- Providence (Mission Hills, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative… more
- Zurich NA (Topeka, KS)
- RCIS Crop Claims Specialist 116561 Zurich is looking...with claims that may require subrogation and/or claims that may lead to litigation + ... for an RCIS Crop Claims Specialist to work out of Kansas state. This incumbent will work from a home-based office. This position is scheduled to work 40 hours… more
- 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 your ... mark in Claims . Our Claims teams are the proven problem solvers of choice...+ Organize and execute Benchmark reviews as a Team Lead , including risk assessment, scheduling, sampling, GQA review team… more
- Axis (Alpharetta, GA)
- …Surety Claims . This role will be responsible for the handling of Surety Claims . The ideal candidate will ultimately grow, lead , and develop a team of ... and maintaining relationships with internal and external partners as their lead contact within the claims department for assigned claims and the claims… more
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. AXIS is seeking a Senior Claims Specialist - Excess Claims to join our North America ... maintaining relationships with internal and external partners as their lead contact within the claims department for assigned claims * Escalating coverage… more
- MetLife (Cary, NC)
- …* Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. Provides timely, ... balanced and accurate claims reviews, documentation and recommended decisions in a time...information is needed to make a reasonable and logical claims determination based off the information available. Proficiently calculates… more
- M&T Bank (Buffalo, NY)
- …**Primary Responsibilities:** + Assist manager with Property and Casualty Claims including Workers Compensation lost time and files in litigation. ... and validation process** + Manage the insurance function in Archer + Project lead for Risk Management System implementation **Assist with Property claims as… more
- University of Washington (Seattle, WA)
- …Practice Plan Services (FPPS)** has an outstanding opportunity for a **full-time, day shift, CLAIMS SUPERVISOR.** **WORK SCHEDULE** + 40 hours per week + Day Shift + ... This position is Remote **POSITION HIGHLIGHTS** The Claims Supervisor is responsible for the coordination and control...responsible for the coordination and control of the Claim Specialist Team, ensuring that effective operations run smoothly and… more
- JPMorgan Chase (San Antonio, TX)
- …create great customer experiences that cultivate long-lasting relationships. As a New Hire Lead in Fraud and Customer Protection Services, you will report to the ... Training Management, and Team Leads. **Job Responsibilities** + Primary training lead in collaboration with Training Organization for delivery of specialist… more
- AIG (Atlanta, GA)
- Join us as a Salvage Lead to grow your experience in Claims . Make your mark in Claims Our Claims teams are the proven problem solvers of choice for ... revise, and maintain appropriate Recovery Best Practices, including facilitating Salvage specialist recovery process training. + Collaborate with Claims to… more
- Guidehouse (Lewisville, TX)
- …can reach out to Chris Rivera (Recruiting Manager) at ###._** The **Credit Balance Specialist Team Lead ** will manage credit balance workloads and respond and ... years working knowledge can be of the following: credits, insurance claims , billing, coding, follow-up, finance, accounting or customer service related… more
- Randstad US (Duarte, CA)
- …responsibilities: Epic Resolute Professional Billing and Epic Resolute Professional Billing Claims certified specialist experienced in working with Revenue Cycle ... epic systems analyst - resolute pb/pb claims (remote). + duarte , california (remote) +...plan. Report status of task completion to assigned Team Lead . Provide timely alerts about endangered milestones and deliverables.… more
- Federal Highway Administration (Lakewood, CO)
- Summary The Lead Civil Engineer is head of Central Federal Lands Highway Division's (CFLHD's) Construction Branch Claim Review Section. The ideal candidate is a ... aspects of highway design and construction, and experience resolving contractor claims and requests for equitable adjustments. Responsibilities As a Civil Engineer… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** Hospital Billing Claims Certified Application Coordinator or Professional Billing Claims Certified ... experience. Must have progressively responsible experience serving as a subject matter expert, specialist or a consultant. Three (3) to five (5) years knowledge and… more
- Beth Israel Lahey Health (Danvers, MA)
- …not just taking a job, you're making a difference in people's lives.** The Billing Specialist role specializes in high dollar claims , aged claims and denied ... claims to ensure successful initial submission. The Billing Specialist will be responsible for charge and claim review...Home Health Billing Teams when identifying trends that can lead to inappropriate billing to the customer. 8. Working… more
- State of Colorado (CO)
- CDOC - Human Resources Specialist IV (Employee Benefits Work Lead ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4663958) Apply CDOC - ... Human Resources Specialist IV (Employee Benefits Work Lead ) Salary...Oversee the management and auditing of leave balances, benefits claims , and compliance with FMLA, FAMLI, Workers' Compensation, and… more
- HCA Healthcare (Kaysville, UT)
- …Office** Do you want to join an organization that invests in you as a Lead Collections Specialist ? At HCA Healthcare, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Lead Collections Specialist like you to be...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more
- Ventura County (Ventura, CA)
- …such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing Specialist IV is the lead level class and serves as technical advisors to ... affect reimbursement for Medi-Cal and/or Medicare and prepares reports; + Serves as lead biller/ specialist to the department; and + Performs other related duties… more
- Delek US Holdings (Brentwood, TN)
- Lead Loss Control Specialist Location: Brentwood, TN Are you looking for a career in a dynamic and innovative company that values versatility, growth, and ... supportive and innovative environment. **Position Summary** As a Loss Control Specialist (LCS), your role involves establishing and enforcing loss control processes,… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s)...Seeks and responds to regular performance feedback from team lead and provides upward feedback, as needed. 15. Assists… more