Claims Assistant Salary at Htmlsig BETA

POSITION SUMMARY: In this function, an individual performs within operational procedures that have been developed and has the authority and the ability to interpret and apply laws and regulations to case scenarios and maintain working relationships with customers, attorneys, insurance companies and local authorities. Assignments are generally broad in scope with frequent opportunity for exercising independent judgment in making claims management decisions subject to final review and approval by Claims Supervisor/Manager. DUTIES/RESPONSIBILITIES: Plan, organizes and reviews the investigation, negotiation and preparation of settlement recommendations of a variety of insurance claims; reviews accident reports, losses and litigation claims, reefer claims; and provides intra-company personnel with technical advice and assistance. Manage highly complex investigation of claims, including coverage issues liability, compensability and damages and all types of investigative activity or litigatio

**Job Description** This role reports to the Manager, Quality & Patient Safety and will support the program management of clinical quality and risk management activities which include identifying, examining, and responding to quality/risk-related issues, requests for legal discovery, and complaints; coordinating quality and risk-related investigations to promote safe patient care and, staff safety. Supporting the department on complaints/concerns identified through Hotline reports, Guest Relations and/or Legal Dept. that have clinical quality and risk management implications; monitoring organizational event reporting with primary focus on incidents involving harm or potential liability and identify opportunities for improvement; analyzing risk management information; proposing, recommending and implementing solutions and resolutions to quality and risk-related issues and events; following up on the implementation and impact of proposed solutions and resolutions. Carries out data manage

Job Description Job Description Quality Health Management (QHM) is a cost containment company founded in 2000. QHM specializes in reducing the cost of medical expenses, offering provider network access in over 80 countries and providing customized patient assistance primarily for international patients seeking care in the U.S. as well as patients seeking care globally outside of their country of origin. We are currently recruiting for a Claims Clerk. Responsibilities Answer, screen and transfer inbound phone calls Provide general claims support by completing outgoing/incoming requests for additional claim supporting documentation (medical records, itemized bills, corrected claims etc.) Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary. Work claims files to ensure the appropriate eligibility and provider records are matched Updates and maintains database as requested Scan, rename and attach documents Assist on different projects as instruct

Direct Counsel is Seeking a Creditors' Rights and Bankruptcy Partner-Level Attorney to Join a Premier Mid-Size Firm Location: Any of the Following Offices (Remote Options Available) Albany, Baton Rouge, Birmingham, Boston, Cleveland, Dallas, Fort Lauderdale, Houston, Irvine, Jackson, Jacksonville, Nashville, New Orleans, New York City, Providence, Seattle, Tampa, or Washington, DC Direct Counsel is seeking an experienced Creditors' Rights and Bankruptcy Partner-Level Attorney to join a well-established, nationally integrated mid-size business law firm. This is an excellent opportunity for a partner-level attorney with a substantial book of business to leverage the firm's expansive platform and cross-selling opportunities to grow their practice with flexibility and autonomy. Key Responsibilities: Represent clients across a wide variety of industries in creditors' rights, bankruptcy, and complex financial matters. Handle out-of-court workout negotiation and documentation for banks and co

Job Description Job Description Benefits & Perks: Competitive Compensation Great Work Environment Career Advancement Opportunities Paid Time Off Health Insurance Dental Insurance Vision Insurance Retirement Benefits Job Summary: We are seeking a dedicated and detail-oriented Medical Billing/Insurance Specialist & Front Desk Support team member. This dual-role position involves managing insurance claims and billing processes while also providing support at the front desk to ensure a smooth and welcoming patient experience. As a Billing Specialist, you will handle insurance-related inquiries, process documentation, and collaborate with clients and providers to ensure accurate billing. As Front Desk Support, you will assist with scheduling, patient check-in/check-out, and general administrative duties. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable communicating over the phone and in person. This is a specialty medical practice wi

COMPANY OVERVIEW: Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for an Underwriting Clerk to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success is a commitment to providing quality service to our agents and customers, by providing disciplined underwriting, and strategic claims handling. Our ongoing efforts to invest substantial resources in personnel and technology are the foundation of our promise of assuring maximum efficiency and specialized operations in the industry. We are proud that our independent agents and customers have recognized our dedication by making UAIC the market leader in every state where we conduct business. SCOPE: As an Underwriting Clerk, you will play a key role in supporting the underwriting department's operations by performing various administrative tasks and ensuring the accuracy

Job Description Job Description Reviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries. Performs hospital length of stay reviews to determine reasonable and necessary care, and appropriateness of stay. Recommends appropriate payments of dispute of billing, as necessary. Provides second review of bills on which providers question the appropriateness of payments authorized. Evaluates claims referred for medical management and makes recommendations for follow-up, further investigation or documentation as necessary. Trains and assists claims staff on quality health care cost containment and utilization reviews. Company Description Leading specialty benefits management company in Puerto Rico and South Florida. Our innovative care management model integrates the needs of providers, payors and members to ensure the delivery of high quality, cost effective care while realizing substant

Job Description Job Description NSi Insurance Group is one of the largest privately-owned insurance brokerage firms in South Florida. We are growing exponentially in our four lines, Home, Auto, Commercial, Group, and Excursion. We are seeking a Client Manager to join our team to expand the company's book of business by selling various types of insurance policies to new and existing clients. Scope of Responsibilities: Responsible for acting as primary contact between clients and insurance carriers and retaining clients through good customer service. General Responsibilities: Act as primary contact between client and/or producers and insurance carriers and apply knowledge of insurance policies and procedures to provide proper and effective service and responsible advice to all clients and/or producers. Contact and visit assigned clients and/or producers within required time frames to evaluate client needs and make recommendations, present bid results, relate new product information and r