- Sedgwick (Roseville, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead ( Supervisor ) Workers Compensation (HYBRID- Roseville, CA)… more
- Raphael and Associates (Rutherford, NJ)
- Claims Supervisor - Liability Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company ... our services to our client's specific needs. As a claims organization, what we do is complex. Our mission...environment. This is the perfect opportunity for a self-motivated supervisor to apply their knowledge of coverages and negligence… more
- Dignity Health (Bakersfield, CA)
- …dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to ... benefits they want from a variety of options including medical dental and vision plans for the employee and...include Paid Time Off and Sick Leave. **Responsibilities** Assist Claims Manager in day to day supervision, support and… more
- Providence (Mission Hills, CA)
- …empower them. **Required Qualifications:** + 3 years experience in a leadership role within medical claims related field. + 5 years experience in medical ... group/IPA setting claim processing experience. + 2 years experience in a medical /institutional claims customer services unit within a health plan medical … more
- ICW Group (Austin, TX)
- …management. This position exists to oversee, lead, and guide a unit of Claims staff while working in compliance with Company philosophies, practices, and procedures. ... of the Company's philosophy and technical practices throughout the claims operation. + Conducts periodic audits of staff assignments...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… 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
- Robert Half Accountemps (Long Beach, CA)
- Description An Healthcare IPA in Long Beach is in the need of a Medical Claims Examiner III. This role of Medical Claims Examiner III is will be an ... essential position within the organization. The Medical Claims Examiner III is responsible for...develops, maintains and runs standard reports * Assist the Claims Supervisor /Director in reviewing the quality auditing… more
- Trinity Health (Farmington Hills, MI)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... in Microsoft Office, including Outlook, Word, PowerPoint, and Excel. **Experience with hospital medical claims follow-up with Medicaid in the state of Ohio… more
- Guidehouse (Lewisville, TX)
- …**:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Medical Biller** is expected to perform all areas of initial billing, secondary ... billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the...denials for trends and issues and reports finding to supervisor . + Bills or re-bills as necessary. + Ensures… more
- Robert Half Accountemps (Los Angeles, CA)
- … Health Insurance Plan based in Los Angeles is in the immediate need of a Medical Claims Representative. The Medical Claims Representative will be ... phone and troubleshooting any of the participants bills or claims . The Medical Claims Representative...required. Ability to accept direction and developmental guidance from supervisor . Ability to work effectively with individuals at all… more
- Trinity Health (Farmington Hills, MI)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... and non-government accounts. The position reports directly to the Supervisor Billing and Follow-up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and… more
- Crawford & Company (St. Louis, MO)
- …the processing of the claim. + Identifies wage loss expenses and wage exposures on medical claims . + Documents receipt and contents of medical reports. ... exceeding, $2,500 after compensability has been determined. + Evaluates medical claims for potential fraud issues, loss...client and carrier guidelines and prepares written updates for supervisor to review. + Performs other related duties as… more
- Kohler Co. (Kohler, WI)
- …for evaluating and authorizing (or denying) associate short-term and long-term disability claims , Family Medical Leaves and other Kohler Co. Paid Leaves. ... claims . + Evaluates and arranges appropriate referral of claims to outside vendors for independent medical ...+ Offer suggestions on more efficient work-flow procedures to supervisor and benefits personnel. Leave Administration + Maintain a… more
- Public Consulting Group (Clarkston, WA)
- …+ Assessments and Feasibility Studies PCG is seeking a child welfare Claims Developer. This person will be responsible for submitting SSA's required application ... care who have been identified as potentially eligible for SSI benefits. The Claims Developer is responsible for obtaining signed forms from case planners, youth… more
- Sysco (Houston, TX)
- …and authorizing settlements of general liability, automobile, and workers compensation claims + Collaborate with supervisor training materials in accident ... and team building skills Thorough understanding of the casualty claims process + Strong understanding of medical ...other job related duties requested by his or her supervisor . Reasonable accommodations will be made to enable individuals… more
- NJM Insurance (Trenton, NJ)
- …practices + Prepare for Claim Reviews; attend and participate as needed with the Claims Team and Supervisor + Participate in in-house and outside training ... handling and/or process including strong knowledge of WC Law, medical terminology, and utilization of an automatic claims... medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years'… 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 ... handling and/or process including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims... medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years'… more
- Sedgwick (San Diego, CA)
- …PURPOSE** **:** To analyze complex or technically difficult long term care and medical malpractice claims ; to provide resolution of highly complex nature and/or ... processes complex or technically difficult long term care and medical malpractice claims by investigating and gathering...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Columbus, OH)
- …to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist, Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** +… more
- Sedgwick (San Diego, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Hybrid Schedule Are you looking for an opportunity to ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
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