- Merck & Co. (Rahway, NJ)
- …science to deliver measurable impact in commercial pharma landscape.Knowledge in mining medical claims /EMR, social media, etc. data with a strategic/inquisitive ... analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization… more
- Army National Guard Units (Lincoln, NE)
- … Disqualification Program, Follow up Health Care Program, Medical Claims Processing Program, Medical Travel and Orders Program, Medical ... and Accountability Act (HIPAA) Certification, Warrior Transition Unit/Active Duty Medical Extension/ Medical Retention Processing 2 (WTU/ADME/MRP2),… more
- Army National Guard Units (Springfield, IL)
- … Disqualification Program, Follow up Health Care Program, Medical Claims Processing Program, Medical Travel and Orders Program, Medical ... list: Responsible for oversight administration and implementation of policies pertaining to state medical affairs, and exercise of programs in one or more of the… more
- TEKsystems (Richardson, TX)
- …providers for missing information. + Process electronic claims (EMC). Top Skills Details + medical claims + processing + data entry + hospital billing + ... claims experience. + Proficient in the following: Correspondence, Medical Records Review, Misrepresentation Investigation, Pre-Existing Investigation, Evidence of… more
- Commonwealth of Pennsylvania (PA)
- Medical Malpractice Claims Examiner 2 Print...PM, Monday - Friday, with a 60-minute lunch. + Travel may be required. + Telework: You may have ... (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4762417) Apply Medical Malpractice Claims Examiner 2 Salary $75,678.00 - $114,915.00 Annually Location… more
- Sedgwick (San Diego, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist, Professional Liability ( Medical Malpractice) **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult long term care and medical malpractice claims ; to provide resolution of highly complex nature and/or severe… more
- TEKsystems (Amarillo, TX)
- …decisions and payments on claims up to $75,000 aggregate liability. Skills medical claims processing , Claim, data entry, microsoft office, Epic, Hospital ... policies. May perform a variety of related duties or travel to client sites to discuss / resolve claim...billing, dental claims Top Skills Details medical claims processing ,Claim,data entry,microsoft office,Epic… more
- AON (IL)
- …Hotels, Vendors on any disputes/issues, updates, escalations, or discrepancies. + Ensure all claims processing adheres to internal policies, as well as local, ... Hotels, Vendors on any disputes/issues, updates, escalations, or discrepancies. + Ensure all claims processing adheres to internal policies, as well as local,… more
- State of Minnesota (St. Paul, MN)
- …plays a critical role in the Paid Leave Division of overseeing the claims processing team, ensuring efficiency, accuracy, and compliance with program ... Department / MMA + **Division/Unit** : Paid Family & Medical Leave + **Work Shift/Work Hours** : Day Shift,...responsibilities include: + Oversees the quality and timeliness of claims processing . + Assign and monitor staff… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …Types a variety of material such as memoranda letters benefits administration guidance letters travel orders travel claims Personnel Actions SS 129 and other ... awards Workers Compensation benefits Automobile No-fault etc. all necessary. Transmits claims and current medical reports to insurance company. Corresponds… more
- Zurich NA (Houston, TX)
- Claims Adjuster III 119459 Travel Guard...travel issues - from lost luggage or minor travel inconveniences to medical emergencies or life-threatening ... Cancelations, Travel Post Departure events (trip interruption, trip delay, medical , travel inconvenience) and baggage/personal effects losses. As an Express… more
- HomeSafe Alliance (Columbus, OH)
- …trends and performance. + Identify and resolve challenges and issues related to claims processing . + Perform other duties as assigned **Qualifications:** + ... **Title:** Claims Manager (HHG/Military Move) **_HomeSafe Alliance_** is the...Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program + Travel … more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health...capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
- Zurich NA (Stevens Point, WI)
- …Adjuster is to handle claims of varying degrees of complexity with all travel insurance benefits. Claim processing will related to benefits including but not ... Complex Claims Adjuster 119460 Travel Guard meets...travel issues - from lost luggage or minor travel inconveniences to medical emergencies or life-threatening… more
- Sedgwick (Roseville, CA)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
- HomeSafe Alliance (Columbus, OH)
- …program + Family Support: Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program + Travel Accident & Medical ... **Title:** Claims Adjuster (SCA) HHG/Military Move **_HomeSafe Alliance_** is...Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program + Travel … more
- Sedgwick (Brea, CA)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Team Lead Assistant | Brea, CA **PRIMARY PURPOSE:** To analyze… more
- Whitney Young Health Center (Albany, NY)
- …within 1 year from start date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. ... NY (http://maps.google.com/maps?q=526+Central+Ave+Albany+NY+USA+12206) Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and following… more
- United Infrastructure Gro (Great Falls, SC)
- …with insurance carriers, legal teams, and internal stakeholders to ensure timely and accurate claims processing . + Track and report on claim trends and provide ... Bonuses + Robust Subsistence Allowances + Comprehensive Health Plans ( Medical , Dental, and Vision) + Strong 401k Savings and...are not limited to: + Assist in managing and processing insurance claims related to workplace incidents,… more
- Sedgwick (Rancho Cordova, CA)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... and industry best practices. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts medical -only claims and minor lost-time workers compensation claims… more
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