178 claims assessor jobs found

Join Australia's first registered health fund as a Claims Assessor. The Claims Assessor will be responsible for processing high volumes of ancillary, hospital or medical claims. This role has a strong customer service focus, and it is essential that accurate information and exceptional service is provided in responding to enquiries raised by internal customers, members, Medicare Australia and providers. A thorough understanding of the funds policies and procedures are required. This is a permanent, part time role. This role is based in the Sydney CBD with hybrid working available. The responsibilities of the role include but are not limited to the following: Assess and process all types of ancillary claims within SLAs Review and pay claims in accordance with Fund Rules and policies Maintain claims quality by ensuring processing accuracy targets are achieved and error rates are below unit KPI’s Achieve productivity targets as set per unit KPIs Process rejected,...

Full job description Join Australia's first registered health fund as a Claims Assessor. The Claims Assessor will be responsible for processing high volumes of ancillary, hospital or medical claims. This role has a strong customer service focus, and it is essential that accurate information and exceptional service is provided in responding to enquiries raised by internal customers, members, Medicare Australia and providers. A thorough understanding of the funds policies and procedures are required. This is a permanent, part time role. This role is based in the Sydney CBD with hybrid working available. The responsibilities of the role include but are not limited to the following: Assess and process all types of ancillary claims within SLAs Review and pay claims in accordance with Fund Rules and policies Maintain claims quality by ensuring processing accuracy targets are achieved and error rates are below unit KPI’s Achieve productivity...

Join Australia's first registered health fund as a Claims Assessor. The Claims Assessor will be responsible for processing high volumes of ancillary, hospital or medical claims. This role has a strong customer service focus, and it is essential that accurate information and exceptional service is provided in responding to enquiries raised by internal customers, members, Medicare Australia and providers. A thorough understanding of the funds policies and procedures are required. This is a permanent, part time role. This role is based in the Sydney CBD with hybrid working available. The responsibilities of the role include but are not limited to the following: Assess and process all types of ancillary claims within SLAs Review and pay claims in accordance with Fund Rules and policies Maintain claims quality by ensuring processing accuracy targets are achieved and error rates are below unit KPI’s Achieve productivity targets as set per unit KPIs Process rejected,...

Motor Assessor | Metropolitan VIC | Tool of Trade vehicle provided At Allianz, we’re proud to be named one of the Best Workplaces in Australia 2024 and a Great Place to Work. We’re one of the world’s leading insurance and asset management brands, with a workforce as diverse as the world around us, which is why we hire the very best people to further our commitment to securing the future for our people and customers. We offer an inclusive workplace where everyone feels like they belong, while promoting a culture of lifelong learning, development, and global mobility. Join us and share your ideas, be inspired, give back to the community and feel proud to be a part an organisation doing meaningful work that matters while supporting sustainability, mental health, and well-being. Let’s care for tomorrow, so we can create a better future together, for everyone. About the role Completing assessments of motor vehicles in either repair cost or total loss and...

Description THE COUNTY OF EL DORADO The County of El Dorado is committed to promoting the power of public service by fostering a diverse and collaborative workplace where employees are empowered, respected and valued. The dedicated efforts taken by the Board of Supervisors continues to promote El Dorado County as a competitive employer that is committed to recruiting and retaining qualified employees by advocating for competitive salaries and excellent benefits. The County of El Dorado is also supportive of providing telework opportunities for employees consistent with business needs and in accordance with Board of Supervisors Policy E-12 - Telecommuting. HEALTH AND HUMAN SERVICES AGENCY The County of El Dorado, Health and Human Services Agency is committed to transforming lives and improving futures for the citizens of El Dorado County. Their programs and services include: Behavioral Health, Public Health, Community and Social Services. The Health and Human...

