- UPMC (Pittsburgh, PA)
- …Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims Supervisor . The Lost Time Claims Specialist II is responsible ... UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work...line of business litigation guidelines to include budget, bill review and payment under limited direction of supervisor… more
- Sedgwick (Harrisburg, PA)
- …combination of education and experience required to include two (2) years claims supervisor experience. Bachelor's degree from an accredited college or ... analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit...change the duties of the position at any time. # supervisor #teamlead #LI-REMOTE #LI-HYBRID #REMOTE Sedgwick is an Equal… more
- Sedgwick (Overland Park, KS)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. Skills & Knowledge Thorough knowledge of ... reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract… more
- Sedgwick (Roseville, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. Skills & Knowledge Thorough knowledge of ... reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- … that lack prior authorization Adjudicate third-party liability and coordination of benefit claims in line with policy Review stop loss reports and identify ... potential system programming issues and report them to the supervisor Provide technical support and training for claims... supervisor Provide technical support and training for claims processors Recognize and appropriately route claims … more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- … review and analysis of application to the individual claim. With supervisor approval, negotiate with policyholders to settle claims of limited monetary ... English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: The incumbent is responsible for investigating,… more
- Carrington (Madison, WI)
- Come join our amazing team and work remote from home! The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses were ... this position is $23.00/hr - $26.50/hr. What you'll do: Review reconciliation of all loan advances once the GSE...and manual processes and activities. Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Carrington (Dover, DE)
- Come join our amazing team and work remote from home! The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation on all ... to and make all corrections identified during the Quality Review Process within 24 hours of receipt. Responsible for...and manual processes and activities. Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Carrington (Madison, WI)
- …action occurs. Respond to and make all corrections identified during the Quality Review Process within 24 hours of receipt. Responsible for learning new skills and ... for decisioned losses in order to dispute financial impact Review and procure additional support upon receipt of rebutted...and manual processes and activities. Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Cedars-Sinai (Los Angeles, CA)
- …team of 14,000+ remarkable employees! What you will be doing in this role: The Claims Edit Coder (Coder II) operated under the general direction of an audit ... supervisor and involves responsibilities across various work units, as...claim edit fall outs. The position entails conducting modifier review and assignment, handling complex coding edits that necessitate… more
- Ryder System (Annapolis, MD)
- Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) . Job Description : SUMMARY This position ... supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes performed by a… more
- CVS Health (Trenton, NJ)
- …do it all with heart, each and every day. Position Summary As a Supervisor for the Enteral Accounts Receivable (A/R) department, you will be responsible for ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Cummins Inc. (Glen Burnie, MD)
- DESCRIPTION We are looking for a talented Service Supervisor to join our team specializing in Service for Cummins, Inc. in Glen Burnie, MD. In this role, you will ... use of materials, equipment, and employees to ensure safety, quality, and efficiency. Review Quotes : Ensure accuracy of quotes before communicating to customers and… more
- AdaptHealth LLC (Roseville, CA)
- …lives, please click to apply, we would love to hear from you. Supervisor , Operations This position oversees the operations performed within a Branch. Provides ... communication with regional and departmental leadership throughout organization to review delivery resources to maintain the organizational goals and metrics… more
- Mondelez International (West Chester, OH)
- …(iDoc management, stock reconciliation), interfaces monitoring, track and trace, claims management, invoice management, compliance execution (HSE, quality, risk ... performance management, pallets management. How you will contribute You will Review and analyze stock inaccuracies and guarantee accurate stock alignment between… more
- Cardinal Health (Sacramento, CA)
- …of ensuring that all policies and procedures related to providing consistent, supervisor customer/patient care are adhered to, and service & production goals are ... or appropriate. Acts as a subject matter expert in claims processing. Processes claims : investigates insurance ...other status protected by federal, state or local law. To read and review this privacy notice click here… more
- Lowe's (Rincon, GA)
- …emergent issues and supporting a well-functioning distribution process. Key Responsibilities Review voicemails, emails, and claims for developing issues, ... Distribution Centers (BDC). Your day involves reviewing calls, emails, and claims , providing status updates, processing special orders, and monitoring load plans… more
- Cummins Inc. (Tampa, FL)
- …tools. Completing required documentation, such as service worksheets, timesheets, warranty claims via handwritten forms or business system input screens. Completing ... and legislation and reports any issues / incidents to their supervisor . Key Responsibilities: stablishes and continually develops productive customer relations and… more
- UnitedHealth Group (Phoenix, AZ)
- …including researching, analyzing, and resolving unpaid Home Delivery Pharmacy medical claims . Positions in this function contact payers to determine reason for ... training will be aligned with your schedule. Primary Responsibilities: Review open AR and prioritize medical claim activities Develop...and accurate follow up activity is performed on all claims that are not paid within 45 days of… more
- OhioHealth (Columbus, OH)
- …to include but not limited to: attachment of requested dictation to claims , addition of diagnosis allowances and authorization numbers 6. Refer utilization ... care coordination/UM team and Manager/Director of UM team for review and decision. 7. Provides general office and clerical...and clerical support for office as assigned by Office Supervisor and or Manager, to include but not limited… more
