Investigate all non standard claim problems (25%) Investigates for COB and determine the primary payer (25%) Investigate and process adjustment requests (25%) Adjust claim payments resulting from duplicate payments, incorrect payee, etc. Recover expended funds for managed care plans System documentation of investigation results Training of Coordination of Benefits claim p

Provide leadership and oversight of Disability Income claims operations, ensuring claims are being administered in compliance with applicable state laws and regulations. Manages teams that both administer claims and support claims through recruitment, selection, training, development, motivation, and salary administration of staff. Primary Duties & Responsibilities Respon

Provides technical expertise for assigned product line(s) in the handling of complex, contestable, sensitive and large benefit amount claims. Primary Duties & Responsibilities Responsible for providing technical expertise to applicable product line benefits division in the handling of complex, contestable, sensitive and large benefit amount claims. This includes responsib

Develops fraud prevention policies used by fraud investigators. Explores new technologies that may be applied to combat emerging trends in fraud activity such as Internet fraud and identify theft, incorporating technology into processes and card products. Utilizes company system reports in identifying overall fraud loss trends across organizational units. Provides summari

Company Cities and Villages Mutual Insurance Company Location Wauwatosa, WI Position Safety & Risk Management Specialist SERVICE FIRST. INSURANCE ALWAYS. Are you a Safety or Risk Management professional who loves to create that awareness and appreciation in others? Do you enjoy flexibility and variety in what you do each day? Cities & Villages Mutual Insurance Co. (CVMIC)

Vice President Claims Germantown Mutual Insurance Company is looking to add a Vice President of Claims to its team! WHO WE ARE Germantown Mutual Insurance Company is Wisconsin’s oldest insurance company! Founded in 1854, we are celebrating our 171 st year of providing quality insurance products and great customer service to our policyholders. A rated by AM Best for

Casualty Claims Representative Job Locations US WI West Bend ID 2024 2036 Category Claims Remote/Hybrid Remote Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individua

Location Green Bay, WI Shift 1st Shift Work model Hybrid Schedule Full time; Monday Friday, 9 30 a.m. 6 00 p.m. Schneider is seeking a Claims Specialist to join our thriving team! You will be supporting tasks that enable successful adjudication of INS Insurance claims. Your primary responsibility includes processing FNOL (first notice of loss) calls from drivers, law enfo

Content Claims Specialist Field Level II Requisition ID 2024 24437 Job Locations US MN Minneapolis | US MN Saint Cloud | Rochester | US WI Eau Claire Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi faceted role, which focuses primarily i

Health & Group Benefits Consultants are an integral part of the overall client management and client relationship function in Milliman's Employee Benefits Consulting practice. The successful candidate will have at least ten years of Health & Welfare consulting experience, with a strong working knowledge of benefits design, delivery, vendor management, and strategy. This f

Providing cancer patients access to clinically actionable diagnostics that transform treatment decisions and outcomes is part of Exact Sciences guiding principles. Successful market access outcomes are fundamental to the achievement of Exact Science's mission and requires a high level of commitment, eager to overcome challenges and pave the way. The Senior Manager Market

of Responsibilities Manage a team of senior level claim specialists and/or supporting technical staff. Claims processed are primarily third party claims on our personal lines and commercial lines of business but could include all lines of business. Oversee the investigation and settlement of all claims, litigated and non litigated assigned to the team. Provide advice and d

You will investigate and resolve vehicle fire and theft claims over the phone and through written correspondence in a multi jurisdictional territory This level of adjuster will handle claims that require intense coverage or liability investigations including claims involving suspicious or unlawful activity. Investigations will include obtaining recorded statements from all

Investigate and maintain commercial property claims, focused on residential structures. Determine liability, secure information, review coverages, arrange appraisals, and settle claims. You will report to a Manager. You will work in the field and handle moderately complex commercial property field claims typically within 1 2 hours of Madison/Milwaukee, WI. You must be loca

Investigate and settle miscellaneous claims including license, probate, fidelity, and miscellaneous surety to meet contractual obligations and minimize company exposure. Investigate and determine liability of contract bonds claims for performance and labor and material payment bonds to resolve (and/or minimize) these at the lowest possible out of pocket cost to the compan