- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Processing reviews and adjudicates complex or specialty ... claims , submitted either via paper or electronically. The Supervisor , Claims Processing works within thorough, prescribed guidelines and procedures; uses… more
- Providence (Mission Hills, CA)
- …the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- State of Minnesota (St. Paul, MN)
- …plays a critical role in the Paid Leave Division of overseeing the claims processing team, ensuring efficiency, accuracy, and compliance with program ... **Working Title: Claims Adjudication Supervisor ** **Job Class: State...responsibilities include: + Oversees the quality and timeliness of claims processing . + Assign and monitor staff… more
- TEKsystems (Glen Burnie, MD)
- Description The Claims Supervisor is responsible for managing the claims inventory, and resources through timely and accurate processing of higher level ... as needed. Other duties as assigned. Skills Medical Claims , Healthcare, Claims , claims processing , QNXT Top Skills Details Medical Claims ,Healthcare,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …best possible health and quality of life. Supervises daily operations and staff of claims processing and/or claims support area. Provides staff with the ... **_The Supervisor , Claims Services position is an...Skills and Knowledge:** . Strong knowledge of health insurance claims processing policies and procedures, benefit regulations… more
- Amentum (Washington, DC)
- The CRST Project Supervisor - specific duties and responsibilities include: + Assist Claim Review Support Team Project Manager in all aspects of Claim Review Support ... This involves monitoring various claim statuses or queues and identifying claims assignable within the Special Master's guidance. + Determine individual team… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …a must + Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider, or insurance environment + Knowledge of EOB ... Claims Specialist, under the direction of the Supervisor (with guidance from a Team Lead), is responsible...a high-volume processing setting (ie, doctor's office, claims processing department, etc.) a plus. +… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... with LA Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of...capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
- Sedgwick (Syracuse, NY)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Team Lead Assistant | Dedicated Client | NY Workers Comp… more
- Sedgwick (Richfield, MN)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Handling Positions - Greater Minneapolis Area Are you looking for an… more
- Acosta Group (Tampa, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...provides resolution in priority order as directed by the Supervisor + Searches for and links invoices, contracts, and… more
- Acosta Group (Charlotte, NC)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...provides resolution in priority order as directed by the Supervisor . + Searches for and links invoices, contracts, and… more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Adjuster - Liability - Cerritos, California - We require adjusters with ... experience **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Liability **PRIMARY PURPOSE** : To analyze complex or ... technically difficult general liability claims to determine benefits due; to work with high...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
- HomeSafe Alliance (Columbus, OH)
- **Title:** Assistant Claims Manager (Military Move) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household ... are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of ... adjusting experience preferred + Prior experience in a Supervisor or leadership role. + Prior experience assessing employee… more
- Sedgwick (Columbus, OH)
- …while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a diverse portfolio of ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist, Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To analyze… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Advisor, Professional Liability To analyze complex or technically difficult ... entity, errors and omissions, New York Labor Law, and miscellaneous professional liability claims ; to provide resolution of said type of highly complex claims ;… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or technically ... difficult environmental claims ; to provide resolution of highly complex nature and/or...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- Sedgwick (San Francisco, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Workers Compensation Are you looking for an opportunity to join ... 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. (San Diego, CA)
- …a local client in their search to fill a **Remote Worker's Compensation Claims Examiner** job opportunity but **MUST LIVE ANYWHERE IN CALIFORNIA** . **Pay rate: ... PST** **PRIMARY PURPOSE:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims… more