10 bill review analyst i jobs found

The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the goals of the Claims Department and of CorVel.  This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent customer service skills Excellent written and verbal communication skills Fast learner; develops knowledge and understanding of claims...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. Job Description The Investigative Specialist reviews complex and often unique claims to assess their validity and ensure accurate outcomes. In this role, you will investigate and verify the facts of loss for a range of automobile claims, from...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description The Data Analytics Senior Consultant I will develop, maintain, and continuously improve predictive models and operational forecasts for Claims demand and capacity, ensuring accurate and consistent outputs. The analyst will ensure integrity by implementing systematic improvements that automate, streamline, and modernize the process, data visualization, and business intelligence to ease the communication of one source of truth for data across the Claims Workflow organization. Key Responsibilities :   Design, build,...

The Workers’ Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives Workers’ Compensation claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as...

ABOUT HUB: In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected-through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of professionals across North America represents a broad, deep and one-of -a kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. THE OPPORTUNITY: This Account Manager, Commercial Lines manages a book of insurance business, and provides professional, courteous service to clients, carrier representatives, underwriters, business partners, and HUB colleagues. They may work independently, as part of a team or with a Producer to provide client advocacy, client retention, write new client accounts or lines of coverage as needed....

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description The Fraud Risk Management Senior Consultant I sits in the Fraud Insights & Risk Management (FIRM) team — a cross-functional group of fraud strategists, consultants, and technical analysts – that supports Allstate’s enterprise fraud management, governance and escalation function. The team is responsible for guiding the organization’s approach to fraud risk, return optimization, and governance. The Senior Consultant partners with business units, analytics teams, and solution owners to identify fraud risks, assess controls, quantify...

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.  Job Description This role is responsible for investigating and managing non-attorney represented bodily injury claims from initial report through resolution. You will evaluate coverage, determine liability, assess damages, and negotiate claims within your level of authority. In this role, you will work directly with customers to gather information, explain the claims process, and provide a clear and supportive experience. You will also identify potential subrogation or fraud and partner with internal teams to achieve the best outcome. We are seeking an Experienced Bodily Injury Adjuster to join our team supporting...

Description Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the West Region!   As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. You may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.   Depending on your overall skills and experience, you may be considered as a Claims Specialist II,...

As our business growth continues we have an established need for data intensive cloud development. We need the aid of a highly motivated problem solver.  An engineer who enjoys the challenge of resolving complex problems with innovative solutions. We desire an engineer with a proven track record of delivering high quality results. An individual who is a self-driver with the ability to work across multiple facets of a project while juggling multiple responsibilities seamlessly. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Develop and maintain complex Software system Acquire extensive business and system knowledge Apply system knowledge to diagnose and fix complex problems Perform requirements analysis, design, peer reviews and documentation Provide reliable estimates of effort and good identification of risks Apply sound software engineering processes, including iterative development, unit testing, source code control, inspections and...

An Implementation/Technical Project Coordinator is an integral team member, serving as the primary point of contact for CorVel’s Enterprise Comp Solution implementations. They oversee all onboarding details for new customers and are responsible for driving action items critical to timely and accurate account setups. This is a highly visible role that requires a great deal of communication and coordination between different groups. The Implementation Coordinator works with all offices of the organization including Account Management, Customer Configurations, Software Development, Business Operations, and Executive Management, communicating requirements and deliverables with an exceptional level of customer service and professionalism.  This role will have a major impact on the success of our software development team as it strives to deliver applications that are vital to the services that CorVel provides. In addition to project management skills and some knowledge of the software...