Claims Evaluator

Report directly to the head of Operation. Analyze and evaluate the claims based on the relevant documents submitted to a certain whether the claim is valid, and to establish the party liable. Prepares full report for the Head of Operations based on the result of the analysis and evaluation of the documents with recommendation on whether the claims are for...

Report directly to the head of Operation. Analyze and evaluate the claims based on the relevant documents submitted to a certain whether the claim is valid, and to establish the party liable. Prepares full report for the Head of Operations based on the result of the analysis and evaluation of the documents with recommendation on whether the claims are for...

Job PurposeThis job is responsible for the review, analysis and/or adjudication of claims incurred by eligible members of the Client's Network to ensure that they are according to respective benefits plan, policies and standardsand maintains the records system for these claims.Duties and ResponsibilitiesEnsures accurate review of claims documents like LOA,...

Handle processing of claims within required turnaround time. Also, to handle in-process claims, approved claims, denied claims and claims with requirements based on the Company's policies and procedures. Monitors the status of claims and update the Claims Registry accurately. Receive and log received claims documents and prepares the documentation of claims...

Job Description:Identify and implement new claims procedures.Identify, evaluate, and resolve claims in accordance with company standards.Analyze medical claims to ensure payments are accurate.Verify documents and coordinate health care coverage for patients, including eligibility of benefits.Analyze medical records to identify pre-existing conditions or...

I. Work Objectives:1. Ensures efficient operation of Medical Ancillary & Support Services Division management fromeworks (claims processing, reimbursement processing and underwriter.2. Manages initiatives in enabling MASSD team to define governance for the strategic processing of the accurate and timely payment of claims.3. Keeps abreast of any changes in...

Management of opening reserves, adjustments, and claims closure policy. Technical knowledge of car losses. Optimization of the expenses of external adjusters and evaluators. Agreements with suppliers and design of action plans with clear savings goals that control the growth of the average cost claim and its effect on the loss ratio.Your ProfileTBCAbout the...

This position is primarily responsible for the direct supervision and control over the Bonds Unit and all its personnel. Its overall responsibility is also for the efficient administration and management of the Unit which includes Sales, Underwriting, Reinsurance and Claims to ensure the productivity and profitability of the Bonds line.Establishes goals for...

The Site Quantity Surveyor is responsible for the processing of the billings to and claims against the Customer, the evaluation of the Subcontractor billings, and the monitoring of project costs against budget to ensure profitability of the project.Duties and Responsibilities Review the purchase requests of the Operations Team against the Bill of Materials...

Job SummaryThe Risk Manager is responsible for providing assistance to the Chief Risk Officer (CRO) of the Company in seeing to it that an effective Enterprise-Wide Risk Management System is functioning as designed. The role provides hands-on development of risk models, provide research and analytical support, and communicates risk policies and processes for...

Responsibilities:Develop, lead, and implement purchasing strategiesPrepare and ensure compliance with operational policies & proceduresEstablish vendor accreditation process and evaluate performanceOptimize procurement process for timely delivery of requirements at the best valueMonitor all Purchasing activitiesContribute to product Research &...

As an Arcadian, you already help us deliver world-leading sustainable design, engineering, and consultancy solutions for natural and built assets. You are part of our global business comprising 36,000 people, in over 70 countries, dedicated to improving the quality of life.Everyone has an important role to play. With the power of many curious minds, together...

Responsibilities: Oversee the entire billing process and ensure accurate and timely invoicing ofclients Evaluate, develop, and improve department controls, systems, and proceduresthat increase accuracy and efficiency Review and analyze billing support processes and identify areas for improvement. Reconcile billing accounts to the general ledger, interfacing...

Salary: 50, ,000Develop, lead, and execute purchasing strategiesPrepare, implement, and ensure strict compliance with policies & procedures for efficient operationsPrepare and implement vendor accreditation process and perform vendor performance evaluationStreamline procurement process to ensure all requirements are delivered at the best possibletime with...

Responsibilities:Oversee the entire billing process and ensure accurate and timely invoicing of clients Evaluate, develop, and improve department controls, systems, and procedures that increase accuracy and efficiency Review and analyze billing support processes and identify areas for improvement. Reconcile billing accounts to the general ledger, interfacing...

Responsibilities:Oversee the entire billing process and ensure accurate and timely invoicing of clientsEvaluate, develop, and improve department controls, systems, and procedures that increase accuracy and efficiencyReview and analyze billing support processes and identify areas for improvement. Reconcile billing accounts to the general ledger, interfacing...

The IGM Care Team Specialist is part of the Global Sale Support Center that supports the groups and meetings systems and programs such as MeetingBroker, Fee Governance, and IHG LeadShare. The role will serve as a liaison between the IHG Global Sales Team and IHG Properties in maintaining the accuracy of data flow within the MeetingBroker tool through...

Enhances the organization's human resources by planning, implementing, and evaluating employee relations and human resources policies, programs, and practices. Maintains the work structure by updating job requirements and job descriptions for all positions. Supports organization staff by establishing a recruiting, testing, and interviewing program;...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

Position Summary:The core focus of this role is to formulate and implement strategies to drive growth and profitability across the General Insurance (GI) lines of business. This entails close collaboration with key functional units including Products, Marketing, Distribution, Underwriting, Pricing & Actuarial, Claims, and Operations. In addition, the role...