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Sedgwick
Milwaukee
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. It’s an opportunity to do something meaningful, each and every day. It’s having support
Job Source: SedgwickArtera Services, LLC
Milwaukee, WI, United States
JOB PURPOSE: Manage general liability claims while under the general supervision of the Senior Claims Director. Provide monthly updates and reporting. Coordination and database management; and other projects as assigned by the management team. ESSENTIAL RESPONSIBILITIES: Receive initial notification of claims and guide employees on how to proper
Job Source: Artera Services, LLCActalent
Waukesha, WI, United States
Job Title: Case Coordinator Job Description Supports the achievement of member outcomes and goals by delivering support services to employees, providers, members, and other stakeholders. Identifies and participates in efforts to continuously improve the quality of support services. Understands his/her connection to our member-centered culture. Part
Job Source: ActalentOld Republic Surety CO
Brookfield, WI, United States
Description Old Republic Surety Company (ORSC) is currently seeking a Claims Assistant I to join its Claims Team at its home office located in Brookfield, WI. Under the guidance of the Claims Administrative Supervisor, the Claims Assistant I provides administrative support to adjusters within the Claims department and assists with the prompt
Job Source: Old Republic Surety COArtera
Milwaukee, WI, United States
Manage general liability claims while under the general supervision of the Senior Claims Director. Provide monthly updates and reporting. Coordination and database management; and other projects as assigned by the management team. ESSENTIAL RESPONSIBILITIES: Receive initial notification of claims and guide employees on how to properly manage the ci
Job Source: ArteraArtera
Milwaukee, WI, United States
Claims Manager Summary Title:Claims Manager ID:1612 Location:Milwaukee, WI Department:Legal More about this job > Description JOB PURPOSE: Manage general liability claims while under the general supervision of the Senior Claims Director. Provide monthly updates and reporting. Coordination and database management; and other projects as assi
Job Source: ArteraArtera
Milwaukee
Claims Manager Summary Title:Claims Manager ID:1612 Location:Milwaukee, WI Department:Legal More about this job > Description JOB PURPOSE: Manage general liability claims while under the general supervision of the Senior Claims Director. Provide monthly updates and reporting. Coordination and database management; and other projects as assigned by t
Job Source: ArteraNorthwestern Mutual Life Insurance Company
Franklin, WI, United States
At Northwestern Mutual, we are strong, innovative and growing. We invest in our people. We care and make a positive difference. Primary Duties & Responsibilities •Determine applicability of benefits claimed by interpreting contract provisions and maintaining consistency with our Disability Benefits claim philosophy. •Order and review appropriate m
Job Source: Northwestern Mutual Life Insurance CompanyWaukesha, WI, United States
**Claims Adjuster**
Dolphin Drive - Waukesha County, 1801 Dolphin Drive, Waukesha, Wisconsin, United States of America Req #1894 Monday, February 7, 2022 ***Community Care has adopted a mandatory COVID-19 vaccination policy. This policy requires that all Community Care, Inc. employees verify they are fully vaccinated or have an approved medical or religious exemption.*** Community Care is hiring a Claims Adjuster. This rewarding opportunity is perfect for someone who enjoys team collaboration, being part of a mission driven organization and who shares our mission to help elderly individuals and adults with physical and intellectual disabilities continue to live as independently as possible in the community. This is a full-time opportunity at our Waukesha Office.
Claims Adjuster Job Responsibilities :
Claims Analysis/Resolution
Assists staff with analysis and resolution of complex claims and reimbursements.
Call Center Coverage
Provides back up coverage to the call center Customer Service Representatives (CSRs) as needed.
Claims Processing
Processes claims and issues payment authorizations as assigned.
Claims Investigation and Resolution
Receives, researches, resolves, tracks and documents claims related inquiries and informal grievances from providers, internal departments and external agencies within the timeframes of established performance standards and in an accurate and professional manner. Utilizes appropriate resources to respond to provider inquiries. Performs simple claim adjustments needed to resolve inquiries. Maintains good working relationships and open communication with internal and external customers.
Resolving Provider Issues
Assists with resolving provider issues and answering provider questions related to contracts and claims.
Productivity Tracking
Provides routine reporting of work volume and productivity as required.
Performs other job-related duties as assigned.
Claims Adjuster Experience : Minimum of three years of claims processing experience in an environment of multiple plan benefits and provider contracts required. Two to three years of Customer Service experience is desired.
Claims Adjuster Education : High School diploma required.
Monday to Friday
8:00 AM 4:30 PM Hybrid schedule may be available
Community Care is a nonprofit organization with over 40 years of experience helping adults with long-term care needs live as independently as possible. Our Medicare/Medicaid long-term care programs serve the needs of older adults and adults with disabilities. We coordinate and deliver a full range of supportive services that help them live safely, confidently and with dignity.
More than 12,000 Wisconsinites trust in us to provide the quality support needed to help them reach their potential in health, happiness and independence. We are Wisconsin-based and have local offices supporting each of the 15 counties we serve.
Compensation and Benefits:
Our employees make a real difference in peoples lives every day. To show appreciation, were dedicated to offering competitive pay and a comprehensive benefits package to our staff that addresses their mental, physical and financial health and well-being.
If interested in joining Community Care, please apply and our recruitment team will reach out promptly.
**Other details**
* Job Family Finance - Accounting
* Halogen Template Staff Business Support
* Pay Type Hourly
Email Alert for Claims Adjuster jobs in Waukesha, WI, United States
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