You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM Even if you have no prior experience, we have training classes starting soon to help you build the successful career that you want - apply today! We provide the support and structure; you provide the interest and motivation. You like working with people. Even more so, you like helping them. This is your chance to join a team dedicated to helping our members and their families every day. In this joint role as a Customer Service and Claims Representative, you'll join us on a mission to not only deliver the best customer service in the health care industry, but the best customer service. Period. Your compassion...

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM Even if you have no prior experience, we have training classes starting soon to help you build the successful career that you want - apply today! We provide the support and structure; you provide the interest and motivation. You like working with people. Even more so, you like helping them. This is your chance to join a team dedicated to helping our members and their families every day. In this joint role as a Customer Service and Claims Representative, you'll join us on a mission to not only deliver the best customer service in the health care industry, but the best customer service. Period. Your compassion...

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM This is an opportunity that's all about where you've been. Your experience. Your potential. Your skills. Because on the team at UnitedHealth Group, your potential and your impact can be career changing. No company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We'll look for your experience and expertise to help keep our service levels and accuracy extremely high. We'll also look for your ideas on how to constantly evolve our claims processes. We'll back you with the great training, support and opportunities you'd expect from a...

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM It's that time, isn't it? You're ready for the next step forward and an opportunity to build on your skills. And it just so happens that there's never been a better time to get on the team at UnitedHealth Group. We've built one of the world's most effective and respected claims processing teams. And that's where you come in. We'll look to you to maintain our reputation for service, accuracy and providing a positive claims experience. We'll back you with the great training, support and opportunities you'd expect from a Fortune 10 leader. Training will be conducted virtually from your home. This position is...

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 10 leader. Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their...

Job Description Our client is expanding their California Workers Compensation Department and seeking to add a Remote Workers Compensation Claims Specialist. This role will consist of handling complex litigated California Workers Compensation Lost Time claims from inception to close. Qualified candidates must possess a strong knowledge of California Workers Compensation Law and have the ability to work remotely. Handle complex California Workers Compensation claims with minimal supervision and guidance from the manager. Handles catastrophic claims including traumatic head injury, spinal cord paralysis, severe burns, major amputations and fatalities. Negotiate settlements with injured workers and attorneys. Provides direction to legal counsel and manages litigation process. Secures Medicare set-asides and uses structured settlements. Attend settlement conferences on serious injury claims. Requirements 5 to 9+ years of experience handling Workers...

Sentara Health Plans is currently hiring anTeam Coordinator, Claims Auditfor Virginia Premier!This is a Full Time position with day shift hours and great benefits!Position can work remotely in Virginia. Job Requirements:Bachelor's Level DegreeRequired: Related - 3 yearsPreferred: Claims and Auditing in Healthcare experiencePreferred: Previous supervisory experienceBachelor's Degree in related major required. Applicants who do not have their Bachelor's Degree will be required to sign a Bachelor's Degree Agreement committing to successfully obtaining their Bachelor's Degree within 5 years of Hire Perform any other job related instructions as requested.Sentara Health Plans is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier. Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans,...

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We are hiring Licensed Insurance Agents to work from home and be part of a company that is continuing to grow and make a difference in the Medicare industry. What e-TeleQuote Offers You..

The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.Claims Examiner Workers Compensation (Telecommuter)IF YOU CARE, THERE'S A PLACE FOR YOU HEREFor a career path that is both challenging and rewarding, join Sedgwick's talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and...

Job Purpose/ RoleIf you dare to challenge yourself daily, we'd like to get to know you better! In this work-from-home role, you'll review routine customer claims to determine whether a loss is covered. In this detail-oriented and customer-centric role, you'll become a specialist on the specifics of coverage and benefits policies to empower effective decision making.PLEASE APPLY VIA: addition to making coverage and benefits decisions, here's what you can expect: Key ResponsibilitiesA DAY IN THE LIFE Review claims, identify the incident, determine coverage in accordance with the contract, and conclude what, if any, benefit applies and the amount to be reimbursed. Be responsible for paying or rejecting the claim in accordance with the terms and conditions of the insuring agreement. Deliver a high standard of service and empathy when following up with customers by letter, email, or telephone once the claim has been resolved. Efficiently answer incoming telephone or email inquiries from...

Job Description Summary: The Claims Examiner will be responsible for processing complex medical and facility claims accurately through Healthfirst s claims processing system. This is a fast-paced and high volume environment. The Claims Examiner will be expected to maintain production and quality standards as they process and adjudicate daily claims. This is a team environment position. The Claims Examiner must be able to effectively work with others, provide and implement claims processing solutions while understanding process flows. At the discretion of the Claims Manager, this position will transition into a telecommuting role (full time) following an initial training period.Duties & Responsibilities:+ Review, investigate and adjudicate claims and encounters for medical services through contractual provisions in accordance with provider contracts and authorizations.+ Process new claim suspensions and perform claim adjustments to correct erroneous payments...

You ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life s best work.SM The Senior Claims Arbitrator is responsible for the management of all arbitration cases. The position involves review of file specifics, preparation of contentions with a valid, well written theory of liability and damages, filing of appropriate documentation, and the tracking of these files throughout the arbitration process. The Arbitration Specialist is responsible for presenting all cases as applicant, counter, or respondent in...

Inbound, Claims Care Representative - 100% Remote79505Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurichs customers include individuals, small businesses, and mid-sized and large companies, as well as multinational corporations.We are seeking confident, outgoing, and self-motivated Customer Care Professionals to join our dedicated team in December of 2021. If you are passionate about customer service and want to help people, we want to talk to you. You will work 100% remote from your home office. This role offers an in depth, 6-week training that covers everything youll need to get started. Must be available to service customers within the following time zones Mountain Standard Time.Your Day to Day Responsibilities:+ Process clients first notice of loss claim reports received through Zurichs phone & non-phone reporting options in a timely and accurate manner.+ Resolve complex claims inquiries and problems, judging when to pass...

This position is accountable for leading transformational change through planning, staffing, directing, developing and maintaining the efficient operation of the Claims process in a way that eliminates waste so that processes are considered to be value add and a cost effective service for the customer. Responsible for partnering and communicating with customers and business partners in achieving the strategic goals of the Company. WHAT YOU'LL DO: Plans, organizes, staffs, leads and controls activities pertaining to the Claims process to include: projects and capital and human resources budgets; interviewing, selecting, and training supervisors; monitoring and appraising performance of direct reports to hold them accountable for end results. Responsible for human resource management; coaching and motivating direct reports; administering disciplinary action as needed; administering compensation to direct reports; and ensuring that Claims complies with affirmative action...

Job Description Our client is seeking to add a Remote - Senior Workers Compensation Claims Specialist to their New York Operations. This role will consist of handling mid to complex Workers Compensation Lost Time claims from inception to close. Qualified candidates must possess an active New York Adjuster's License and have the ability to work remotely! Handle moderate to complex workers compensation claims with minimal supervision and ?guidance from the manager. Research and formulate a basis on which coverage decisions will be ?made, conduct thorough investigations, manage medical treatment, influence early full return-to-work, guide litigation and control claim outcomes. Negotiate settlements with injured workers and attorneys. ?Responsibilities also include active file management, effective reserving practices, participation in training activities, presentation of serious claims to committee and supervision of litigated files. Consistently exhibit a high level...