- Houston Methodist Specialty Physician Group (Webster, TX)
- …and verifying eligibility for care. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions. ... data to initiate financial clearance activities as needed. Performs more complex processes related to scheduling other clinic related protocols. Coordinates patient… more
- Sentry Insurance (Nashville, TN)
- …role is NOT available for remote work. What You'll Do As an Associate Claims Representative -Liability, you will have the opportunity to establish a solid ... coverages, or other equivalent knowledge. Demonstrated experience handling moderately complex claims , or other equivalent experience. Demonstrated experience… more
- Sentry Insurance (Stevens Point, WI)
- …to provide subrogation expertise and support resolutions. Evaluate and investigate complex claims involving workers' compensation injuries, damages to property, ... Evaluate and resolve complex subrogation claims in an efficient...professionals to proactively identify subrogation opportunities early in the claim lifecycle. Stay ahead of emerging trends in subrogation… more
- Sentry Insurance (Alpharetta, GA)
- Investigate and maintains complex casualty claims . Determines liability, secures information, reviews coverages, arranges appraisals, and settles claims . ... when assistance is needed. Proactively provides all parties with claim process and status as appropriate; answer questions or...complex issues and seek assistance as needed. Handles claims on a good faith basis. Evaluate bodily injury… more
- Collabera (Austin, TX)
- …assistance to Medicaid providers and clients regarding eligibility, medical claims status, and other program-related questions. Respond promptly, courteously, and ... attendance and productivity metrics. Assist with problem resolution and escalate complex issues as needed. Perform additional duties as assigned by management.… more
- Municipal Employees' Retirement System of MI (MERS) (Lansing, MI)
- …In this pivotal role, you'll: Advise the Retirement Board and staff on complex legal and policy matters Ensure compliance with IRS, state, and federal regulations ... matters and performs research and analysis required for the solution of complex legal issues that have significant ramifications for the operations and customers… more
- Towne Park (Indianapolis, IN)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates ... have been adequately trained in safety and loss prevention procedures + Ensures claims are reported timely and accurately and cooperates with the Risk Management… more
- Towne Park (Kansas City, MO)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... have been adequately trained in safety and loss prevention procedures. Ensures claims are reported timely and accurately and cooperates with the Risk Management… more
- Abt Global Inc. (Rockville, MD)
- …we affect change and push the boundaries of what's possible. We welcome representative ideas, backgrounds, and viewpoints - joining Abt means access to exceptional ... Director you will lead and manage a large and complex project with a focus on healthcare data analysis...technical-driven efficiencies, including automation and AI tools. + Medicare claims data in FISS, MCS, and VMS and the… more
- Children's Hospital Los Angeles (Glendale, CA)
- …to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one ... 1 day on-site, 4 days remote **Purpose Statement/Position Summary:** The Collection Representative is responsible for the billing and follow-up related to HMO's,… more
- DESC (Seattle, WA)
- …Center) is a nonprofit organization working to help people with the complex needs of homelessness, substance use disorders, and serious mental illness achieve ... with regulatory requirements. + Research, audit, and investigate proper payment of claims . + Assist in various quality assurance activities, including but not… more
- WCG Clinical (Raleigh, NC)
- …essential duty and responsibility satisfactorily. The accountabilities listed below are representative of the knowledge, skills, and/or ability required. + Serves as ... and reports for customers, stakeholders, and internal leadership, translating complex analytical findings into clear, actionable strategies. + Maintains awareness… more
- Compass Minerals America Inc. (Ogden, UT)
- …Minerals' vision, mission, and core values. Additionally, the Human Resource Representative will collaborate with the Human Resource Business Partners and the ... (STD, LTD, FMLA, Etc.) + Manage workers' compensation and unemployment claims , respond appropriately as required + Assist with performance management, payroll… more
- MISTRAS Group, Inc. (Princeton Junction, NJ)
- …+ Advise and manage labor and employment cases, benefit and workers compensation claims . + Assist in SEC reporting and filings and corporate governance matters. + ... employment matters. + Must have experience with drafting, negotiating and managing complex corporate contracts including SaaS and data privacy terms. + Ability to… more
- The Hartford (San Antonio, TX)
- …our team as we help shape the future. The Claim Representative is a claim handling role within Complex Claims Unit - Bodily Injury (CCU-BI). CCU is a ... Claims Representative - CH09CN We're determined...manage and can involve higher exposures. RESPONSIBILITIES : The Claim Representative will learn to timely manage… more
- System One (Bellevue, WA)
- …in accordance with policy terms. Here's a breakdown of a Claim Representative 's typical duties: + Investigates and Maintains Claims : You will gather ... photos, estimates, and any other necessary documentation. + Evaluating Claims : Assess the details of the claim ,...claims . In Specialty Equipment, a Claims Representative also collaborates with Divisional leaders on complex… more
- Sedgwick (West Des Moines, IA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability and Bodily Injury | Hybrid Are you looking ... brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of...combination of education and experience or successful completion of Claims Representative training required. Bodily Injury experience… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Phoenix, AZ Are you looking for an ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **TAKING CARE OF YOU** + Flexible… more
- Sedgwick (Tulsa, OK)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Representative **PRIMARY PURPOSE** : To process low level workers ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Las Vegas, NV)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Comp | Las Vegas - In Office Are you ... combination of education and experience or successful completion of Claims Representative training required. **Jurisdiction Knowledge:** Nevada **Licensing:**… more
