- Humana (San Juan, PR)
- …May apply intermediate mathematical skills. **Where you Come In** The Claims Review Representative partners with professional staff on pre-screening review ... caring community and help us put health first** The Claims Review Representative makes appropriate claim decision...of two years' proven experience in processing and adjudicating medical claims , with a track record of… more
- Humana (Madison, WI)
- …initiative and judgment. May apply intermediate mathematical skills. The Claims Research & Resolution Representative 3 works with insurance companies ... caring community and help us put health first** The Claims Research & Resolution Representative 3 manages...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Travelers Insurance Company (Irvine, CA)
- …Determination - Advanced. + Settlement Techniques - Intermediate . + Legal Knowledge - Intermediate . + Medical Knowledge - Intermediate . **What is a Must ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Charlotte, NC)
- … 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 ...rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature… more
- Travelers Insurance Company (Irvine, 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 ...rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature… more
- Travelers Insurance Company (San Diego, CA)
- …- Advanced. + Settlement Techniques - Advanced. + Legal Knowledge - Advanced. + Medical Knowledge - Intermediate . **What is a Must Have?** + High School ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Humana (Madison, WI)
- …inbound call center or related customer service experience o Previous experience processing medical claims o Bilingual (English and Spanish); with the ability to ... support duties that require independent initiative and judgment. May apply intermediate mathematical skills. The Grievances & Appeals Representative 3… more
- LATICRETE International (Dallas, TX)
- …waiting for? Join the family and expand your horizons! Just some of our benefits: + Medical + Dental + Vision + 401k + Tuition reimbursement + 13 paid holidays in ... products and system! In this role, a Technical Sales Representative 's primary responsibility is to achieve sales goals by...RSM. + Investigate, document and report all complaints and claims for service in territory and coordinate same with… more
- UNC Health Care (Smithfield, NC)
- …carrier denial of claim is valid and if not, abstracts information from medical records to support appeal of denial. Works in conjunction with appropriate resources ... and quarterly Credit Balance reports. 6. Payor Audits & Pro-Active Medical Records Requests: Oversee and document all submissions pertaining to payor-generated… more
- TEKsystems (Chino, CA)
- …calls with utmost professionalism. . Provide comprehensive support and details on claims . . Utilize call center software to efficiently manage interactions and data. ... able to work independently with little supervision. Experience Level Intermediate Level Job Type & Location This is a...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Ryder System (Augusta, ME)
- … claims staff including conducting audits and performance appraisals; intermediate level; preferred. Knowledge of supervisory techniques and interpersonal skills, ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- Hendrick Automotive Company (Kansas City, MO)
- …Kansas City, Missouri 64114 Summary: Responsible for preparing records, reconciling warranty claims , and submitting warranty claims to the factory and ... Essential Duties and Responsibilities include the following: + Processes warranty claims in accordance with Manufacturer Guidelines. + Verifies criteria required by… more
- Superior Ambulance Service (Elmhurst, IL)
- …and today is the largest independent, locally owned, and operated emergency medical services provider in the Midwest. Superior employs more than 3,500 licensed ... Wisconsin. Superior also provides Critical Care, helicopter, and fixed wing emergency medical transportation. The primary purpose of the Accounts Receivable team is… more
- Amentum (Washington, DC)
- …Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as ... review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, administrative… more
- The City of Houston (Houston, TX)
- …status changes, bona fide offers of employment, statutory employer forms, medical questionnaires, and payroll time codes. + Collaborates with department partners ... procedures, as requested. + Attends meetings, seminars, and conferences as a representative of the department/division. + Acts as liaison between the injured… more
- UIC Government Services and the Bowhead Family of Companies (Langley AFB, VA)
- …with the Government Contracting Officer (CO) and the contract level Contracting Officer's Representative (COR). + Has full authority to negotiate, act and commit for ... written and oral communications abilities commensurate with this management role. + Intermediate to advanced level skills in Microsoft Office software suite - Word,… more
- UIC Government Services and the Bowhead Family of Companies (Albany, GA)
- …Government Contracting Officer (CO) and the contract level Contracting Officer's Representative (COR). + Establish and carry out departmental or organizational ... written and oral communications abilities commensurate with this supervisory role. + Intermediate to advanced level skills in Microsoft Office software suite - Word,… more
- Owens & Minor (Indianapolis, IN)
- …success starts with our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance, available on first working day + 401(k), ... collection representatives who follow-up with insurance companies to resolve unpaid claims . **ESSENTIAL DUTIES AND RESPONSIBILITIES** + Manages most complex overdue… more
- PCI Pharma Services (Philadelphia, PA)
- …and follow up with CAPA's. + Assist in management of workers compensation claims . Assist in the completion and/or review of incident investigations to help coach ... team following PCI's Ergonomics program. + Participate in and assist the Medical Emergency Response Team meetings and activities. + Assist in collection of… more
- UIC Government Services and the Bowhead Family of Companies (Letterkenny Army Depo, PA)
- …working at Letterkenny Army Depot highly desired. + Must have intermediate computer knowledge of internet software; spreadsheet software, word processing software ... WORK ENVIRONMENT: The work environment characteristics described here are representative of theminimumstandards an employee encounters while performing the essential… more
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