- USAA (Tampa, FL)
- …impactful. **The Opportunity** **It is all about learning and growing.** Our Customer Service Claims Representative role may be a new career for you. There's a ... Park Blvd, Tampa, FL 33647)** as a Customer Service Claims Representative . You will be part of...maintenance of insurance adjuster license within 90 days and 3 attempts as required by work assignment. (USAA provides… more
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative ** to join our team in **for a remote position** . This ... compliance training of NTT Data/Client -Work independently to research, review and act on the claims -Prioritize...optimize, and transform for long-term success. We invest over $ 3 .6 billion each year in R&D to help organizations… more
- Ryder System (Philadelphia, PA)
- …equivalent experience required. **EXPERIENCE** One (1) year or more experience to 3 years experience in worker's compensation claims **SKILLS** Demonstrated ... _Job Seekers can review the Job Applicant Privacy Policy by clicking...**Job Description** : **SUMMARY** This position handles worker's compensation claims under Ryder's self-insured, self administered worker's comp program.… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Patient Account ... Representative (PAR)** is expected to perform specific billing processes,...follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer… more
- Guidehouse (El Segundo, CA)
- …Required** **:** None **What You Will Do** **:** The **Insurance Patient Account Representative ** **(Hospital Claims )** is an extension of a client's business ... three days from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance...Need** **:** + High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of… more
- CRC Insurance Services, Inc. (NY)
- …Three years of Claims handling experience and commercial and multi-line knowledge 3 . Ability to critically review a claim file for relevant information, ... **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …process ensuring proper documentation was created in the system and/or files. 7. Review claims and approve payments under the appropriate binding authorities. 8. ... the claims department to ensure necessary changes for compliance purposes. 3 . Control workflow process through Claims Coordinators reviewing allocation of… more
- Henry Ford Health System (Detroit, MI)
- …in professional and general liability, workers compensation and employers liability claims review , investigation, management and disposition, including financial ... of intent and lawsuits and acts as a system representative of HFHS in cases before the courts, pretrial/settlement...file summaries for claim documentation and presentation to HFHS Claims Review and Adjudication Committee or similarly… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …English (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Process claims , which includes ... Specific activities may change from time to time. 1. Review policy to determine if loss is covered. If...attorney for coverage counsel for coverage analysis. 2. Settle claims within settlement authority, where applicable. 3 .… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …English (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Process claims , which includes ... Specific activities may change from time to time. 1. Review policy to determine if loss is covered. If...attorney for coverage counsel for coverage analysis. 2. Settle claims within settlement authority, where applicable. 3 .… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …and handles claims in accordance with prescribed authority and best claims practices. 3 . Develop relationships with customers via telephone, investigate ... (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** The incumbent is responsible for investigating,… more
- NJM Insurance (Trenton, NJ)
- …extremely lucky to have had this excellent opportunity!" Overview NJM Insurance Group's Claims Analytics Department is seeking a Claims Insights Analyst Intern ... efficiency, reduce operational friction, and enhance customer experience. RESPONSIBILITIES: + Review and report on loss activity within assigned line of business.… more
- Access Dubuque (Dubuque, IA)
- …& Butler/ SISCO Disability Representative Sr. Sedgwick Service Representative Express Employment Professionals Claims Representative Cottingham ... system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate… more
- Access Dubuque (Dubuque, IA)
- … Sedgwick Client Service Representative Cottingham & Butler/ SISCO Claims Representative Cottingham & Butler/ SISCO Service Representative ... Disability Representative Sr. **Sedgwick** 1 Positions ID: R56820 Posted...3 ) years of experience in benefits or disability case/ claims management, or an equivalent combination of education and… more
- Guidehouse (San Marcos, CA)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Cash ... payments, denials, and adjustments. 2) Reconciles manual and electronic batches, 3 ) Performs other duties as assigned by direct supervisors. **_This position… more
- Sedgwick (West Hills, CA)
- …Three ( 3 ) years of experience in benefits or disability case/ claims management, or an equivalent combination of education and experience.** **Skills & ... Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **Senior Disability Representative - Make...Excellence** **, so you can join your team on-site 3 days a week!** **Dubuque, IA** : 4141 Westmark… more
- Mendocino County Sheriff's Office (Ukiah, CA)
- …Must obtain accreditation by the California Department of Veterans Affairs as a Claims Representative in accordance with Title 38 Code of Federal Regulations ... Veteran's Services Representative Print (https://www.governmentjobs.com/careers/mendocinoca/jobs/newprint/5169641) Apply Veteran's Services Representative … more
- Sedgwick (Chicago, IL)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... is preferred or may be required based on state regulations. **Experience** Three ( 3 ) years of benefits or disability case/ claims management experience or… more
- Sedgwick (Dublin, OH)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... Bachelor's degree from an accredited university or college preferred. **Experience** Three ( 3 ) years of benefits or disability case/ claims management experience… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Senior Investigator** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 89660 + **Location** : ... (DHS) / Office of Inspector General (OIG)-PIO MPAI Investigators 3 + **Work Shift/Work Hours** : Day Shift /...detect fraud, abuse, over-utilization, and error in health care claims . AND Experience must demonstrate the following: + Develop… more
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