LOCATION Remote must live in North Carolina or within 40 miles of the NC border. GENERAL STATEMENT OF JOB The Healthcare Fraud Analyst works under the direct supervision of the Special Investigations Director in the Special Investigations Unit (SIU). The Healthcare Fraud Analyst is responsible for identification and detection of potential Healthcare fraud, waste and abuse

The salary range for this job posting is $48,024.00 $86,059.00 annually + bonus + benefits The above represents the salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, education, experience, and other job related factors. Your recruiter can share more information about the specific salary range during the hiring process

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

Newport, an Ascensus company, helps employers offer their associates a more secure financial future throughretirement plans,insuranceandconsulting services. Newport offers comprehensive plan solutions and consulting expertise to plan sponsors and the advisors who serve them. As a provider and partner, Newport is independent, experienced, and responsive. Job Summary Perfor

Provides technical, clinical and coding expertise to support coding related projects. Consults/collaborates with all plan areas regarding national coding standards and applicability to BCBSNC claims processing systems and reimbursement policy. Presents findings and trends in coding practices to internal/external audiences and makes recommendations regarding coding standar

The Premium Auditor completes all assigned premium audits adhering to company standards and industry regulations, under direct supervision, for small size accounts in multiple states. Duties and Responsibilities Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service Complete virtual and mail pr

The Senior Claims Examiner will manage a caseload of insurance claims pending under a moderate to low level of supervision. Job functions include the following Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of insured's or insurer's liability; Reviewing and evaluating damages and determining strategies for resolution.

TITLE Claims Consultant LOCATION Remote About Us Curi is a full service advisory firm that serves physicians and medical practices. Equal parts fierce physician advocates, smart business leaders, and thoughtful partners, Curi's advisory, capital, and insurance offerings deliver valued advice that is grounded in client priorities and elevated by their outcomes. From data d

The Claims Specialist will manage a caseload of pending insurance claims with minimal supervision. Job functions include the following Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of the insured's or insurer's liability; Reviewing and evaluating damages and determining strategies for resolution; settling claims in a

Estimate Reviewer II Requisition ID 2024 25293 Job Locations US FL | US TX San Antonio | US TX Dallas | US GA Atlanta | US AZ Phoenix | US MO Kansas City | US NC Charlotte | US IL Chicago | US AL Birmingham | US CA San Diego | US IN Indianapolis | ... Position Type Regular Full Time Category Claims Business Unit XUS_CCC US Excellence In Everything We Touch Position Summar

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

Senior Casualty Adjuster Requisition ID 2024 24874 Job Locations US NC Raleigh Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary Our Casualty Adjuster will work from home to receive assignments! May require travel to service the Raleigh, NC region. Eligible for company vehicle, cell phone

The Senior Claims Examiner will manage a caseload of insurance claims pending under a moderate to low level of supervision. Job functions include the following Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of insured's or insurer's liability; Reviewing and evaluating damages and determining strategies for resolution.

Estimate Reviewer II Requisition ID 2024 25294 Job Locations US FL | US TX San Antonio | US AZ Phoenix | US TX Dallas | US GA Atlanta | US MO Kansas City | US IL Chicago | US NC Charlotte | US CA San Diego | US AL Birmingham | US FL Jacksonville | ... Position Type Regular Full Time Category Claims Business Unit XUS_CCC US Excellence In Everything We Touch Position Summar

Supervises, coordinates and monitors activities of a claims unit in order to obtain and ensure an accurate, quality product while maintaining high production standards and performance standards. Schedules, prioritizes, and distributes workflow of unit to ensure work is done in a timely fashion and all deadlines are met. Audits procedures and controls to ensure compliance