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Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. Its an opportunity to do something meaningful, each and every day. Its having support f
**Claims Resolution Specialist**
**Job Details**
**Job Location**
iLIFE Main - Milwaukee, WI
**Description**
**_Job Purpose_** : The Claims Resolution Specialist is responsible for verifying, resolving, and entering various documents accurately by the required deadlines. This position is responsible for making sure iLIFE is compliant with all
JOB REQUIREMENTS: Claims Operations Specialist Job Locations US-WI ID 2024-2118 Category Claims Type Regular Full-Time Overview Quartz is looking for an individual to process pends, reports and all claim types in the claims processing system. This may include contacting outside vendors, members and providers. Come find your spark at Quartz! Benefit
Who Are We? ? ?
The Toro Company is a homegrown company that has been in business since 1914. We pride ourselves on providing world - class equipment to help maintain the environment that we love, while putting an emphasis on giving back to the communities that surround us. From residen tial lawns and gardens, to professional sporting venues and
Who Are We?
The Toro Company is a homegrown company that has been in business since 1914. We pride ourselves on providing world-class equipment to help maintain the environment that we love, while putting an emphasis on giving back to the communities that surround us. From residential lawns and gardens, to professional sporting venues and golf cour
Do you like providing support and guidance to ensure customers have an exceptional experience? Are you familiar with medical terminology? Do you have experience in a claims or credentialing environment?
**Join us.**
We are Sutherland. We provide our clients’ customers with seamless, personalized and efficient experiences across a variety of industr
**Come join our amazing team and work remote from home!**
**The Default FHA Claims Specialist II will work under moderate supervision, be responsible for preparing, filing, and following up on FHA claims timely and accurately according to insurer/investor guidelines. Performs all duties in accordance with the company’s policies and procedures and a
Come join our amazing team and work remote from home!
The Default FHA Claims Specialist II will work under moderate supervision, be responsible for preparing, filing, and following up on FHA claims timely and accurately according to insurer/investor guidelines. Performs all duties in accordance with the companys policies and procedures and all US s
Job Source: Carrington
CLAIMS SPECIALIST
Madison, WI, United States
JOB REQUIREMENTS: Interpret and explain information such as eligibility requirements, application details, payment methods, and applicants' legal rights. Interview benefits recipients at specified intervals to certify their eligibility for continuing benefits. Keep records of assigned cases, and prepare required reports. Compile, record, and evaluate personal and financial data to verify completeness and accuracy, and to determine eligibility status. Answer applicants' questions about benefits and claim procedures. Interview and investigate applicants for public assistance to gather information pertinent to their applications. Initiate procedures to grant, modify, deny, or terminate assistance, or refer applicants to other agencies for assistance. Check with employers or other references to verify answers and obtain further information. Compute and authorize amounts of assistance for programs, such as grants, monetary payments, and food stamps. Schedule benefits claimants for adjudication interviews to address questions of eligibility. Investigate claimants for the possibility of fraud or abuse. Monitor the payments of benefits throughout the duration of a claim. Provide applicants with assistance in completing application forms, such as those for job referrals or unemployment compensation claims. ***** OTHER EXPERIENCE AND QUALIFICATIONS: At the full performance level, the incumbent will conduct interviews with the public to obtain, clarify and verify information about initial and continuing eligibility for retirement, survivors, disability health insurance benefits and eligibility for supplemental security income including State supplements; resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA; and use state of-the-art technology to access and update claims information. General experience that demonstrates the ability to analyze problems to identify significant factors, gather pertinent data, and recognize solutions; plan and organize work; and communicate effectively orally and in writing. ***** APPLICATION INSTRUCTIONS: E-Mail a Rsum: [email protected]