Pay Transparency Base Pay: $18.00–$18.25/hour (Weekly Pay) Join the Super Star Car Wash team and embark on an exciting career where every effort is recognized, and every day brings new opportunities! If you're ready to shine, we want you on our team! Let’s make your career sparkle! The pay rate for the successful candidate will depend on relevant experience & geographic location. Position Summary Super Star Car Wash is looking for driven, dynamic leaders with management experience and a passion for inspiring teams! Our Manager in Training program is designed to provide hands-on experience in every aspect of car wash operations, equipping you with the skills to step confidently into an Assistant Manager or General Manager role. From day one, you’ll immerse yourself in our operations, learning the business from the ground up. As you progress, you'll take on increasing responsibility, mastering day-to-day management and driving the overall success and...

Community Safety Officer (Nevada County Campus) SIERRA JOINT COMMUNITY COLLEGE DISTRICT Grass Valley, California United States Posted: Mar 10, 2025 Salary: 22.98 - Hourly USD Hourly Full Time Education and Training Public Safety Sierra College has a strong commitment to the achievement of equity and inclusion among its faculty, staff, and students and values the rich, diverse backgrounds that make up the campus community. A strong candidate for this position must have the understanding and ability to successfully support individuals with varying backgrounds. This includes persons with disabilities, various gender identities and sexual orientations, as well as individuals from historically underrepresented communities and other groups. Our District is committed to providing strategies for success and proactive student-centered practices and policies focused on eliminating equity gaps to ensure the District provides an inclusive educational and employment...

Community Safety Officer (Part-Time)(Rocklin Campus) SIERRA JOINT COMMUNITY COLLEGE DISTRICT Rocklin, California United States Posted: Mar 10, 2025 Salary: 22.98 - Hourly USD Hourly Part Time Education and Training Public Safety Sierra College has a strong commitment to the achievement of equity and inclusion among its faculty, staff, and students and values the rich, diverse backgrounds that make up the campus community. A strong candidate for this position must have the understanding and ability to successfully support individuals with varying backgrounds. This includes persons with disabilities, various gender identities and sexual orientations, as well as individuals from historically underrepresented communities and other groups. Our District is committed to providing strategies for success and proactive student-centered practices and policies focused on eliminating equity gaps to ensure the District provides an inclusive educational and employment...

The Aerospace Corporation is the trusted partner to the nation’s space programs, solving the hardest problems and providing unmatched technical expertise. As the operator of a federally funded research and development center (FFRDC), we are broadly engaged across all aspects of space— delivering innovative solutions that span satellite, launch, ground, and cyber systems for defense, civil and commercial customers. When you join our team, you’ll be part of a special collection of problem solvers, thought leaders, and innovators. Join us and take your place in space. The Enterprise Effects Division (EED) drives integration of Aerospace’s strategic capabilities across the national space enterprise. The division leverages a broad array of engineering disciplines against a diverse and dynamic portfolio of programs, customers, and national challenges. EED spans the capability lifecycle from concept and architecture design to performance assessment to application of space and...

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. CNA is one of the premier providers of professional liability insurance. CNA offers excellent work/life balance opportunities and a strong benefits package. We are currently seeking a Complex Claims Consultant in our Financial Lines Claims team. The individual in this position will primarily focus on high severity D&O and E&O claims under policies issued to Public Companies as well as Financial Institutions such as large depository institutions, insurance companies and investment advisors. The Individual in this position will investigate and maintain complex professional liability claims and work within specific limits of authority on assignments requiring significant technical complexity...

Assistant Vice President, Excess At AIG, we are reimagining the way we help customers to manage risk. Join us as an Assistant Vice President to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.   Make your mark in Excess Casualty Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.   How you will create an impact Are you interested in handling some of the largest and most complex Casualty claims in the industry? Your deep technical claims expertise will be put to the test in the investigation, evaluation and disposition of new...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: About the job Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health...

