- Mastech Digital, Inc. (Aurora, CO)
- …Services for all American Corporations. We are currently seeking a Medical Claims Examiner for our client in the IT-Services domain. We value our professionals, ... Claims ExaminerPrimary Skills: ClaimsRole Description: As a Medical Claims Examiner , you must have at least 3 years of...must have at least 3 years of experience.Day-to-day Responsibilities:- Review medical claims that are held with a pend… more
- Staffing Now (Tampa, FL)
- …with CMS rules and regulations and our Client's internal criteria * Review different lines of business to include Medicare, Medicaid and Commercial services ... adherence to the contracts and timeliness guidelines * Authorize claim payments within established limits; otherwise forward to Claims Manager * Potentially process refunds appeals, disputes and adjustments (when applicable); * Identify process improvement… more
- Globe Life Inc. (Oklahoma City, OK)
- …for proper chain of custody handling and proper file retention standards. Review Claim Documents for completeness and validity to adjudicate claim within ... mail items and forward to the appropriate department or examiner . * Index new claims via RightFax, Outlook, or...with HIPAA standards. Required Skills Ability to compile and review information to make sound decisions Skilled in performing… more
- Nesco Resource (Long Beach, CA)
- …on high cost claims and claims over the authority of the individual examiner .Monitors third party claims; maintains periodical review of litigated claims, ... and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on… more
- Option Care Health (Chicago, IL)
- …and ensure alignment with organizational priorities.Perform data analysis and review of documentation to identify potential compliance issues, irregularities, or ... ongoing monitoring activities, including data analysis, trend analysis, and review of key performance indicators.Collaborate with cross-functional teams to implement… more
- Regions Bank (Charlotte, NC)
- …section of the system. **Job Description:** At Regions, the Credit Risk Review Examiner continuously monitors and examines activities. This position assesses ... with Regions' Retention Schedule for a minimum of three years. You may review , modify, or update your information by visiting and logging into the careers… more
- State of Massachusetts (Boston, MA)
- …via telephone, virtually, and in person at various locations throughout the state. The Review Examiner I will preside over administrative hearings on appeals of ... **Job:** **Legal Services* **Organization:** **Department of Workforce Development* **Title:** * Review Examiner I* **Location:** *Massachusetts-Boston-2 Avenue De… more
- Banc of California (Santa Ana, CA)
- …global cash flow and repayment sources that help define asset quality. Ensure Credit Review risk rating changes have been updated on the loan system of record timely ... findings based on process weaknesses and systemic issues. Will review , document, and track corrective action to ensure timely...action to ensure timely remediation. + Will act as examiner in charge (EIC) and lead examinations including … more
- MUFG (New York, NY)
- …will provide more details. **Job Summary:** We're searching for a Credit Examiner to provide a comprehensive assessment of enterprise-wide risk management practices. ... portfolios to identify deterioration or negative management control trends and review compliance with policies, guidelines, and regulations. + Prepare periodic Risk… more
- Love's Travel Stops & Country Stores (Oklahoma City, OK)
- …closing officer, commercial title officer, commercial escrow agent, reviewing titles, review titles, commercial loan underwriter, commercial examiner , commercial ... real estate negotiations, 40 closings per year, survey reviewer, survey review , title examiner \#LI-Hybrid **Job Function(s):** Corporate **Love's has… more
- TD Bank (Greenville, SC)
- …and structures, industry trends and regulatory changes + Produces workpapers documenting review findings for internal presentation to Loan Review management and ... external presentation to Line of Business partners and Regulatory review + Aids and assists in the professional development of other Commercial Examiners + Maintains… more
- Commonwealth of Pennsylvania (PA)
- …The Department of Labor and Industry is eager to welcome a Medical Records Examiner to review medical treatment on worker's compensation claims in order to ... Medical Records Examiner Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4556292) Apply Medical Records Examiner Salary $64,959.00 -… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …Authority (the "Authority" (https://www.ctpaidleave.org/) ) is looking for a Private Plan Examiner to review and monitor employer compliance with the Authority's ... Private Plan Examiner -CT Paid Leave CT Paid Leave Employee Recruitment...private plans. The employee may also be assigned to review and monitor other compliance related activities. The Private… more
- Salt Lake City Corporation (Salt Lake City, UT)
- …Plans Examiner III (May be under filled) Job Description: As a Plans Examiner you will perform technical review of residential or other construction plans to ... + At the highest level, performs a variety of complex or specialized plan review assignments. Minimum Qualifications: Plans Examiner I + Graduation from an… more
- Town of Gilbert (Gilbert, AZ)
- …(3) ICC Certifications, one of the three must be a Commercial Building Plans Examiner Certification. + Fire Plan Review experience preferred but not required. + ... Building & Fire Plans Examiner II & Senior Print (https://www.governmentjobs.com/careers/gilbert/jobs/newprint/4490195) Apply ... II & Senior positions report to the Plan Review Supervisor. The primary function of these positions is… more
- Citizens (Iselin, NJ)
- …requirements governing Commercial Real Estate credit risk management + Previous bank credit review or bank examiner experience is highly preferred. + Excellent ... Description Credit Review Manager - Commercial Real Estate The Credit Review Manager position is a team member in the bank's third line Credit Review … more
- HCA Healthcare (Campbell, CA)
- …(OCR), clearinghouse and mail interface vendor activities' performance at all levels. . Review routine random sampling audit of examiner processed claim(s) for ... accuracy and provides feedback to the examiner . . Review support team workflows to ensure regulatory timeliness, distribution and accuracy guidelines are met. .… more
- Bank OZK (Little Rock, AR)
- …of commercial lending experience, required. + 1+ years of Commercial Credit Risk Review , or commensurate Bank Examiner experience, required. + Commercial Credit ... Commercial Credit Risk Review Officer II + Job ID: 14301 +...of continuous process improvement and supports the Credit Risk Review Department's professional practice and quality control standards. +… more
- Health Advocates Network (Harrisburg, PA)
- …other professional personnel as it deems advisable. The primary role of a medical examiner is to review applications for disability annuities and the medical ... examiner . Nature and Scope of the Services: The medical examiner shall review disability annuity applications and attendant medical records and other… more
- City of Lakeland (Lakeland, FL)
- Building Inspector/Plans Examiner I, II or III Print (https://www.governmentjobs.com/careers/lakelandfl/jobs/newprint/4554189) Apply Building Inspector/Plans ... Examiner I, II or III Salary $69,360.20 - $101,896.87...and industrial building construction plans and specifications submitted for review and approval by the Building Inspection Division. Assignments… more
