Generates processes and maintains provider and member correspondence for preservice and concurrent review. Education/Experience Requires a High School diploma or GED Requires 1 2 years of related experience. Knowledge of denials process including understanding medical record information preferred. Generates correspondence from EMR documentation and ensures correspondence

Job Title Grievance & Appeals Coordinator I Experience Level Entry Level Location Remote (Central Time Zone) Schedule Monday Friday, 8 00 AM 5 00 PM CST (1 hour lunch between 11 00 AM 1 00 PM) Pay Rate $23/hour (depending on experience) Position Purpose The Grievance & Appeals Coordinator is responsible for analyzing and resolving verbal and written claims and authorizati

AND DUTIES Data entry in company's proprietary database Performing analytical review of documentation received to determine the rightful ownership of property Reviewing and verifying data entered in system in accordance with the client's business processes Ability to follow detailed written instructions and make independent decisions regarding the next step of each claim R

Argo Group and Farm Family are specialty property and casualty insurance brands whose underwriting companies are wholly owned subsidiaries of Brookfield Wealth Solutions, a leading provider of wealth and insurance solutions. Argo and Farm Family partner with agents and brokers to help businesses stay in business, delivering collaborative insurance solutions for niche mark

Experienced claims professionals supporting The General's nonstandard auto business through investigations, liability decisions, and settlement negotiations This role will be filled following our hybrid work model at our Goldsboro, NC; Tampa, FL; El Paso, TX; Nashville, TN; Davenport, IA; Madison, WI; or Stevens Point, WI offices. This role is NOT available for remote work

ABOUT THE ROLE The Claims Representative is responsible for managing warranty claims from initial intake through final resolution while delivering a premier customer experience. This role requires strong analytical skills, clear communication, and the ability to balance accuracy, cost efficiency, and customer satisfaction. The Claims Representative serves as a key partner

Responsible for responding to customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Description Locat

Demonstrated capacity to learn Demonstrated adaptability Increased self awareness SCHEDULE Typical office hours are Monday Friday 8a 5p. This position is exempt and full time. A minimum 40 hours is required per week. This position is fully remote. EDUCATION CERTIFICATIONS WORK EXPERIENCE Bachelor's Degree in Business, Finance, or Accounting required MAI designation requir

Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description Logistics CGS One of BlueCross BlueShield's South Carolina subsidiary companies. Location This position is full time (40 hours/week) Monday Friday in a typical office environment. This role is located on site at 26 Century Bl

UnitedHealth Group is a health care and well being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make

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,

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 Descript

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,

This role serves as the clinical backbone of the disability claims process, translating complex medical information into clear, actionable guidance for claims staff and leadership. It evaluates medial conditions, validates restrictions, and partners with external case management resources to support recovery timelines and return to work potential. It also delivers respons

Primary Details Time Type Full time Worker Type Employee Title Claims Adjuster Crop The Opportunity The purpose of this role is to investigate and process crop claims, conduct field inspections, communicate with stakeholders, and ensure compliance with insurance policies and regulations. Location Work Remotely North Dakota USA Work Arrangement This role is fully remote; a