Lensa is the leading career site for job seekers at every stage of their career. Our client, Zelis NA, is seeking professionals in Austin, TX. Apply via Lensa today! Position Overview The UAT Analyst will be responsible for creating test plan, test scenarios, setup, execution of UAT testing and reviewing results for all healthcare claim editing related projects within the Payment Integrity department including but not limited to the testing of new data driven edits, configuration, platform initiatives, and UI initiatives. What You'll Do Perform end to end testing to ensure appropriate functionality, product integrity, accuracy, and quality of all changes and enhancements of the edit platform, Data Driven Edits PriZem (in-house system), Visium through the Payment Integrity (Claims Editing) process. Analyze clinical and technical requirements and define the scope of UAT testing. Setup, develop and maintain detailed test scenarios, test suites, data, checklist and/or...

LivCor, a Blackstone portfolio company, is a real estate asset management business specializing in multi-family housing. Formed in 2013 and headquartered in Chicago, LivCor is currently responsible for a portfolio of over 400 Class A and B properties comprising more than 150,000 units in markets across the United States. Our business is focused on making real estate more valuable. But for us, it’s more than that. It’s people first, community always. It’s a life-filled career, not just a career-filled life. It’s doing good work, with good humans, and making a difference. It’s excellence in all its forms. Ultimately, we create great places to work, live, and grow. We do that by focusing on leaving people – and places – better than we found them. Whew! Still with us? Cool. Let’s talk about where you’d fit in: Only Read Further If You Are: Kind Humble Honest Relentless Smart with Heart You Should Be: Authentic. You do you. Together, we’ll do something...

Position Overview: The UAT Analyst will be responsible for creating test plan, test scenarios, setup, execution of UAT testing and reviewing results for all healthcare claim editing related projects within the Payment Integrity department including but not limited to the testing of new data driven edits, configuration, platform initiatives, and UI initiatives. What you'll do: Perform end to end testing to ensure appropriate functionality, product integrity, accuracy, and quality of all changes and enhancements of the edit platform, Data Driven Edits PriZem (in-house system), Visium through the Payment Integrity (Claims Editing) process. Analyze clinical and technical requirements and define the scope of UAT testing. Setup, develop and maintain detailed test scenarios, test suites, data, checklist and/or other documents as specified, ensuring scenarios are directly aligned to requirements, adhering to claim adjudication guidelines. While using best practices for...

Overview SP+, a Metropolis company, is an artificial intelligence company for the real world. We use computer vision to enable checkout-free parking experiences. So there’s no fumbling with tickets, machines, apps, or credit cards. You just “drive in and drive out.” We are the largest parking network in America, with over 23,000 employees powering mobility at over 4,000 locations across North America and Europe. Today, we are reinventing parking. Because it’s important, it's everywhere and impacts everyone. Tomorrow, we will power checkout-free experiences anywhere you go to make the everyday experiences of living, working, and playing remarkable - giving us back our most valuable asset, time. Responsibilities Basic Function: In this role, you will be expected to provide exceptional service to hotel guests. You will be responsible for escorting escorting arriving and departing guests in a friendly and courteous manner to and from their accommodations, as well as...

About ARU: ARU is a global university transforming lives through innovative, inclusive and entrepreneurial education and research. ARU holds a Gold award for the quality of its education, awarded through the Teaching Excellence Framework (TEF). ARU’s research institutes and four faculties bridge scientific, technical and creative fields. We deliver impactful research which tackles pressing issues and makes a real difference to our communities. Our academic excellence has been recognised by the UK’s Higher Education funding bodies, with 16 of our research areas assessed as world leading. We are the largest provider of Nursing, Midwifery, Health and Social Care students in the East of England, and we are also among the UK’s leading universities for degree apprenticeship provision, working with hundreds of employers across the UK, including our new Medical Doctor degree apprenticeship, the first in the country. About the role: Learning Development Services (LDS)...

