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• Serves the needs of the client by planning, coordinating, and executing cross functional risk management projects • Coordinates with the Supervisor, Manager, Senior Manager, or Partner on all phases of the engagement, including execution of the project deliverables, communications with the project team, staffing requirements, job planning, and scheduling • Manages relationship wit
Posted Today
Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 866 362 6451. This email inbox is monitored for reasonable accommodation requests only. Any other correspondence will not receive a response. Regular or Temporary Regular Language Fluency English (Required) Work Shift 1st shift (United States of Americ
Posted Today
Serves the needs of the client by planning and performing audits, in addition to any other related client needs Coordinates with the Engagement Team, Manager, Senior Manager, and Partner on all phases of the engagement, including execution of the engagement letter, communications with the client, staffing requirements, job planning, and scheduling Exercises independent thinking skills by making de
Posted 6 days ago
Serves the needs of the client by planning and performing audits, in addition to any other related client needs Coordinates with the Engagement Team, Manager, Senior Manager, and Partner on all phases of the engagement, including execution of the engagement letter, communications with the client, staffing requirements, job planning, and scheduling Exercises independent thinking skills by making de
Posted 6 days ago
Serves the needs of the client by performing audits, in addition to any other related client needs Exercises independent thinking skills by making decisions related to engagements to include assessment of engagement risks, determining which procedures to perform to arrive at a desired level of assurance, and evaluating evidence Evaluates the client’s system of internal control, and conducts
Posted 6 days ago
Essential Business Experience and Technical Skills Interviews insureds, claimants and other parties to determine the facts of the claim. Creates and documents claims file to comply with company guidelines and state regulations. Reviews factual information to determine coverage and/or liability of all parties to the claim. Determines the value of the claim by contacting the claimant, attorney, medi
Posted Today
Under the direct supervision of the Coding Claims Audit Fraud Manager, this position contributes to the Ensemble and Mercy Health mission and vision by serving as the staff providing day to day claims compliance fraud audits that align with the Ensemble revenue cycle third party billing Corporate Responsibility Program (CRP) and the overarching efforts of Mercy Health Corporate Responsibility Prog
Posted Today
Supervise and direct a group of claims handlers in the process of claims adjusting. Train, develop and provide technical guidance to claims staff.Advise claim’s team on tasks related to the management of claims and monitor performance.Provide information and support to leadership in the implementation of activities to reach department goals. This position is to be located in our Winston Sale
Posted 1 day ago
Studies and successfully completes the Claims Training Program including but not limited to company orientation, company prepared training programs, outside courses as deemed appropriate, and on the job training. There is close supervisory review of ongoing progress and results of work. Trainee will complete testing and evaluation as part of the trainee program. Essential Duties and Responsibiliti
Posted 1 day ago
Responsible for creating an estimate of damages to 1st and 3rd party material damage, by reviewing photos received via MyClaimPics, from the customer; from Copart Auto Auctions or from a third party vendor. Also responsible for focusing on the needs of loss participants, identifying customer needs, and working to meet those needs using appropriate customer service skills for internal (claims adjus
Posted 1 day ago
Examines claims data, investigates the facts of loss, determines coverage and liability, and adjusts claims within limit of authority. Claims involved frequently require analysis and may require research to resolve coverage and/or damage issues. There is periodic review of ongoing activities and results of work. There is more focused supervision on complex files (The CRII will handle complex files
Posted 1 day ago
Responsible for creating an estimate of damages to 1st and 3rd party material damage, by reviewing photos received via MyClaimPics, from the customer; from Copart Auto Auctions or from a third party vendor. Also responsible for focusing on the needs of loss participants, identifying customer needs, and working to meet those needs using appropriate customer service skills for internal (claims adjus
Posted 1 day ago
Studies and successfully completes the Claims Training Program including but not limited to company orientation, company prepared training programs, outside courses as deemed appropriate, and on the job training. There is close supervisory review of ongoing progress and results of work. Trainee will complete testing and evaluation as part of the trainee program. Essential Duties and Responsibiliti
Posted 1 day ago
Studies and successfully completes the Claims Training Program including but not limited to company orientation, company prepared training programs, outside courses as deemed appropriate, and on the job training. There is close supervisory review of ongoing progress and results of work. Trainee will complete testing and evaluation as part of the trainee program. Essential Duties and Responsibiliti
Posted 1 day ago
Successfully completes the Claims Service Consultant Training Program and demonstrates the skills learned. For all duties and responsibilities, incumbent will take ownership of any issue, problem, or error that could potentially impact the loss participant. Secures new loss reports and loads the loss into the appropriate system. Follow through with clearly identifying expected services that will b
Posted 1 day ago
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