- University of Rochester (Rochester, NY)
- …(Fidelis Medicaid Managed Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites. **Typical ... up on unpaid accounts + For unpaid accounts, check claim status on appropriate payer system or...supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor… more
- Travelers Insurance Company (Diamond Bar, CA)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...quality standards and trend analysis. + Utilizes diary management system to ensure that all claims are… more
- Travelers Insurance Company (Las Vegas, NV)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...by adhering to quality standards. + Utilizes diary management system to ensure that all claims are… more
- Amentum (Washington, DC)
- …communicate expectations of priorities to team members. This involves monitoring various claim statuses or queues and identifying claims assignable within the ... Claim Review Team Leads on weekly Eligibility-Only claim review assignments to SMO's for claims ...management or processing environments, particularly having worked with a claim management system . + Experience in government… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …and audit claims process ensuring proper documentation was created in the system and/or files. 7. Review claims and approve payments under the appropriate ... Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND… more
- LA Care Health Plan (Los Angeles, CA)
- …and to support the safety net required to achieve that purpose. Job Summary The Claims Supervisor works with the Claims Manager to oversee the daily ... Supervisor , Claims Job Category: Claims...regulations. This position will manage new program implementations and/or system implementations. This position must maintain an up-to date… more
- NJM Insurance (Hammonton, NJ)
- …+ Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs to keep current on relevant ... NJM's Workers' Compensation Claims Team is seeking a Claim ...WC Law, medical terminology, and utilization of an automatic claims processing system . + Level II -… more
- Mount Sinai Health System (New York, NY)
- …schedule that is assigned. + Prepares all downloads of billing files from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House ... preferred) + Edits unbilled/unprocessed accounts (billing) using PFS HIS Systems , Clearing House Claim Scrubber and/or any...Claim Scrubber and/or any payer websites available for claim correction of billed accounts. + Bill claims… more
- City of New York (New York, NY)
- …is seeking a Childcare Claims Analyst who will report to the Childcare Claims Supervisor and will be responsible for assisting with preparing and submitting ... claims , including downloading monthly Automated Child Care Information System (ACCIS) reports, reviewing ACCIS data on a comprehensive...reports to supervisors and managers, and entering the actual claim into the State claiming system using… more
- City of New York (New York, NY)
- …Review, process, determine and/or establish cases assigned manually or via Automated SNAP Claim System (ASCS) cases for potential SNAP benefit overpayment. This ... Office was enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims for the… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …examiners and claim adjusters in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains reports on ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4717187) Apply Property Claims Manager… more
- Henry Ford Health System (Troy, MI)
- …+ Determines, coordinates and supervises daily staffing assignments and staffing levels. + Trains, coaches, and evaluates assigned staff on performance expectations. ... Applies progressive discipline when appropriate. Participates in hiring and termination procedures. + Ensures accurate identification of managed care plans, network eligibility, and/or compliance with contractual and regulatory requirements. May alert provider… more
- MTA (New York, NY)
- …the effective and efficient management of claim information input into the Claims database system and accurate and timely management and processing of the ... $90,000 HAY POINTS : 496 DEPT/DIV : Risk Management SUPERVISOR : Acting Deputy Director, OCIP LOCATION : 2...follow-up to ensure payments are timely made. + Assist Claim adjuster and Claims secretaries as necessary,… more
- Pilgrim's (Greeley, CO)
- **Description** Programs Claim Processor Purpose and Scope/General Summary: We are looking for a Programs Claim Processor to join us onsite at our Corporate ... + Monitor materials and ship-to'sthat are added to the system to communicate with Sales to determine whether or...required + Ability to communicate and work closely with supervisor relative to critical/urgent sales programs issues + High… more
- City of New York (New York, NY)
- …Review, process, determine and/or establish cases assigned manually or via Automated SNAP Claim System (ASCS) cases for potential SNAP benefit overpayment. - ... and centralized data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office… more
- Carrington (Columbus, OH)
- …+ Document all servicing, action taken, delays, follow-up, and phone conversations in the system notes + Ensure all claim documents are imaged timely. + Maintain ... team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and...and requirements. + Follow up semi-daily on all outstanding claim proceeds. + Perform a loan level reconciliation for… 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 ... **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
- Trinity Health (Farmington Hills, MI)
- … claims billed, paid, settled, and follow-up in appropriate system (s). Identifies and escalates issues affecting accurate billing and follow-up activities. ... problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and… more
- Concord Group Insurance (Burlington, VT)
- …claimants and/or their representatives. + Appropriately handle incoming correspondence on assigned claim files. + Investigate assigned claims - confirm coverage ... work independently. + Other related duties as assigned by supervisor including but not limited to aiding during CATs...claims . + Excellent understanding and skill level of claim handling and customer service. + Possess or has… more
- NJ Transit (Maplewood, NJ)
- …the company position on each claim . + Familiarity with automated claims management system , investigative skills, and knowledge of medical terminology ... the medical diagnosis, and duration of absence for TDB claims . + Sets, maintains and updates TDB claim...and Medical Services Department in order to assist employee's supervisor in maintaining manpower as it relates to TDB… more