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As a Major Case Specialist, Specialty Liability, you are responsible for investigating, evaluating, reserving, negotiating, and resolving the office and/or department's most complex, high-exposure, and highest-severity injury and/or property damage claims within appropriate authority and oversight. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

YEAR

The Travelers Companies

Major Case Specialist General Liability

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As a Sr Technical Specialist, Specialty Liability, you will be responsible for managing and investigating complex and higher-severity injury and/or property damage claims including customer contact, determining coverage, evaluating liability, assessing damages, establishing timely reserves, and issue timely and accurate payments within appropriate authority and oversight. Gather and thoroughly investigate information by contacting all relevant parties to determine coverage, evaluate liability exposure, assess bodily injury and/or property damage which may include personal and advertising injury claims, and establish appropriate reserves in accordance with policy terms and management guidance.

Sr Technical Specialist General Liability

As a Major Case Specialist, General Liability, you are responsible for investigating, evaluating, reserving, negotiating, and resolving the office and/or department's most complex, high-exposure, and highest-severity injury and/or property damage claims within appropriate authority and oversight. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

General Liability Major Case Specialist

The role will work with managers and employees to promote interaction and reach agreement on effective modifications to assist stay at work or return to work efforts, including follow ups to confirm effectiveness of modifications. The process includes, but is not limited to, obtaining the appropriate forms to be signed, providing education about Unum's role, the manager's role, and the employee's role in obtaining assistance, and facilitating discussions as needed to reach agreement on plans.

UNUM Group

ADA Specialist

CityStateCountryChicagoIllinoisUnited StatesIndianapolisIndianaUnited StatesColumbusOhioUnited StatesHoustonTexasUnited StatesDallasTexasUnited StatesMilwaukeeWisconsinUnited StatesMinneapolisMinnesotaUnited StatesOklahoma CityOklahomaUnited StatesWashingtonDistrict of ColumbiaUnited StatesCaryNorth CarolinaUnited StatesCharlotteNorth CarolinaUnited StatesBingham FarmsMichiganUnited StatesTroyMichiganUnited StatesLouisvilleKentuckyUnited StatesNashvilleTennesseeUnited StatesChattanoogaTennesseeUnited StatesKnoxvilleTennesseeUnited StatesNewport NewsVirginiaUnited StatesVirginia BeachVirginiaUnited StatesArlingtonVirginiaUnited StatesChantillyVirginiaUnited StatesRestonVirginiaUnited StatesCincinnatiOhioUnited StatesClevelandOhioUnited StatesFort WayneIndianaUnited StatesFort CampbellKentuckyUnited StatesSaint LouisMissouriUnited StatesRichmondVirginiaUnited StatesFrankfortKentuckyUnited StatesLouisvilleKentuckyUnited StatesRichmondVirginiaUnited States. As a key member of the Jacobs Siting, Outreach, Right-of-Way, and Environmental (SOAR+E) team, the ROW Program Lead will provide leadership, oversight, and delivery management for a portfolio of transmission, substation, and grid modernization projects executed under the client's Program Management Office (PMO).

Jacobs Solutions Inc

Right-of-Way ROW Program Lead

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Applies knowledge to support moderate/complex cases in disability management, leave management, workers compensation administration, clinical and/or vocational rehabilitation, disability case management, or human resources; supports specialists on best practices. Serves as a resource for our complex customers’ designated HR representatives regarding questions related to corporate leave policies, leave management procedures, FMLA process, and STD/LTD claims management.

Unum Group

Senior/Lead Accommodation Specialist

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Why our Territory Partners are essential to our growth: By expanding our Territory Partner network and increasing direct marketing to veterinarians, the amount of hospitals that actively introduce Trupanion to their clients is greatly increased. Territory Partners build relationships and educate veterinarians, vet techs, and office staff about how having clients who are insured by Trupanion will not only benefit their practice but also the lives of the companion animals and families they serve.

Trupanion

Territory Sales Partner - Knoxville, TN

Job Title: Solution Consultant Job Summary: The Solution Consultant will play a pivotal role in delivering exceptional client experiences by supporting the design, implementation, and optimization of solutions focused on estimates, eligibility, authorizations, orders, and discovery processes. Essential Functions: Collaborate with clients to understand their workflows and business needs related to estimates, eligibility, authorizations, orders, and discovery processes.

RevSpring

Healthcare Solution Consultant

Patient Access Solution Consultant

Adoration Health, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Support the onboarding process and hiring process, including (but not limited to) launching onboarding, tracking of pre-hire paperwork, providing documents for employee files, and other administrative supports as needed.

BrightSpring Health Services

Human Resources Generalist

Adjacent to Great Smoky Mountains National Park, the most-visited national park in the country, Westgate Smoky Mountain Resort & Spa in Gatlinburg, Tennessee, provides an amazing work environment with refreshing mountain breezes and spectacular views of the beautiful Great Smoky Mountains. As part of Westgate Resorts, recognized by U.S. News as one of the Best Companies to Work For, you'll be joining a team committed to excellence and creating unforgettable vacation experiences and supporting your career growth where you are or at 60+ resorts across the company.

Westgate Resorts

CONTRACTOR

As our Property Field Adjuster, you'll enjoy competitive compensation, including $60/hour for commercial claims , $50/hour for residential claims , paid drive time up to six hours round-trip at $60/hour, and mileage reimbursement at $0.50 per mile up to 200 miles starting at mile one. In this 1099 contractor role, you'll head directly from your home to assigned loss locations, inspecting residential and commercial properties, documenting damages, capturing detailed photographs, and gathering the information needed to support accurate claim decisions.

