- Providence (Mission Hills, CA)
- …the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- Providence (Anaheim, CA)
- …in medical/institutional claims examining within a medical group/IPA setting claims processing experience. + Access, Teleform and IDX experience. **Why ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W… more
- 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 ... agenda and minutes; disseminate information consistently and timely; ensure all claims processing documentation is current and accurate; Interacts… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …of receipt following departmental and corporate guidelines to ensure accuracy of claims processing and customer satisfaction. + Researches, investigates, and ... the following responsibilities or functions required to support the claims unit. Accurate processing of claims...manage people + This role reports to this job: SUPERVISOR , CLAIMS OPERATIONS Necessary Contacts: In order… more
- NJM Insurance (Trenton, NJ)
- …including strong knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level - 5+ years' experience as a ... Claim Reviews; attend and participate as needed with the Claims Team and Supervisor + Participate in...WC Law, medical terminology, and utilization of an automatic claims processing system. + Knowledge of WC… more
- Crawford & Company (Brea, CA)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... is not a job post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents and… more
- Sedgwick (Ontario, CA)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... 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… more
- Sedgwick (Austin, TX)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... 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… more
- ManpowerGroup (Syracuse, NY)
- …includes identifying subrogation opportunities and negotiating settlements. **What You'll Do** + Claims Analysis and Processing + Analyze and process complex ... partnered with a leading **Insurance Co** in the **Syracuse NY area** for a ** Claims Examiner - Workers Compensation** role to assist their team. This is a… more
- LA Care Health Plan (Los Angeles, CA)
- …Degree in Business or Related Field Experience Required: At least 4 years of claims processing experience in a Health Plan environment. At least 3 years ... claims , Provider Disputes and Adjustments. This position works with the Claims Operations Supervisor to develop procedures ensuring the achievement of goals… more
- Sedgwick (San Francisco, CA)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Handling Positions - California Jurisdiction - (Hybrid) Are you looking… more
- Sedgwick (Richfield, MN)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer (Agile) Liability Claims Handling Positions - Greater Minneapolis Area Are you looking for an… more
- The Cigna Group (Bloomfield, CT)
- …will ensure data integrity, data security and process optimization for eviCore Claims processing . In addition, they will perform documentation and development ... Supervisor and Quality Assurance Associates + You'll work claims systems configuration tasks independently with configuration design assistance from… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...provides resolution in priority order as directed by the Supervisor + Searches for and links invoices, contracts, and… more
- Acosta Group (Irving, TX)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...provides resolution in priority order as directed by the Supervisor . + Searches for and links invoices, contracts, and… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...provides resolution in priority order as directed by the Supervisor . + Searches for and links invoices, contracts, and… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Advisor, Professional Liability To analyze complex or technically difficult ... executive, cyber, professional liability, error and omissions, and complex liability claims ; to provide resolution of highly complex nature and/or severe injury… more
- Sedgwick (Portland, OR)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation OR/WA claims experience; moreso WA ... **PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims… more
- Veterans Benefits Administration (Buffalo, NY)
- …needed development and training. Manages workload during both routine and peak claims processing periods Facilitates productive discussion with VA personnel, ... of Veterans Affairs, Regional Office (VARO), Education Division. The Supervisory Veterans Claims Examiner is an integral part of the Education Division, and serves… more
- Adecco US, Inc. (Concord, CA)
- …of their top clients with their search to fill a Workers Comp Claims Examiner role! $45/hr **100% Remote in California** ESSENTIAL FUNCTIONS and RESPONSIBILITIES ... Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the… more