- 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
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND ... change from time to time. 1. Manage the supervision and coordination of the claims department and staff. 2. Organize and disseminate information that affects the … 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
- Veterans Affairs, Veterans Health Administration (Denver, CO)
- …Care, Department of Veterans Affairs. The Claims Examiner reports to the Supervisor of the Beneficiary Claims Processing Unit. The primary function ... Summary This position is in the Beneficiary Claims Processing Unit, CHAMPVA program, 3.1...6:00a.m - 4:30p.m. or at the discretion of the supervisor and the needs of the agency Telework: VA… 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
- NJM Insurance (Trenton, NJ)
- …including strong knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a ... Claim Reviews; attend and participate as needed with the Claims Team and Supervisor + Participate in...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- Acosta Group (Charlotte, NC)
- …to provide high quality service to clients and make continuous improvements in claims processing . **RESPONSIBILITIES** + Trains and mentors Claim associates on ... + Assumes supervisory responsibilities in the absence of the Claims Resolution Supervisor + Assists the ...procedures for assigned clients and adheres to them when processing claims + Makes the final decision… more
- Crawford & Company (New Orleans, LA)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents… more
- NJM Insurance (Hammonton, NJ)
- …accounts + Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs to keep current on relevant ... basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a Workers' Comp… more
- Sedgwick (Phoenix, AZ)
- …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 Workers Compensation Claims Handling Positions | CO, UT, AZ Are you looking for an… more
- Sedgwick (Shreveport, LA)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead Assistant - Workers Compensation (MUST RESIDE IN LOUISIANA)… more
- Kohler Co. (Kohler, WI)
- …and eligibility in accordance with the Pay Protection Plan and standard claims processing procedures. + Contact attending personal care provider (PCP) ... + Offer suggestions on more efficient work-flow procedures to supervisor and benefits personnel. Leave Administration + Maintain a...degree) - or equivalent experience + Knowledge of general claims processing procedures + Knowledge of medical… 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 (Irving, TX)
- **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 (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
- Texas Veterans Commission (Amarillo, TX)
- …of Veteran Affairs. . Knowledge of laws, rules, and regulations applicable to the processing of veterans' claims ; and of assessment techniques. . Fluent in ... includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of...to interpret laws, rules, and regulations applicable to the processing of veterans' claims . . Ability to… more
- Trinity Health (Farmington Hills, MI)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and… 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)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist, Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages … 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
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