The Product Coverage Counsel is responsible for creating, reviewing, editing, and organizing the Company's policy forms and endorsements and maintaining the Company's insurance product catalog. Duties and Responsibilities Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service Draft new forms an

LOCATION Remote This is a home based, virtual position. Vaya Health operates on US Eastern Standard time within the hours of 8 30am 5 00pm EST. We welcome applications from the following states NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims proc

LOCATION Remote must live in or/near Vaya's catchment area. Must also reside in North Carolina or within 40 miles of the NC border. GENERAL STATEMENT OF JOB The Special Investigator works under the direct supervision of the Special Investigations Operations Manager. The Special Investigator is responsible for identification, investigation and prevention of healthcare frau

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

12+ years of overall IT experience with 8+ years of Duck Creek Policy configuration, upgrade, and support experience Experience in commercial & personal lines of templates (ISO and non ISO) Hands on experience of implementing inheritance model, Manuscript data model, product versioning. Experience in on premises and OnDemand policy implementation. Integration solution des

12+ years of overall IT experience with 8+ years of Duck Creek Policy configuration, upgrade, and support experience Experience in commercial & personal lines of templates (ISO and non ISO) Hands on experience of implementing inheritance model, Manuscript data model, product versioning. Experience in on premises and OnDemand policy implementation. Integration solution des

Job Duties The duties of this position include filing dental insurance claims and pre treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, i.e. x rays, chart notes and letters of necessity; investigating certain denied claims, following up on those investigations and submitting claims appea

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

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

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Senior Casualty Adjuster Requisition ID 2024 24873 Job Locations US NC Charlotte 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 Charlotte, NC region. Eligible for company vehicle, cell p

At Selective, we don't just insure uniquely, we employ uniqueness. Our Business Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years.Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and ho

This position supervises a staff of medical coders, either inpatient or outpatient, and related support positions across all entities that are owned or managed that have opted into shared services. 100% remote This is a remote position eligible for hire from Alabama, Alaska, Arizona, Arkansas, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Mi

Claim Specialist II ID 2024 23167 Location Professional Fee Billing Work Location US NC Greensboro Division Name System Wide Department Name SW Pro Fee Billing Category CLERICAL/ADMIN Position Sub Category INSURANCE/BILLING Position Type Full Time (40 hours/week) Employment Type Employee Exempt/NonExempt Non Exempt FTE 1.00 Workforce Status Hybrid I Work Hours 40.00 Provi