- 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
- Ascension Health (Jacksonville, FL)
- …bills for reimbursement to individual and third party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third ... Days Monday - Friday 7:30am - 4:00pm + **Facility:** Ascension St. Vincent's Medical Group + **Location:** Jacksonville, FL **_Listening to you, caring for you!_**… more
- Veterans Affairs, Veterans Health Administration (Denver, CO)
- …medical audits such as for ambulance, dental, travel and durable medical equipment as they pertain to beneficiaries claims .. Determine whether all ... Summary This position is in the Beneficiary Claims Processing Unit, CHAMPVA program, 3.1...duplicate detection, all forms of missing or discrepant data, medical audits such as for ambulance, dental, travel… more
- Sedgwick (Roseville, CA)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate Workers Compensation - Medical Only **PRIMARY PURPOSE** :… 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
- Hyster-Yale Materials Handling (Greenville, NC)
- …documentation as necessary. Administer all Fleet guidelines when evaluating and processing claims . Administer warranty policy guidelines for reimbursement of ... analysis. + Ensure Customer Specific Processing Guidelines are followed when processing claims . Follow all departmental procedures for processing and… more
- NJM Insurance (Trenton, NJ)
- …strong knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a Workers' ... medical terminology, and utilization of an automatic claims processing system. + Sr Level -...Office suite of tools (Word, Excel) + Ability to travel for business purposes, approximately less than 10% Preferred:… more
- AON (Chicago, 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
- Highmark Health (Pittsburgh, PA)
- …**systems and technology** **will be essential.** **This includes k** nowledge of claims processing platforms, data management systems, and relevant technologies ... medical , dental, pharmacy, etc.). **Demonstrated success with leading** ** claims ** **transformations as well as experience with claims...like AI/ML to optimize claims processing . **ESSENTIAL RESPONSIBILITIES** + Understand the… more
- NJM Insurance (Hammonton, NJ)
- …basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a Workers' ... medical terminology, and utilization of an automatic claims processing system. + Sr Level -...Office suite of tools (Word, Excel) + Ability to travel for business purposes, approximately less than 10% Preferred:… more
- New York State Civil Service (Melville, NY)
- …to this position. Duties Description Oversees all aspects of workers' compensation claims processing from inception to closing; reviews individual claims ... determines claimant's eligibility for benefits; initially determines the compensability of claims by examining medical reports from physicians, hospitals, and… more
- SpartanNash (Indianapolis, IN)
- …current knowledge of legal regulations, industry trends and best Risk Management/ claims processing practices; make recommendations to improve current programs ... process. + Working knowledge in risk management and claims processing + Must have an understanding...medical terminology, legal processes, general insurance policy coverage, claims investigation techniques, medical and legal aspects… more
- Sedgwick (Syracuse, NY)
- …+ 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
- Whitney Young Health Center (Watervliet, 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=1601+Broadway+Watervliet+NY+USA+12189) 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 (Shreveport, LA)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead Assistant - Workers Compensation (MUST RESIDE IN LOUISIANA)… more
- HUB International (Bothell, WA)
- …Claims Advocate, specializing in Commercial Construction, to join our growing Insurance Claims team. You'll be processing incoming claims , conducting ... in-depth coverage reviews with clients, carriers and our internal Claims team, and communicating with appropriate parties. Candidate must...information into the agency system of record (EPIC) + Travel up to 10% **You're great at:** Ideally, you'll… 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
- Access Dubuque (Dubuque, IA)
- … Medical Group Claims Administrator Cottingham & Butler/ SISCO Claims Processing Representative Grand River Medical Group Commercial Auto/Liability ... Claims Assistant **Sedgwick** 1 Positions ID: R45284 Posted...your 2+ years' experience in a office setting or medical experience and grow with us! + A stable… more
- Sedgwick (Atlanta, GA)
- …is correct. * May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . * ... accuracy, and files necessary documentation with state agency. * Communicates claim action/ processing with claimant, client and appropriate medical contact. *… more
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