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

Creating and maintaining provider demographic, billing, and network contract information within a database Audit provider loads for adherence to quality measurers and reporting standards Recommend methods to improve processes used by department You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on

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

Claims Specialist Administration 1265 John Q. Hammons Drive, 1265 John Q. Hammons Dr. , Madison, Wisconsin, United States of America Req #1830 Wednesday, April 24, 2024 Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER The Claims Specialist ensures the accurate entry of inpatient and outpatient claims per the data entry guidelines, and ensures the timel

NO late nights - NO weekends and Air Conditioned Body Shop for your techs!

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

Workers Compensation Senior Claims Representative Job Locations US WI West Bend | US WI Madison | US WI Appleton | US WI Waukesha | US NE Omaha | US NE Lincoln | US MO Kansas City | US MO Saint Louis | US Remote | US IA Des Moines ID 2024 2057 Category Claims Position Type Regular Remote/Hybrid Hybrid Company Overview Recognized as a Milwaukee Journal Sentinel Top Workpla

As a Fraud Support Representative, you will have the opportunity to create a difference in the lives of our customers every single day. You will use sound judgement to assess the risk level when reviewing accounts for possible fraudulent activity. You will also assist with investigations on fraud cases with direction from your Team Leader. Skills & Attributes Needed The f

Casualty Claims Representative III Job Locations US Remote ID 2024 1992 Category Claims Position Type Regular 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 hir

This position will be in be in our Middleton, WI office three days a week under our hybrid work model. What You'll Do Verify that our customers have coverage Investigate and gather information about claims by contacting all parties involved Accurately document all decisions, correspondences, reports, and discussions G ain experience in determining liability and setting res

Casualty Claims Representative Job Locations US WI West Bend ID 2024 2036 Category Claims Position Type Regular 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 h

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

Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company crop insurance policies Ensure compliant and cost effective application of crop policies by leveraging knowledge of basic insurance statutes and regulations and complying with state and federal regulatory require

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

Set up new claim files in company claim processing system, obtain needed underwriting information, and work with adjusters on next steps. Prepare correspondence using departmental templates and adjuster scripted written copy. Compose and type inter departmental memos, letters, and claim acknowledgments, as needed. Prepare and type standard and custom reports, comparisons,