- Prime Therapeutics (Rancho Cordova, CA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Supervisor Claims - Hybrid in or near Rancho Cordova, California **Job Description ... and minutes; disseminate information consistently and timely; ensure all claims processing documentation is current and accurate; Interacts professionally, and… more
- University of Washington (Seattle, WA)
- …Practice Plan Services (FPPS)** has an outstanding opportunity for a **full-time, day shift, CLAIMS SUPERVISOR .** **WORK SCHEDULE** + 40 hours per week + Day ... month Shift: First Shift Notes: + Choose from top medical and dental insurance programs + Plan for your...Shift + This position is Remote **POSITION HIGHLIGHTS** The Claims Supervisor is responsible for the coordination… more
- TEKsystems (St. Louis, MO)
- …accurately, and pleasantly. Uphold the mindset of working together as a team. * Review and analyze medical claims for eligibility and benefits. * ... Medical Claims Processor Full-Time Opportunity Available...candidate would work closely with peers and an assistant supervisor and would report to an immediate supervisor… more
- TEKsystems (St. Louis, MO)
- …accurately, and pleasantly. Uphold the mindset of working together as a team. + Review and analyze medical claims for eligibility and benefits. + ... currently looking for someone to join a team of medical claims processors who advocate for the...candidate would work closely with peers and an assistant supervisor and would report to an immediate supervisor… more
- Kelsey-Seybold Clinic (Houston, TX)
- …work closely with Supervisor and Claim Services to complete request for claims adjustments via CRM Module. Review and interpret provider issues and member ... **Responsibilities** Responsible for the adjudication of complex facility claims including hospital, durable medical equipment, home health services, skilled… more
- Crawford & Company (Brea, CA)
- …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
- LA Care Health Plan (Los Angeles, CA)
- … claims , Provider Disputes and Adjustments. This position works with the Claims Operations Supervisor to develop procedures ensuring the achievement of goals ... The Claims Quality Auditor researches on complex claims problems. Duties Performs high quality review ...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
- Sedgwick (West Hills, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **TAKING CARE OF YOU** + Flexible work ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. **NOTE** :… more
- USAA (Phoenix, AZ)
- …role. **What sets you apart:** + Current or previous experience as a Claims Manager/ Supervisor + Experience handling complex non-Injury auto coverage and ... special! **The Opportunity** We are seeking a dedicated **Manager, Claims Operations** to lead a team of Auto Adjusters....for this position. **What you'll do:** + 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
- USAA (Colorado Springs, CO)
- …6 months time in role. **What sets you apart:** + Current experience as a Claims Manager/ Supervisor . + 2+ years of experience handling total loss claims . ... **This posting is for multiple opportunities within the Auto Claims organization. This manager may lead a team in...for this position. **What you'll do:** + Inspect and review quality of claim files and provide feedback to… 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
- Sedgwick (Syracuse, NY)
- …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 (Akron, OH)
- …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 (Ontario, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Team Lead - Assistant **PRIMARY 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
- Sedgwick (Austin, TX)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Assistant Claims Team Lead - Workers Compensation | Austin, TX **PRIMARY 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 (Waco, 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
- Office of Workers' Compensation Programs (IN)
- …for the adjudication, Management and coordination of DEEOIC medical authorizations, medical bill audits, medical review , and quality assurance. ... Workers' Compensation Claims Examiner: As the senior technical expert in medical benefits and billing, the incumbent coordinates 6 supervisors, and devises new… more
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