- Amentum (Washington, DC)
- …+ Work with Claim Review Team Leads on weekly Eligibility-Only claim review assignments to SMO's for claims produced for approval. + Update SharePoint ... The CRST Project Supervisor - specific duties and responsibilities include: + Assist Claim Review Support Team Project Manager in all aspects of Claim Review … more
- Sedgwick (Roseville, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead ( Supervisor ) Workers Compensation (HYBRID- Roseville, CA)… more
- Robert Half Accountemps (Long Beach, CA)
- Description An Healthcare IPA in Long Beach is in the need of a Medical Claims Examiner III. This role of Medical Claims Examiner III is will be an ... essential position within the organization. The Medical Claims Examiner III is responsible for...develops, maintains and runs standard reports * Assist the Claims Supervisor /Director in reviewing the quality auditing… more
- Kohler Co. (Kohler, WI)
- …for evaluating and authorizing (or denying) associate short-term and long-term disability claims , Family Medical Leaves and other Kohler Co. Paid Leaves. ... work restrictions to functional job requirements for work accommodation. + Facilitate medical case review with clinical experts when disability or duration… more
- Crawford & Company (St. Louis, MO)
- …the processing of the claim. + Identifies wage loss expenses and wage exposures on medical claims . + Documents receipt and contents of medical reports. ... exceeding, $2,500 after compensability has been determined. + Evaluates medical claims for potential fraud issues, loss...client and carrier guidelines and prepares written updates for supervisor to review . + Performs other related… more
- Sysco (Houston, TX)
- …and authorizing settlements of general liability, automobile, and workers compensation claims + Collaborate with supervisor training materials in accident ... compliance, and doctor / attorney issues + Performing quality review of third party claims administration, integrity...and team building skills Thorough understanding of the casualty claims process + Strong understanding of medical … more
- U-Haul (Ivyland, PA)
- …Performed Occasionally or Infrequently: + May perform the duties of the Claims Supervisor as required by vacation or absence. Education/Training Requirements: ... requires working knowledge of multiple state insurance rules, regulations and unfair claims practice, medical terminology, legal terminology and processes and… more
- USAA (Colorado Springs, CO)
- …injury (BI)/uninsured motorist (UIM) experience + Current or recent experience as a Claims Manager/ Supervisor + Experience handling auto injury claims for ... special! **The Opportunity** We are seeking a dedicated Manager, Claims Operations to lead a team of Auto Injury...risk and compliance policies and procedures. + Inspect and review quality of claim files and provide feedback to… more
- Sedgwick (Long Beach, CA)
- …combination of education and experience required to include two (2) years of claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Sedgwick (San Diego, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF ... STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or technically ... difficult environmental claims ; to provide resolution of highly complex nature and/or...Conducts or assigns full investigation to include complete coverage review and provides report of investigation pertaining to new… more
- Sedgwick (Shreveport, LA)
- …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) ... PURPOSE:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. + Leads team meetings and assigns… more
- Texas Veterans Commission (Houston, TX)
- …job histories, which includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of duties performed.To receive ... assisting veterans and eligible persons with the Department of Veterans Affairs claims process. Work involves collaboration with external partners to include the… more
- Billings Clinic (Billings, MT)
- …agencies by reviewing errors and other prebilling insurance reports/worklists. Analyzes and review claims to ensure that payer specific regulations and ... package to all full-time employees (minimum of 24 hours/week), including Medical , Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution… more
- System One (Fairfax, VA)
- …systems. Pay rate $22.50/HR 100% Remote Contract to hire ESSENTIAL FUNCTIONS + Performs claims adjudication for complex medical claims . + Performs regular ... support a leading health insurance customer. The individual will review and adjudicate paper/electronic claims , also use..., also use automated system processes to send pending claims to ensure accurate completion according to medical… more
- Sevita (Sarasota, FL)
- …career well lived. The AR Credit Balance Analyst is responsible for the review , analysis and resolution of credit balances within the Revenue Cycle. Analyst ... to cash application, correction to liability distribution or adjustments to AR. * Review third party supporting documentation such as rate agreements or contracts to… more
- Guidehouse (Lewisville, TX)
- …non-clinical denials + Monitors all denials for trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client ... receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical ...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Oak Orchard Health (Brockport, NY)
- Revenue Cycle Supervisor Brockport, NY (http://maps.google.com/maps?q=300+West+Avenue+Brockport+NY+USA+14420) Job Type Full-time Description Do you want to be part ... making a difference in someone's life. We have 8 medical offices located in communities throughout Western NY and...billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports,… more
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