5 service associate ii jobs found

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a hybrid position until fully trained. Training will be full-time onsite. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned   KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient...

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 Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical expertise. This role is a field position in CT serving primarily the central portion of the state both coastal and inland. National General is seeking an Auto Field Damage Appraiser to join our Connecticut Claims team . This is a remote, territory‑based role that manages claims both virtually and in the field . The ideal candidate will be located in...

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 Responsible for investigating and confirming the facts of loss for advanced Homeowner's Claims. Determines coverage, damages and otherwise adjusts and negotiates claims within limit of authority. Responsible for creating a comprehensive estimate of damages for homeowners first party claims leading to the proper disposition. We are seeking an experienced Property Field Adjuster to join our team in Connecticut. Ideally, candidates will be based near the Shoreline area, as assigned field territory may vary depending on claim volume. This role involves handling first-party property claims, including...

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 Responsible for investigating and confirming the facts of loss for complex Homeowner's Claims. Determines coverage, damages and otherwise adjusts and negotiates claims within limit of authority. Responsible for creating a comprehensive estimate of damages for complex first party homeowner claims leading to the proper disposition. This role is utilized as peer mentor having mastered our processes and obtained technical expertise. We are seeking an experienced Property Field Adjuster to join our Connecticut Claims team! The ideal candidate will reside in Connecticut or near the New York or...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Technology Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program,...