- AIG (Atlanta, GA)
- Claims , QA Specialist - Worker 's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and experience. Make ... to succeed + Fluent English with additional language skills, desirable. + Proven claims experience handling and auditing Workers Compensation claims . Similar… more
- Crawford & Company (Brea, CA)
- Excellence In Everything We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our awesome team! The purpose of ... is not a job post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents and… more
- CenterLight Health System (Flushing, NY)
- JOB PURPOSE: The Claims Specialist will support department operations related to provider communication, pended claim review , reporting, auditing, and ... with all applicable State, Federal, and contractual guidelines. JOB RESPONSIBILITIES: + The Claims Specialist will be responsible for reviewing claims … more
- DoorDash (Tempe, AZ)
- …ambitious cross-functional partners at DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's Corporate Risk ... The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are...You're excited about this opportunity because you will + Review loss reports and supporting materials for workers… more
- CenterWell (Atlanta, GA)
- …part of our caring community and help us put health first** As a **Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure ... timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily....Prepare input data forms to update computer system. + Review and communicate with agencies to educate them about… more
- Pacific Medical Centers (Seattle, WA)
- **Description** The Claims Specialist ensures patient account and claim information contains comprehensive and accurate data to provide for timely billing and ... government agency and insurance company representatives, patients, consultants and co- workers . Maintains confidentiality of all patient information. + REGISTRATION… more
- Randstad US (Conshohocken, PA)
- …education: Bachelors Responsibilities + Review , monitor, and manage large, litigated workers ' compensation claims . + Address claims reported by ... workers compensation insurance specialist . + conshohocken...you will focus on overseeing and managing complex, litigated claims , particularly in workers ' compensation, while also… more
- Travelers Insurance Company (Diamond Bar, CA)
- …this position is responsible for: Reviewing/evaluating, approving and processing Medical Only claims with: No lost time beyond statutory waiting period No salary ... full time work within 90 days if the injured worker is on modified duty and/or total medical paid...statements, etc.). + Coordinate medical treatment as appropriate: + Review , approve and make accurate/timely payment of appropriate medical… more
- Veterans Benefits Administration (Montgomery, AL)
- …of Veterans Affairs, Regional Office (VARO) Veterans Service Center. The Rating Quality Review Specialist is an integral part of the Veterans Service Center's ... policy Virtual: This IS NOT a virtual position Position Description/PD#: Decision Review Officer (Rating Quality Review Specialist ) /PD37138-A Bargaining… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …(TPA) desk examiners and claim adjusters in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4717187) Apply Property Claims Manager… more
- City of New York (New York, NY)
- …Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute ... and completion of staff in the Supplemental Nutritional Assistance Program- Claims and Recovery program. - Review and...- Conduct day to day operations such as monitoring workers ' productivity to ensure compliance and accuracy with State… more
- Montana State University (Bozeman, MT)
- …used throughout the year. + WC and SAW / RTW programs, including processing workers ' compensation claims , reporting, participating in claims meetings and ... MUS ) workers ' compensation program retreats and meetings; ensure all worker 's compensation and risk management reporting is completed in an accurate, compliant,… more
- City of New York (New York, NY)
- …(Legal landlord name, geocoded address) and that no duplicate records are created. Review security voucher and SSAF claims submitted by landlords via CurrentNYC ... is accurate. - Review security voucher and Special Supplemental Assistance Fund claims submitted by landlords via CurrentNYC or by mail or email to the LMU… more
- City of New York (New York, NY)
- …is recruiting for (1) one Eligibility Specialist III to function as an Eligibility Worker , who will: - Receive review and maintain a caseload of 25 case per ... BE PERMANENT IN THE CIVIL SERVICE TITLE OF ELIGIBILITY SPECIALIST OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE...Assistance Program- Claims and Recovery (SNAP CR). - Review claims calculations and make determination of… more
- City of New York (New York, NY)
- …individual lines, and reduce budgets. The DFRP is recruiting for (3) three Eligibility Specialist III to function as Group Processing Workers , who will: - ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST … more
- University of Colorado (Aurora, CO)
- …Leave programs and provide counseling regarding FMLA/FMLI/Pay parental leave + Manage workers compensation claims and cases. + Manage OVCR Paid Parental ... **Human Resources Specialist ** **Description** **University of Colorado Anschutz Medical Campus**...and provide counseling regarding FMLA/FMLI/Pay parental leave + Manage workers compensation claims and cases. + Manage… more
- Maxim Healthcare Services (Columbia, MD)
- The primary responsibility of the Behavioral Compliance Specialist I is to review behavioral client files and claims for accuracy of services related to ... behavioral service. The Behavioral Compliance Specialist I maintains a comprehensive understanding of ethical principles...by the Compliance Leadership team + Assists with clinical review for claims testing activities + Assists… more
- LA Care Health Plan (Los Angeles, CA)
- …health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes ... Care Management Specialist II (D-SNP) Job Category: Clinical Department: Care...and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for… more
- Sedgwick (Irving, TX)
- … claims and executes technical and jurisdictional requirements for accurate claims processing, benefit review and interpretation of regulations, financial ... claims status. + Determines benefits due, makes timely and accurate claims payments/approvals and adjustments for workers compensation, Social Security… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a **Billing/Follow-up Specialist - Commercial Billing (Remote) for a Full Time, 1.00 FTE, Day position** . The salary range ... Responsible for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors, and resolution of reimbursement… more
Related Job Searches:
Claims,
Claims Review Specialist,
Review,
Review Specialist,
Specialist,
Workers