- Premera Blue Cross (Mountlake Terrace, WA)
- …the two aspects of the business together to inform configuration that supports accurate claims processing. Act as a key resource and contact for clinical coding, the ... accurately represent services. Collaboration with configuration teams (ie , Claims and Product) is vital to ensure codes are...are established in the system in order to pay claims appropriately. **_What you'll do:_** + Collect and analyze… more
- Carnegie Mellon University (Pittsburgh, PA)
- …Reporting to the Manager of Health and Welfare Benefits, the Benefits Administrator is primarily responsible for the administration of university faculty and staff ... and the processing of invoices for all benefit programs. The Benefits Administrator is the benefit subject matter expert for assigned benefit processes and… more
- Basin Electric Power Cooperative (Bismarck, ND)
- Job Title: CONTRACT ADMINISTRATOR I/II/III (LEVEL DOE) Posting Start Date: 10/22/25 Job Description: **POSITION PURPOSE** This position is located at our ... includes the negotiation of change orders, payment approval, resolution of claims , solving performance and warranty issues, enforcement of site access requirements,… more
- Stanford Health Care (Palo Alto, CA)
- …The Claims Manager acts as the primary liaison with the third-party administrator (TPA) to ensure proper claims handling and with internal partners to ... **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager oversees the workers' compensation claims program… more
- Stanford Health Care (Palo Alto, CA)
- …to individual patient health information for data retrieval, analysis and claims processing. Works closely with departments to optimize reimbursement, ensure charge ... timely. + Utilizes correct coding practices to file clean claims aiding in improved cash flow. **Education Qualifications** +...Technician . or + RHIA - Registered Health Information Administrator . or + CCS - Certified Coding Specialist… more
- Zurich NA (Schaumburg, IL)
- Senior Claims Administrator 128613 Zurich is currently looking for Senior Claims Administrator to work out of Schaumburg, IL. The Senior Claims ... Administrator is responsible for administrative responsibilities for the Claims organization and will assist with the coordination and monitoring of the team's… more
- Kelmar Associates (Minneapolis, MN)
- …database, creating a claim in the database, assisting callers with filing claims online, and providing answers to other general questions. -Other Administrative ... N/A Minimum Experience Required -1-3 years of relevant work experience processing claims or answering calls preferred -Relative computer experience relating to data… more
- AON (LA)
- Workers Compensation Claims Professional The Claims Administrator is responsible for managing all aspects of the workers' compensation program (including ... and will operate under the guidance of both Bechtel and AON Claims Managers. The Claims Administrator is expected to handle routine matters independently… more
- Adecco US, Inc. (Jacksonville, FL)
- …winning culture and get your foot in the door with a Company that acts as a claims administrator or claims adjuster. If ** Claims Examiner** sounds like ... Adecco is assisting a local client recruiting for ** Claims Examiner** opportunities **Remote** . This is an...meet the qualifications listed below, apply now! Responsibilities for ** Claims Examiner** include but are not limited to: **PRIMARY… more
- AECOM (Baltimore, MD)
- … Claims Manager will coordinate actions required to address contract changes and claims assigned by the Contract Administrator . The Claims Manager will ... deliver a better world. Join us. **Job Description** **AECOM** is seeking a **Contract Claims Manager** to be based in our **Baltimore, MD** office to support the… more
- HUB International (Sacramento, CA)
- …insurance carrier selections. + Ensures client questions / concerns are addressed by claims department or Third Party Administrator . + Interact with clients by ... producers. Attend sales presentations or renewal visits to present claims , programs for the reduction of risk, or loss...policy coverage in its application to property & casualty claims . + Maintains accurate and organized claim files by… more
- Walgreens (Deerfield, IL)
- …Workers' Compensation claims including oversight of the 3rd party claims administrator , approving cost-effective claim settlements and medical management. ... Workers' Compensation claims including oversight of the 3rd party claims administrator including approving cost-effective claim settlements. Manages the… more
- Lowe's (Mooresville, NC)
- …You Will Do** + Evaluates monthly, quarterly, and annual performance of claims administrator and subcontracted vendors through analyses such as cost-benefit, ... to claims initiatives or strategies. + Partnering with the claims administrator and Lowe's Care Nurses (LCN), communicates operational drivers, root cause… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …to support safe recovery and return to work. + Collaborate with Third Party Administrator to ensure claims are handled effectively and brought to the most ... to others every day. We're seeking a **Workers' Compensation Claims Adjuster** who shares our mission of caring for...**What You'll Do:** + Manage and resolve workers' compensation claims with compassion and fairness, from first report through… more
- First Student (Cincinnati, OH)
- …the transportation industry has to offer.** Serves as the third party liability claims administrator (GLICRS) and the technical examiner for the workers ... queries and runs essential departmental reports. Handles regulatory reporting. + Serves as administrator for the RMIS System. Sets up new users, sets user privileges… more
- MTA (New York, NY)
- …for the overall management of a staff of 2 people including the Sr Claims Administrator , 1 Analyst and approximately 7 consultants. + Responsible for the ... and assess loss picks, ensuring accuracy in estimating future claims costs. Oversees OCIP claims and settlements and monitors third party administrators (TPA) to… more
- Sysco (Ankeny, IA)
- …and to support the Claims Process with Sysco's 3rd party claims administrator . Frequently interacts with other functions (Sales, Merchandising, Operations to ... collect data for Sysco's legal team during claims issues to ensure relevant purchase and sales records are provided. Maintains effective working relationships with… more
- Flynn Restaurant Group (Independence, OH)
- …of Analysts/Supervisors and manages all aspects of workers' compensation claims handling, litigation strategy, third-party administrator (TPA) relationships, ... Flynn Fitness Group) is seeking an experienced and strategic Workers' Compensation Claims Manager to lead the administration of its national workers' compensation… more
- Sedgwick (Knoxville, TN)
- …RESPONSIBILITIES** + Designs and coordinates management and oversight of third party administrator claims . + Establishes policy and procedures to assure ... PURPOSE** **:** To oversee and lead the workflow of claims professionals to ensure regulatory compliance and to communicate...compliance to best practices, claims management services standards, state regulations, and client service… more
- Rising Medical Solutions (Chicago, IL)
- …- CNA, Medical Assistant, Physical Therapy Aide, Workers' Compensation, Medical Unit Claims Administrator , IME Coordinator, Medical Office Manager + Experience ... with workers' compensation or disability (a plus!) + Strong computer and internet skills (will work with programs including MS Word, Outlook, and Excel) + Basic knowledge of/ability to read medical reports, or enthusiastic about learning medical terminology +… more
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