assists staff with analysis and resolution of complex claims and reimbursements.
Call Center Coverage
Provides back up coverage to the call center Customer Service Representatives (CSRs) as needed.
Claims Processing
Processes claims and issues payment authorizations as assigned.
Claims Investigation and Resolution
Receives, researches, resolves, tracks and documents claims related inquiries and informal grievances from providers, internal departments and external agencies within the timeframes of established performance standards and in an accurate and professional manner. Utilizes appropriate resources to respond to provider inquiries. Performs simple claim adjustments needed to resolve inquiries. Maintains good working relationships and open communication with internal and external customers.
Resolving Provider Issues
Assists with resolving provider issues and answering provider questions related to contracts and claims.
Productivity Tracking
Provides routine reporting of work volume and productivity as required.
Performs other job-related duties as assigned.
Claims Adjuster Experience : Minimum of three years of claims processing experience in an environment of multiple plan benefits and provider contracts required. Two to three years of Customer Service experience is desired.
Claims Adjuster Education : High School diploma required.
Monday to Friday
8:00 AM 4:30 PM Hybrid schedule may be available
Community Care is a nonprofit organization with over 40 years of experience helping adults with long-term care needs live as independently as possible. Our Medicare/Medicaid long-term care programs serve the needs of older adults and adults with disabilities. We coordinate and deliver a full range of supportive services that help them live safely, confidently and with dignity.
More than 12,000 Wisconsinites trust in us to provide the quality support needed to help them reach their potential in health, happiness and independence. We are Wisconsin-based and have local offices supporting each of the 15 counties we serve.
Compensation and Benefits:
Our employees make a real difference in peoples lives every day. To show appreciation, were dedicated to offering competitive pay and a comprehensive benefits package to our staff that addresses their mental, physical and financial health and well-being.
If interested in joining Community Care, please apply and our recruitment team will reach out promptly.
**Other details**
Job Family Finance - Accounting
Halogen Template Staff Business Support
Pay Type Hourly
