- Sedgwick (Columbus, OH)
- …licensing including but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty ... 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
- Generac Power Systems (Waukesha, WI)
- …Work with employees/claimants, insurance company claims handlers, third party claims administrators, nurse case managers, attorneys, and other stakeholders. ... Manager Risk position leads and manages the development and execution of enterprise claims efforts. Works closely with risk "owners" in all departments to identify,… more
- M. C. Dean (Vienna, VA)
- …decisions about liability/compensability, evaluating losses, managing relationship with the carrier claims adjuster, nurse case managers and stakeholders within ... Drug program monitoring, and manage routine to moderately complex claims from the investigation of an event through resolution....MC Dean, Inc. The position handles insurance claims and information on a global platform. This is… more
- Trinity Health (Darby, PA)
- …+ Familiarity with the construction of professional appeals in response to denied claims . **Qualifications:** + PA Registered Nurse or Licensed Vocational ... Shift **Description:** Trinity Health Mid-Atlantic is looking for Clinical Pre-Service Nurse Coordinator to join our Pre-Service team! **Employment Type:** Full Time… more
- Metropolitan Council (St. Paul, MN)
- Workers' Compensation Claims Representative II - REPOST Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4511198) Apply Workers' ... Compensation Claims Representative II - REPOST Salary $76,148.80 - $123,510.40...Working with vocational rehabilitation, including the job placement process, nurse case management, return-to-work programs, and determining disability ratings… more
- Kelly Services (New Haven, CT)
- …fits your lifestyle isn't always easy. That's where Kelly comes in. We're seeking a ** Claims Examiner-Lost Time** to work at a premier client in **New Haven CT USA ... and Responsibilities:** l Handles all aspects of workers' compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …**What Is the Opportunity?** Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...coordinating the appropriate medical treatment in collaboration with internal nurse resources where appropriate. + Develop strategies to manage… more
- Spokane County (Spokane, WA)
- Worker's Compensation Claims Adjudicator (OPEN & PROMOTIONAL) Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4663901) Apply Worker's ... Compensation Claims Adjudicator (OPEN & PROMOTIONAL) Salary $59,023.65 - $82,611.81...other related providers. Attend medical conferences with physicians and nurse case managers. + Develops forms, letters, procedures, etc.… more
- WMCHealth (Valhalla, NY)
- Claims Investigator Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/Non-Clinical Department: Risk Management- WMC Health ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26645) Internal Applicant link Job Details: Job Summary: The Claims Investigator is responsible for the management and investigation… more
- Robert Half Accountemps (New Haven, CT)
- Description We are inviting applications for a Claims Examiner-Lost Time role based in New Haven, Connecticut. This role resides in the insurance industry and ... and involves handling all aspects of workers' compensation lost time claims , maintaining customer relations, and ensuring compliance with statutory regulations.… more
- Lincoln Financial Group (Columbus, OH)
- …a Glance** We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an Integrated ... Claims Specialist, you will manage a workload of Short-Term Disability claims and their associated leaves. You will be responsible for conducting initial and… more
- Lincoln Financial Group (Columbus, OH)
- …a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. **What you'll be doing** As an ... LTD Claims Specialist, you will manage a workload of Long-Term...benefits when applicable. * Collaborating with fellow case managers, nurse case managers, vocational case managers, and consulting physicians… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist. This is a full-time position and offers a hybrid schedule after training. ... This position may manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be based in NJM's… more
- Lincoln Financial Group (Columbus, OH)
- …Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist** to support our ever-growing claims organization in a work from home ... to support our west coast employer groups. _Background details_ As a Group Claims Specialist, you will support our Short Term Disability or Integrated Absence teams.… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking an*RCM Representative Senior*to join our*Third-Party Claims - HB & PB *team. This full-time role will primarily work remotely ... response to questions and issues related to benefits, billing, claims , payments, etc. * Answers questions (by phone and...to patients, staff, payors, and agencies * Works with Claims and Collections (both internally and with collection agencies)… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- Summary The Jesse Brown VA Medical Center Registered Nurse (RN) - Risk Manager is responsible for all of the daily management, directives and standards relating to ... the entire risk management program. This Registered Nurse serves as a coordinator of the risk management...management program that helps to avoid or reduce liability claims through identification of potential risk/s and takes action… more
- State of Georgia (Fulton County, GA)
- Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only) Hot ... Job Alerts The Office of the Attorney General Georgia Department of Law Nurse Investigator- Medicaid Fraud Division *To move forward in the recruiting process ALL… more
- CareFirst (Baltimore, MD)
- …of losses to CareFirst through the clinical review of medical records and claims , resulting in the savings and/or recovery of funds. Responsible for providing ... investigations. **ESSENTIAL FUNCTIONS:** + Review of medical records and claims . + Investigate potential fraud and over-utilization by performing complex… more
- Lowe's (Charlotte, NC)
- …return to work planning, coordination of quality medical care on claims involving disability and medical treatment. Assessment and intervention, including ... and external personnel on a consistent basis + Educate claims examiners and human resource staff on medical issues...of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in a clinical… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, AR)
- …Veterans Healthcare Systems of the Ozarks is seeking to hire a Registered Nurse that is a clinical expert and executes position responsibilities that demonstrate ... such as the Joint Patient Safety Reporting (JPSR), Tort Claims , and Peer Review. Supports all QM work to...setting. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more