- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Role:Job SummaryPrimarily responsible for the investigation and management of workers' compensation claims . Conducts a 1 to 3-point contact on the managed claims ... the facts of the case or the claim type; determines compensability of claims , manages the medical treatment program, and assists in the return-to-work process. This… more
- Cambia Health Solutions, Inc (Portland, OR)
- Claims Supervisor Remote within WA, OR, UT, IDOnsite/Hybrid can be an option if an office is available in the local area.Primary Job Purpose:This role supports ... workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to State, Federal and company… more
- US Tech Solutions, Inc. (Hamilton Township, NJ)
- Job Title: Claims Resolution Representative Location: Onsite at Hamilton Township, NJ 08619 Duration: 12+ Months (Contract to Hire/possible of extension) Job ... Description: . Looking for candidates as Claims Resolution Representative who can resolve customer issues in...who can resolve customer issues in the areas of claims manually as required by Medicaid rules and system… more
- Rose International (San Diego, CA)
- …Posted: 04/22/2024 Hiring Organization: Rose International Position Number: 462737 Job Title: Claims Analyst Job Location: San Diego, CA, USA, 92123 Work Model: ... 30.00 Max Hourly Rate ($): 36.23 Must Have Skills/Attributes: Case Management, Claims , Investigations, MS Excel, MS Office Job Description **Only those lawfully… more
- MultiPlan (Atlanta, GA)
- …healthcare providers to discuss negotiations for a specific dollar range of eligible claims /bills prior to payment, in order to achieve maximum discounts and savings ... JOB ROLES AND RESPONSIBILITIES: 1. Manage a high volume of healthcare claims thoroughly to maximize savings opportunities on each claim within the established… more
- MultiPlan (Atlanta, GA)
- …bright people come to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been ... benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES AND...mining and coordination of benefits techniques to client paid claims data.3. Evaluate medical claims for coding… more
- Staffing Now (Austin, TX)
- CLAIMS CUSTOMER SUPPORT REPRESENTATIVE HYBRID WORK ENVIRONMENT $19.25 - $19.75 (BL) PER HOUR! FREE LUNCHES AND GREAT BENEFITS!SNI Companies has partnered with an ... amazing organization in North Austin for a unique role as a Claims Customer Support Representative!Combine your administrative support skills with the ability to… more
- Integrated Resources, Inc (Atlanta, GA)
- Job Title: Claims Associate Representative Location: 100% Remote Job Duration: 6+ Months contract with the possibility of extension. Duties . This position includes ... in multiple states to demonstrate effective judgment when processing all claims with outstanding balances. Other responsibilities include: . Research/rectify third… more
- CMJobPoster (Ontario, CA)
- Job Title: Claims Team Lead Location (On-site, Remote, or Hybrid?): Ontario, CA (hybrid) Contract Duration: Contract until 11/16/2024 Description: County of Los ... inquiries and phone calls to assist our customers Review claims for supervisor direction every 90 days or sooner...or sooner depending on need Maintain diary on all claims with emphasis on lost time claims /and… more
- Fidelity TalentSource LLC (Westlake, TX)
- Claims Reconciliation Representative Fidelity TalentSource is your destination for discovering your next temporary role at Fidelity Investments. We are currently ... sourcing for a Claims Reconciliation Representative to work in Westlake, TX! The...Representative to work in Westlake, TX! The Role The Claims Reconciliations Representative will report to the Senior Manager… more
- Staffing Now (Tampa, FL)
- …of claim types to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that all claims are adjudicated ... * Authorize claim payments within established limits; otherwise forward to Claims Manager * Potentially process refunds appeals, disputes and adjustments (when… more
- Staffing Now (Boston, MA)
- Our Boston, MA healthcare client is seeking a temporary Medical Claims Processor to work M-F 8:30am-5:00pm in their Downtown Crossing office. Duties: Open and sort ... mail, check medical claims for accuracy and manually enter claims into an Excel spreadsheet. 1-2 years of medical claims experience. Must be proficient in MS… more
- Pyramid Consulting, Inc (Columbia, SC)
- Immediate need for a talented Claims Processor I . This is a 12+ Months contract opportunity with long-term potential and is located in Columbia South Carolina ... (Onsite) . Please review the job description below and contact me ASAP if you are interested. Job ID: 24-23827 Pay Range: $18/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick… more
- AppleOne (Pittsburgh, PA)
- …about providing support and assistance to individuals navigating workers' compensation claims ? We're looking for a dedicated medical claims coordinator ... to a supportive team environment, we want to hear from you! Apply now to become our newest Claims Coordinator and embark on a fulfilling career journey with us. more
- Percepta (Melbourne, FL)
- Automotive Claims RepresentativeAt Percepta, we bring first-class service across each market we support. As a Automotive Claims Representative in Melbourne ... independent repair facilities regarding extended service contract coverage and provides claims adjudication per contract terms and contact handling processes *… more
- ICONMA (Los Angeles, CA)
- The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's responsibility for lost ... compensation claim handling, investigative techniques, legal requirements, and regulations. 5+ years' experience required handling Workers Compensation handling California Claims… more
- Pyramid Consulting, Inc (Atlanta, GA)
- Immediate need for a talented Claims Adjuster . This is a 12+ Months contract opportunity with long-term potential and is located in Tampa, FL (Remote) . Please ... review the job description below and contact me ASAP if you are interested. Job ID: 24-09065 Pay Range: $30 - $35/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave… more
- SECURA Insurance (Neenah, WI)
- …This is a year-round internship. The ideal candidate will be available approximately 10+ hours during the school year and up to full-time during breaks. We are ... This intern position supports our Special Investigation Unit by gathering information from various social sites such as Facebook, Twitter, and LinkedIn for potential claim cases.… more
- Creative Financial Staffing (Hilliard, OH)
- …inventory records. Collaborate with insurance providers to process and coordinate insurance claims . Ensure timely and accurate documentation of claims . Conduct ... notary services as required. Maintain office supply inventory levels and place orders as needed. Qualifications: Associates or Bachelor's degree in Accounting, Finance, or a related field strongly preferred. Proven relatable experience in accounting and… more
- Credit Acceptance Corporation (Atlanta, GA)
- …total loss.Work accounts to process all paperwork necessary to complete GAP claims for consumers that have purchased supplemental GAP coverage with their ... and outbound calls that are made to settle insurance claims in a compliant manner as quickly as possible.Manage...when necessary.Process necessary paperwork pertaining to Insurance and GAP Claims . Assist in gathering documents for GAP Claims… more
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