- Raphael and Associates (Rutherford, NJ)
- Claims Supervisor - Liability Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company ... our services to our client's specific needs. As a claims organization, what we do is complex. Our mission...environment. This is the perfect opportunity for a self-motivated supervisor to apply their knowledge of coverages and negligence… more
- Providence (Mission Hills, CA)
- …empower them. **Required Qualifications:** + 3 years experience in a leadership role within medical claims related field. + 5 years experience in medical ... group/IPA setting claim processing experience. + 2 years experience in a medical /institutional claims customer services unit within a health plan medical … more
- Prime Therapeutics (Rancho Cordova, CA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Supervisor Claims - Hybrid in or near Rancho Cordova, California **Job Description ... and minutes; disseminate information consistently and timely; ensure all claims processing documentation is current and accurate; Interacts professionally, and… more
- University of Washington (Seattle, WA)
- …Practice Plan Services (FPPS)** has an outstanding opportunity for a **full-time, day shift, CLAIMS SUPERVISOR .** **WORK SCHEDULE** + 40 hours per week + Day ... month Shift: First Shift Notes: + Choose from top medical and dental insurance programs + Plan for your...Shift + This position is Remote **POSITION HIGHLIGHTS** The Claims Supervisor is responsible for the coordination… more
- Providence (Anaheim, CA)
- …people, we must empower them. **Required qualifications:** + 3 years of experience as a Claims Examiner in an IPA, Medical Group, or Health Plan and knowledge of ... skills. **Preferred qualifications:** + 5 years of experience in medical /institutional claims examining within a medical group/IPA setting … more
- TEKsystems (St. Louis, MO)
- Medical Claims Processor Full-Time Opportunity Available TEKsystems is looking for someone to join a team of medical claims processors who advocate for ... members while maintaining the policies and procedures required. The Medical Claims Processor is responsible for adjudicating...candidate would work closely with peers and an assistant supervisor and would report to an immediate supervisor… more
- Guidehouse (Lewisville, TX)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Medical Biller** is expected to perform all areas of initial billing, secondary ... billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the...denials for trends and issues and reports finding to supervisor . + Bills or re-bills as necessary. + Ensures… more
- TEKsystems (St. Louis, MO)
- Teksystems is currently looking for someone to join a team of medical claims processors who advocate for the Fund's members while maintaining the policies and ... Employee Retirement Income Security Act (ERISA) benefit plan. The Medical Claims Processor is responsible for adjudicating...candidate would work closely with peers and an assistant supervisor and would report to an immediate supervisor… more
- Crawford & Company (Brea, CA)
- …the processing of the claim. + Identifies wage loss expenses and wage exposures on medical claims . + Documents receipt and contents of medical reports. ... exceeding, $2,500 after compensability has been determined. + Evaluates medical claims for potential fraud issues, loss...client and carrier guidelines and prepares written updates for supervisor to review. + Performs other related duties as… more
- NJM Insurance (Trenton, NJ)
- …practices + Prepare for Claim Reviews; attend and participate as needed with the Claims Team and Supervisor + Participate in in-house and outside training ... handling and/or process including strong knowledge of WC Law, medical terminology, and utilization of an automatic claims... medical terminology, and utilization of an automatic claims processing system. + Sr Level - 5+ years'… more
- NJM Insurance (Parsippany, NJ)
- …accounts + Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs to keep current on relevant ... handling and/or process including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims... medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years'… more
- Sedgwick (Columbus, OH)
- …to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Advisor, Professional Liability To analyze complex or technically difficult… more
- Kelsey-Seybold Clinic (Houston, TX)
- **Responsibilities** Responsible for the adjudication of complex facility claims including hospital, durable medical equipment, home health services, skilled ... closely with Supervisor and Claim Services to complete request for claims adjustments via CRM Module. Review and interpret provider issues and member… more
- Sedgwick (West Hills, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | West Hills, CA (Hybrid) **PRIMARY PURPOSE** : To ... analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Sedgwick (San Diego, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Hybrid Schedule Are you looking for an opportunity to ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Adecco US, Inc. (Roseville, CA)
- …their top clients with their search to fill a remote Workers Comp Claims Examiner role in California! $50/hr Analyzes and processes complex or technically difficult ... workers' compensation claims by investigating and gathering information to determine the... coding is correct. Refers cases as appropriate to supervisor and management. QUALIFICATIONS: SIP required Education & Licensing:… more
- Adecco US, Inc. (Whitehall, PA)
- …a local client in their search to fill a **Remote Worker's Compensation Claims Examiner** job opportunity. **Pay rate: $** **35.00/HR** **Shift: Mon - Fri 8am ... PURPOSE:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. + Performs other duties as assigned.… more
- HP Inc. (Spring, TX)
- …10-15 years of experience in a Claims Management, Risk Management or Claims supervisor setting preferred. + Advanced Claims and/or Risk ... The Manager, Global Claims & Insurance is responsible for the oversight...claims and settlement values and strategies. Understanding of medical and legal issues and terminology + Excellent communication… more
- Allied Universal (Durango, CO)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... a difference. Enjoy comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, retirement plans, employee… more
- CommuniCare Health Services Corporate (Akron, OH)
- …to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF ... STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… more