- Travelers Insurance Company (Wyomissing, PA)
- …time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical ... in the current position. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical...issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical… more
- Travelers Insurance Company (Wyomissing, PA)
- …for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim ... if a claim is compensable under Workers Compensation including evaluating claims for potential fraud. + Achieve a positive result by returning an injured… more
- St. Luke's University Health Network (Allentown, PA)
- …for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of ... Utilizes provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process. JOB… more
- Robert Half Legal (Media, PA)
- …and attend claim review meetings on selected accounts. * Monitor claims professionals, Third Party Administrators, and defense counsel, addressing service ... casualty and specialty coverages. Responsibilities: * Take responsibility for first reporting of claims across all lines...issues, valuation, and claims negotiation. * Oversee claims handlers, Third Party Administrators, vendors, and… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first ** The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 for the Financial ... Performs Root Cause analysis and pursues opportunities to mitigate claim overpayments. + Works with other departments such as...impact** **Required Qualifications** + 2 or more years of medical claims knowledge and/or claims … more
- Sedgwick (Philadelphia, PA)
- …assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total ... not required. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage claims ; assesses damage, makes payments, and ensures claim files are… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Summary - Analyze insurance claims to determine extent of Insurer's obligations. Settle claims with first and third party claimants in accordance with ... A typical day will include the following: Evaluates each claim in light of facts; Affirm or deny coverage;...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …and analyze insurance claims to determine extent of Insurer's obligations. Settle claims with first and third party claimants in accordance with ... A typical day will include the following: Evaluates each claim in light of facts; Affirm or deny coverage;...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …evaluate and settle more complex first and third party insurance claims . JOB RESPONSIBILITIES Evaluates each claim in light of facts; Affirm or deny ... to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is… more
- St. Luke's University Health Network (Allentown, PA)
- …Receivable Specialist II is focused on the accurate and timely submission of claims to third party payers, intermediaries, and guarantors in accordance with ... DUTIES AND RESPONSIBILITIES: + Process all UB04 and HCFA-1500 claims through the related billing system, working the related...and writing skills. TRAINING AND EXPERIENCE: Experience with third party billing in a hospital similar medical … more
- St. Luke's University Health Network (Allentown, PA)
- …Receivable Specialist I is responsible for accurate and timely submission of claims to third- party payers, intermediaries and guarantors in accordance with ... verbal and written communication skills. TRAINING AND EXPERIENCE: Experience with third party billing in a hospital similar medical facility or physician's… more
- Robert Half Technology (Philadelphia, PA)
- …explanation of the functionalities of a product or service. * Knowledge of Claim Administration, including processing claims in the legal sector. Technology ... data management, process flows, and reporting. * Establishing strategic partnerships with third- party vendors to ensure business needs are met. * Coordinating with… more
- Conviva (Trenton, NJ)
- …Insurance Billing and/or Collections. + Knowledge of submission and processing of medical claims (HCFA 1500 forms). + Knowledge of government, commercial, ... a part of our caring community and help us put health first ** The Accounts Receivable/Accounts Payable Processor prepares, records, verifies, analyzes and reports… more
- MDD Forensic Accountants (Cherry Hill, NJ)
- … and economic damage + Work closely with senior staff on litigation cases, first party property, business valuations + Assist in the preparation of accounting ... trace funds and identify assets for recovery + Verify claim to source documents + Evaluate insurance claims...package including PTO, sick pay, 401k and profit sharing, medical , dental, vision, life, and disability. MDD applicants will… more
- Norstella (Trenton, NJ)
- …will be pivotal in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health ... of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and...the integration of diverse data sources, including lab, EMR, claims , and SDoH data, to create comprehensive and actionable… more
- Performance Contracting, Inc. (Exton, PA)
- …candidates. In the absence of a signed fee agreement, PCG does not recognize any claim on a candidate by a third party , will consider unsolicited resumes the ... employees are our greatest asset. We put our people first and are proud to provide a comprehensive benefits...(ESOP) + 401(k) retirement savings plan with match + Medical , prescription drug, dental and vision insurance plans with… more
- Performance Contracting, Inc. (Exton, PA)
- …of a signed fee agreement AND proper resume submission, PCG does not recognize any claim on a candidate by a third party , will consider unsolicited resumes the ... employees are our greatest asset. We put our people first and are proud to provide a comprehensive benefits...(ESOP) + 401(k) retirement savings plan with match + Medical , prescription drug, dental and vision insurance plans with… more
- Performance Contracting, Inc. (Exton, PA)
- …candidates. In the absence of a signed fee agreement, PCG does not recognize any claim on a candidate by a third party , will consider unsolicited resumes the ... employees are our greatest asset. We put our people first and are proud to provide a comprehensive benefits...(ESOP) + 401(k) retirement savings plan with match + Medical , prescription drug, dental and vision insurance plans with… more
- Norstella (Trenton, NJ)
- …by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data. ... of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and...large volumes of healthcare data from diverse sources, including claims , lab results, EMR, and real-world data sets, to… more
- Norstella (Trenton, NJ)
- …Sciences industry, drug development lifecycle and experience querying healthcare databases ( claims , labs, billing codes & EHRs). **Key Duties and Responsibilities** ... with and querying large databases + Experience working with healthcare databases (eg, claims , EMR, lab data) + Strong proficiency in SQL and one high-level… more