- Molina Healthcare (UT)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties** + Prepares written provider overpayment… more
- Sedgwick (Salt Lake City, UT)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ; to… more
- Sedgwick (Salt Lake City, UT)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… more
- Sedgwick (Salt Lake City, UT)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Medical Malpractice) **PRIMARY PURPOSE** : ... To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
- Extra Space Storage (Salt Lake City, UT)
- …to providing exceptional storage solutions. We are seeking a dedicated and experienced Property Claims Specialist to join our dynamic team and play a key role ... adjusters and consultants) fostering proactive communication to facilitate seamless recovery from losses and expedite the claims ...seamless recovery from losses and expedite the claims process. This role will require some travel to… more
- Intermountain Health (Murray, UT)
- **Job Description:** The Contract Integrity Specialist for Select Health is responsible for reviewing contracts and auditing systems to ensure accurate contract, ... internal and external contract auditing, including but not limited to claims payment, provider incentive contracts and payments, contracting implementation, and… more
- Molina Healthcare (UT)
- …review to facilitate a referral to law enforcement or for payment recovery . **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical ... records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines,...+ AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional… more
- Army National Guard Units (Draper, UT)
- …quality of life programs (eg marriage enrichment retreats, post-combat recovery and reintegration, family reunion briefing, stress management briefings, etc.) ... school. *You must provide transcripts to support your educational claims * Additional Information If you are a male applicant...more than 180 days in any continuous 12-month period). Are advised to meet with education specialist to review… more