- Metropolitan Council (St. Paul, MN)
- …to our organization and the Twin Cities region: TheWorkers' Compensation Claims Representativewill administer Minnesota lost time and medical -only Workers' ... leave. + Investigate and pursue subrogation, as appropriate. + Participate in bi-annual claims meetings with internal departments. + Review medical , legal, and… more
- Travelers Insurance Company (Rancho Cordova, CA)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...returning injured party to work and coordinating the appropriate medical treatment in collaboration with internal nurse … more
- Kelly Services (New Haven, CT)
- …fits your lifestyle isn't always easy. That's where Kelly comes in. We're seeking a ** Claims Examiner-Lost Time** to work at a premier client in **New Haven CT USA ... l Handles all aspects of workers' compensation lost time claims from set-up to case closure ensuring strong customer...and taking statements as necessary, with insured, claimant and medical providers. l Evaluates the facts gathered through the… more
- Spokane County (Spokane, WA)
- …industrial insurance claims in accordance with Title 51 (RCW) and Medical Aid Rules and other statutes related to Washington State industrial insurance. + ... of ensuring that appropriate services are provided, monitoring claim costs and resolving claims in a timely manner. + Determines medical aid benefits, sets… more
- WMCHealth (Valhalla, NY)
- …utilized in planning and conducting confidential investigations; thorough knowledge of medical malpractice and general liability claims management; good ... Claims Investigator Company: NorthEast Provider Solutions Inc. City/State:...Investigator is responsible for the management and investigation of medical malpractice, general liability and lost/stolen or damaged property… more
- Sedgwick (Columbus, OH)
- …licensing including but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty ... + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and...of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and officers, life… more
- Robert Half Accountemps (New Haven, CT)
- …* Quality assurance and human resources administration skills * Experience in insurance claims and medical coverage * Ability to manage benefit functions and ... Description We are inviting applications for a Claims Examiner-Lost Time role based in New Haven,...obtaining facts and taking statements from insured claimants and medical providers when necessary. * Evaluate facts obtained through… more
- NJM Insurance (Trenton, NJ)
- …disability (PPD) + Proactively manage the technical aspects of complex and high severity medical and CAT claims for quality outcomes and return to work ... NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim...work with and communicate to NJM policyholders, injured workers, medical providers, the NJM Medical Services Administration… more
- Lincoln Financial Group (Columbus, OH)
- …professionals through phone and e-mail to gather information regarding Short Term Disability Claims , Family Medical Leaves, and state benefits when applicable. + ... a Glance** We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an Integrated… more
- Lincoln Financial Group (Columbus, OH)
- …a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. **What you'll be doing** As an ... LTD Claims Specialist, you will manage a workload of Long-Term...initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations.… more
- Lincoln Financial Group (Columbus, OH)
- …Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist** to support our ever-growing claims organization in a work from home ... west coast employer groups. _Background details_ As a Group Claims Specialist, you will support our Short Term Disability...requests relating to Short Term Disability, the Family and Medical Leave Act (FMLA), the Americans with Disabilities Act… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking an*RCM Representative Senior*to join our*Third-Party Claims - HB & PB *team. This full-time role will primarily work remotely ... members, HCMC clinical areas, government agencies, employers, third party payors, and/or medical payment programs, etc. both in-person and by telephone to register… more
- Rising Medical Solutions (Chicago, IL)
- …With offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, ... that's how our business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of … more
- Travelers Insurance Company (Houston, TX)
- …Imagine loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range ... early intervention, return to work planning, coordination of quality medical care on claims involving disability and...may be required to support Concierge locations, where a Nurse Case Manager meets with injured employees face to… more
- The County of Los Angeles (Los Angeles, CA)
- MEDICAL SERVICE COORDINATOR, CCS (Registered Nurse , Pediatrics - Case Management) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4145908) ... Apply MEDICAL SERVICE COORDINATOR, CCS (Registered Nurse , Pediatrics...view correspondence. + Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Ventura County (Ventura, CA)
- Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4591361) Apply Senior Medical Management ... to County employees and their covered dependents. The Senior Registered Nurse -Ambulatory Care series is distinguished from other nursing classifications in that… more
- Molina Healthcare (Lexington, KY)
- …to providers. **Job Duties** + Performs clinical/ medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, ... documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by applying advanced clinical… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- Summary The Jesse Brown VA Medical Center Registered Nurse (RN) - Risk Manager is responsible for all of the daily management, directives and standards relating ... to the entire risk management program. This Registered Nurse serves as a coordinator of the risk management...of recommendations; Management Review and Improvement; performance measures; Tort Claims which entails management of medical records… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Attorney General, Office of the Title Legal Nurse : Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade ... Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst...out of more than $4 Million in false Medicaid claims .Duties: * Assisting with screening and evaluating complaints of… more
- State of Georgia (Fulton County, GA)
- …AND two (2) years of clinical experience AND one (1) year experience working with medical claims . Preference will be given to applicants who hold a Bachelor's of ... Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only)...experience; additional years of experience in the analysis of medical claims and/or claims data;… more
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