What you will do: The Clarios Advanced Energy Storage Software Team is searching for an individual interested in contributing on a team tasked with developing new energy storage technology for vehicles of the future. We are searching for an experienced Software Requirements Engineer who will join our team to elicit, negotiate, document, track and control software requirements for advanced battery systems. This individual should be highly motivated and ready to contribute to the success of the team. How you will do it: Review customer specifications to identify requirements relevant to battery management software Support creation and review of System Requirements and System Architecture Collaborate with Systems, Modeling, and Hardware Engineering to develop algorithms and diagnostics Lead the development of the Software Requirements Specification (SRS) including authoring and reviews Manage the traceability of software requirements through the software...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: About the job Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health...

The Dispute Resolution Specialist supports case administration and the National Arbitration program for FINRA Dispute Resolution (DR). Essential Job Functions: Develops and implements policies regarding FINRA’s arbitration program. Works with Senior Management to ensure uniform, consistent, high quality dispute resolution services. Advises regional offices on various case administration problems, as necessary. Develops and conducts staff training on new rules, processes, and procedures. Updates content of FINRA publications relating to the arbitration process, including internal staff procedures. Serves as subject matter expert concerning expungement, jurisdiction, investment advisers, among other matters. Tracks payment of arbitration awards by firms and registered persons, and administers expedited suspension proceedings for failure to pay awards or comply with settlement agreements. Manages arbitration claim intake process. Establishes and monitors...

Overview The Committee for Public Counsel Services, the public defender agency of Massachusetts, is seeking an experienced attorney for a Staff Counsel II position in the Criminal Trial Support Unit of the Private Counsel Division.  The Criminal Trial Support Unit is responsible for the oversight of attorneys who provide representation to indigent criminal defense clients with cases in the Massachusetts trial courts.    We fight for equal justice and human dignity by supporting our clients in achieving their legal and life goals. We zealously advocate for the rights of individuals and promote just public policy to protect the rights of all.   Our Values   C ourage   •   Accountability   •   Respect   •   Excellence   DIVERSITY AND INCLUSION MISSION STATEMENT   CPCS is committed to protecting the fundamental constitutional and human rights of our assigned clients through zealous advocacy, community-oriented defense, and the fullness of excellent...

Become a part of our caring community and help us put health first Grow your leadership skills and advance your career in this exciting role as a Supervisor, Authorizations & Claims Processing! Serving as an integral member of the management team, the Supervisor, Authorization & Claims (AC) Processing is a content expert in their assigned service categories and is responsible for the day-to-day authorization and claims support of those areas. This role will partner with other leaders to build operational synergies and drive efficiencies for the organization. Lead the authorization and claims function of the organization in assigned teams. + _Supervise the Authorization and Claims Representatives_ + _Partner with other Authorization and Claims Support Leaders to identify daily support service category needs and assign supports accordingly._ + _Ensure the team has the training, resources, technology, and access to information needed to complete their duties in a...

Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. A proud member of the Elevance Health family of companies, CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The Pharmacy Internal Auditor is responsible for driving service quality excellence by evaluating the quality of services and interactions provided by CarleonRx pharmacies. Included are all pharmacy processes and processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. How You Will Make An Impact Assists higher level auditor/lead on field work as assigned and acts as auditor in charge on small and less complex audits. Participates in pre and post implementation audits of pharmacy operational processes, claims processing and payment, member and provider...

Responsible for strategy definition and alignment, planning, execution and deployment of relevant Digital Enablement programs that deliver digital objectives across different MAPFRE USA areas. In this role you will be the go-to person for all “Digital” opportunities across the organization. You will be relied on for your expert and strategic knowledge of technology possibilities in and outside our company, to align the execution and deployment of the portfolio programs that deliver the MUSA digital contributions for growth, customer centricity and efficiency. You will have direct responsibility for driving digital enablement strategy for our independent agency distribution channel to deliver on our omnichannel aspirations, and the self-serve capabilities provided to our policyholders. You will guide our efforts to develop omnichannel capabilities that serve both our distribution channels and policyholders. Working with Claims, Operations, IT, Business Development, and...