- Sedgwick (Bartlesville, OK)
- … 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)
- …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
- Sedgwick (Honolulu, HI)
- …of education and experience required and experience required to include 2 years claims supervisor experience. + High School Diploma or GED required. Bachelor's ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead Supervisor - Workers Compensation Are you looking for… more
- Washington Suburban Sanitary Commission (WSSC) (Laurel, MD)
- …for the analysis and management of claim files within the department.The Claims Supervisor leads, trains, and monitors the activities of all liability ... of employment and annually thereafter Preferences *Supervisory experiencehighly desired. * Claims certification or Bachelor's degree is helpful. Salary$82,732 -… 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 (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
- Adecco US, Inc. (Ontario, 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 ...from an accredited college or university preferred. + **Self-insurance certification required.** + Five (5) years of claims… 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
- 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
- Kohler Co. (Kohler, WI)
- …If a Claim or Leave is approved, the Sr. Disability Claims Examiner then updates internal documentation and systems, coordinates appropriate payments with ... **Sr. Disability Claims Examiner** _Work Mode: Hybrid_ **Location: ** Hybrid...also responsible for communication with associates and coordinating the Claim or Leave application process in compliance with both… 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
- Sutter Health (Sacramento, CA)
- …reported until resolution. Works in a team environment with technical specialists, supervisor , claim manager and affiliate representatives. Partners with medical ... Office-Valley **Position Overview:** Responsible for the management of workers' compensation claims for assigned self-insured affiliates. Manages claims from… more
- Bluestone Physician Services (Tampa, FL)
- …+ Participate in completion of special projects as assigned by coding supervisor Qualifications : Education/ Certification /Experience + Current Medical Coding ... accuracy, and compliance of all coding assignments prior to claim submission, as well as taking appropriate steps to...well as taking appropriate steps to correct all denied claims . They will support clinicians with ongoing guidance on… 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)
- Therapeutic Activities Supervisor - Southeastern Veterans' Center Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4768035) Apply Therapeutic ... Activities Supervisor - Southeastern Veterans' Center Salary $61,903.00 - $94,118.00...Veterans Affairs must possess, at time of application, active certification as an Activity Director Certified (ADC) or Activity… more
- Commonwealth of Pennsylvania (PA)
- County Casework Supervisor (Local Government) - Lebanon County C&Y Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4749228) Apply County ... Casework Supervisor (Local Government) - Lebanon County C&Y Salary $49,395.31...to coordinate services + Completing training to obtain Supervisory Certification + Reviewing caseloads and reassigning as needed +… more
- CVS Health (Olympia, WA)
- …claims . **Required Qualifications** + 3 or more years' experience as successful claims biller/ supervisor experience preferably in a Fortune 500 company + Must ... affordable. **Position Summary** **THIS IS AN EVENING SHIFT - 11:30am-8pm PST** Supervisor will be responsible for the day-to-day oversight of the third-party… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor (2nd Shift) - Selinsgrove Center Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4754127) Apply Registered Nurse ... Supervisor (2nd Shift) - Selinsgrove Center Salary $94,118.00 -...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- AUI Partners (Fort Worth, TX)
- This position is for a road warrior! The Safety Supervisor is "boots on the ground" and requires the position to be onsite at projects throughout the nation. The ... primary role of the Safety Supervisor is to be responsible for all Safety functions...+ Assist HR, Legal and Compliance on Worker Compensation claims and other claims involving the public,… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR ... do not meet medical necessity and level of care criteria, and for certification of approved hospital days reimbursable under the Medicare and MediCal programs.… more