- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a(an) Sr Claims Supervisor ? At HCA Healthcare, you come first. HCA Healthcare has committed up ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program +...a difference. We are looking for a dedicated Sr Claims Supervisor like you to be a… more
- Sedgwick (Columbus, OH)
- …analyses for insurance company + Calculate and assign timely and appropriate reserves to claims ; monitor reserve adequacy throughout claim life. + Refer cases as ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claim Advisor, Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To analyze… more
- Kelly Services (Houston, TX)
- We are currently seeking a **Medical Claims Recovery Supervisor ** to Lead the claims recovery department for our client located in **Northwest Houston, TX ... + Bachelors in healthcare administration + certified professional coder certification + certified coding specialist certification +...new programs and projects for team + review teams claims and analysis of claims + comparing… more
- Sedgwick (Columbus, OH)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... + Calculates and assigns timely and appropriate reserves to claims ; monitors reserve adequacy throughout claim life....coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Fort Worth, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Los Angeles, CA)
- …** by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors others.… more
- Sedgwick (Columbus, OH)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Concord, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Columbus, OH)
- …+ Provide technical guidance to less experienced team members on complex cyber claims Reporting and Analytics: + Prepare detailed claim reports and analyses ... for insurance company + Calculates and assigns timely and appropriate reserves to claims ; monitors reserve adequacy throughout claim life. + Refers cases as… more
- Sedgwick (Roseville, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- ManpowerGroup (CA)
- …workers' compensation claims by investigating and gathering information to determine claim exposure. + Manage claims through well-developed action plans to ... Calculate and pay benefits due; approve and make timely claim payments and adjustments; settle claims within...coding is accurate. + Refer cases as appropriate to supervisor and management. **Qualifications** + Bachelor's degree from an… more
- ICW Group (Lisle, IL)
- …*Salary will be reviewed at completion date of each stage upon conclusion of claim file audit by reporting Supervisor /Manager and/or Audit & Compliance team ... team members with opportunities to contribute, develop, and belong. ICW Group's Claims Academy Examiner Training Program prepares aspiring professionals for a career… more
- Healthfirst (FL)
- **Duties & Responsibilities** : + Conducts routine assessments of current claims edits and ensures comprehensive and defensible editing across all Healthfirst ... edits. + Monitors and reports on performance of current claims editing packages + Supports claims editing...clinical coding guidelines in order to decide if a claim adjustment is necessary. + Processes claim … more
- Marriott (Bethesda, MD)
- … handling practices adhere to all applicable state regulations governing insurance claims , by monitoring claim activities, analyzing data, identifying potential ... compliance issues, and working with regional claims offices to ensure proper claim adjudication...with a positive, professional demeanor * Communicate often with supervisor keeping him/her informed * Show dependability **Education or… more
- HCA Healthcare (Nashville, TN)
- …reports issues to supervisor . + Provide technical support and training for claims processors. + Recognize and appropriately route claims for carved out ... need: + Ability to communicate well with supervisors and co-workers + Ability to analyze claim issues and "trouble shoot" claims problems + Ability to work in a… more
- Kelly Services (Houston, TX)
- …Description:** + Maintains workflow inventory on a day-to-day basis to ensure accurate claim determinations. + Processes claims timely based on the productivity ... We are currently seeking a **Medical Claims Processor** for our client located in **Northwest...8am-5pm onsite** **Requirements :** + **Medical billing & coding certification ** + **at least 2 yrs experience in Medical… more
- Kelly Services (Glastonbury, CT)
- … Certification or equivalent related experience. + Previous experience as a supervisor or manager. + Familiarity with medical claims clearinghouse. + ... **Now Hiring:** **Medical Claims Account Manager-Direct Hire** **_Location_** _: Glastonbury, CT_...workflow and promote teamwork. + Identify, research, and resolve claim issues. + Recommend process improvements. **Qualifications:** + Medical… more
- HCA Healthcare (Nashville, TN)
- …preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time ... We are looking for an enthusiastic Senior EPIC PB Claims Analyst to help us reach our goals. Unlock...be as necessary to complete the various departmental initiatives. Supervisor - Manager, Epic Services, Senior Manager, Epic Services… more
- GSI Service Group Inc. (Honolulu, HI)
- …+ Familiarity with Primavera P6 preferred; + Construction Quality Control certification preferred; + Safety Trained Supervisor certification preferred. ... be responsible for maintaining contract files and assisting in the preparation of claims . This individual will also assist with preparation of cost reports and… more
- Commonwealth of Pennsylvania (PA)
- …Construction Inspector Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4823305) Apply Transportation Construction Inspector ... Engineering District 10 as a full-time Transportation Construction Inspector Supervisor and play a pivotal role in shaping the...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more