HOUR

Infinity Insurance Services

Senior Property 1099 Field Adjuster

Talent Acquisition

The Auditor will perform audit activities related to the detection and investigation of fraud, waste or abuse in Government programs, including health care fraud, defense procurement fraud, contractor fraud, Paycheck Protection Program (PPP) loan fraud, and other government program fraud. CGS is seeking a highly skilled Senior Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex financial transactions and complex organizations attempting to evade detection.

CONTACT GOVERNMENT SERVICES

Auditor

The Denial Mitigation Lead will assist the Denial Mitigation Supervisor and/or Manager in daily operations and work flow of the Denial Mitigation Department leading the work Financial Counselors, Authorization/Appeal Specialists, Denial Specialists and Denial Analyst to ensure that financial applications, authorizations, appeals, and/or correspondence are processed in a timely manner in accordance with BMHCC and/or the payer's policies and procedures. 3-5 years of business experience in a healthcare environment with 3 of those years working in a hospital, physician office, revenue cycle, denial management, patient accounting, or payer environment performing activities such as correspondence processing, denials, appeals, billing, collections, registration, scheduling, medical record requests, payer follow-up, or administrative support.

Baptist Memorial Health Care Corp

Lead-Denial Mitigation

Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division.

Covenant Health

Insurance Appeals Associate, Revenue Integrity and Utilization

How you'll make an impact : The Branch Client Service Manager III is accountable for delivering high quality and efficient service to both internal and external clients through the day-to-day account management of an assigned group of accounts within a Branch that consistently meets or exceeds CSO revenue benchmark expectations. The Branch Client Service Manager III directly contributes to key business outcomes such as client retention, client satisfaction, enhancing AJG's value to our clients and prospects, achieving operating/margin targets and fostering a culture of performance and continuous improvement.

<p>Gallagher, a global insurance brokerage and risk management services firm, helps clients address risk, protect assets and recover from losses. The products and services we provide keep businesses and institutions running, and enable individuals and families to rebuild their lives. Gallagher is the only insurance broker recognized by the Ethisphere Institute as a World's Most Ethical Company.
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Gallagher provides retail and wholesale property and casualty brokerage, alternative risk transfer services, employee benefit consulting, and actuarial services. Gallagher also offers claims and information management, risk control consulting and appraisal services, human resource consulting, and retirement services.
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Gallagher

Client Service Manager III

[AW]-iCims

In addition to the base salary, Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including: Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. The Patient Access Liaison (PAL) is a field-based patient access and reimbursement specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies.

At Amgen, we believe in a “biology first” approach. We use cutting-edge science and technology to study the subtlest biological mechanisms in search of therapies that will improve the lives of those who suffer from serious diseases. Amgen believes the cure for disease can be found inside each and every one of us.

Amgen

Patient Access Liaison - UPLIZNA - Nashville, TN

Receive and review appeals, grievances, complaints, and related correspondence submitted by mail, fax, or internal service request and log in the appropriate tracking system or log, correctly categorizing requests and identifying and removing duplicates. Communicate and collaborate with multiple departments to ensure accurate and timely completion of appeals, grievances, and complaints, including Utilization Management, Claims, Compliance, or any other operational area as required.

American Health Companies Inc

Grievances & Appeals Coordinator

FULL_TIME

None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Communicates effectively with patients/public, co-workers, physicians, facilities, agencies and/or their offices and other facility personnel using verbal, nonverbal, and written communication skills.

INSURANCE APPEALS ASSOC

3-5 years of business experience in a healthcare environment with 3 of those years working in a hospital, physician office, revenue cycle, denial management, patient accounting, or payer environment performing activities such as correspondence processing, denials, appeals, billing, collections, registration, scheduling, medical record requests, payer follow-up, or administrative support. The function of the Team Lead role works to support timely and accurate review, routing, documentation, and resolution of incoming and outgoing payer correspondence to include denial letters, medical record requests, appeal responses, refund or recoupment notices, and other payer communications among Correspondence team members.

Claims Representative Jobs in Tennessee

Major Case Specialist General Liability The Travelers Companies

Sr Technical Specialist General Liability The Travelers Companies

General Liability Major Case Specialist The Travelers Companies

ADA Specialist UNUM Group

Right-of-Way ROW Program Lead Jacobs Solutions Inc

Senior/Lead Accommodation Specialist Unum Group

Territory Sales Partner - Knoxville, TN Trupanion

Healthcare Solution Consultant RevSpring

Patient Access Solution Consultant RevSpring

Human Resources Generalist BrightSpring Health Services

Human Resources Generalist Westgate Resorts

Senior Property 1099 Field Adjuster Infinity Insurance Services

Auditor CONTACT GOVERNMENT SERVICES

Lead-Denial Mitigation Baptist Memorial Health Care Corp

Insurance Appeals Associate, Revenue Integrity and Utilization Covenant Health

Client Service Manager III Gallagher

Patient Access Liaison - UPLIZNA - Nashville, TN Amgen

Grievances & Appeals Coordinator American Health Companies Inc

INSURANCE APPEALS ASSOC Covenant Health

Lead-Denial Mitigation Correspondence Baptist Memorial Health Care Corp

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