- Medical University of South Carolina (Charleston, SC)
- …benefits in accordance with the provisions of the plan document. Document medical claims processes by completing forms, reports, logs and records. Resolve medical ... claims by approving or denying, calculating benefit due and...federal insurance regulations. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost… more
- RemX (Tampa, FL)
- RemX seeking administrative support to work in their Claims Department. This is a 6 month contract, with possible contract to hire Job Title: Claims Admin ... *MS Office- Word (Beginner level) *Customer Service Face to face when co- worker is not there. *Multitasking *Adapt Quickly and learn process and programs… more
- Berkley (Houston, TX)
- …damage claims to conclusion. This position may also handle worker 's compensation claims . This would include coverage verification, policy interpretation, ... in its efforts to be well-informed of the changing dynamics of the industry; support industry efforts to minimize and mitigate risks and hazards in the 'oil patch',… more
- MASS (Quincy, MA)
- …must be capable of multitasking. SNAP Case Workers will receive extensive training and support prior to case assignment. At the end of the training, they will be ... employment services. *Perform all SNAP casework in an action-based first available worker process through assigned queues. *Ensure all assigned tasks are accurate… more
- Montana State University (Bozeman, MT)
- …and the Farm to Campus Program. Duties and Responsibilities Working primarily in support of the Commissary Kitchen, the Warehouse Worker is responsible to ... VA - 26021 For questions regarding this position, please contact: Search Support at ###@montana.edu or ###. Classification Title Warehouse Wrkr Working Title… more
- Conejo Valley Unified School District (Newbury Park, CA)
- …including self-insured and indemnity functions of property, casualty, liability, worker 's compensation, medical, dental, vision, life and retirement programs and ... of material and evidence for use in hearings, litigation and insurance claim cases. Reviews district contracts for safety, risk and insurance requirements; Monitors… more
- MedStar Health (Washington, DC)
- …information according to policy. Brings to the attention of a pharmacist any claims requiring overrides. Troubleshoots insurance claim rejects and follows up on ... standards. Complies with governmental and accreditation regulations. Acts as support staff in the pharmacy when needed or when...problem prescriptions. Collaborates with social worker , nursing, physicians, and other pharmacy staff to troubleshoot… more
- County of Los Angeles, CA (Los Angeles, CA)
- …to this recruitment. LICENSE: A valid, active license as a Licensed Clinical Social Worker issued by the State of California Department of Consumer Affairs, Board of ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late… more
- Sunrise Senior Living (Westmont, IL)
- …payroll reconciliation per Sunrise internal business controls. Process and manage unemployment and worker 's compensation claims and update claim activity as ... collect and review information needed to assist in billing and accounting support services to meet business performance results, deadlines, and reporting. Perform… more
- QBE Insurance Group Limited (Council Bluffs, IA)
- …other documents, resolving inconsistencies, and confirming next steps. Provide processing support for claims and compliance departments, completing transactions ... Primary Details Time Type: Full time Worker Type: Employee Title: Underwriter - Crop The...The Opportunity: The purpose of this role is to support the financial success of the company by underwriting… more
- Kimberly-Clark Corporation (Atlanta, GA)
- …Reps) by providing the voice of sales for pricing, promotions, product training, claims resolution, and loyalty programs all in one easy-to-use access point. Design ... Key Contributor reward trip. Executes fleet management, sample center and sales support function to remove administrative burden from the sales organization. Sales… more
- San Manuel Band of Mission Indians (Highland, CA)
- …with all applicable rules and regulations, and provides counseling, guidance, and support to reporting management staff and their direct reports. ESSENTIAL DUTIES ... environment and promoting department and enterprise goals. 3. Investigates customer claims and gaming disputes related to slot machines. Utilizes various resources… more
- City of Tualatin, OR (Tualatin, OR)
- …a cornerstone of this commitment, ensuring the responsible management of public funds to support vital city functions and enhance the quality of life for all in ... record-keeping, compliance with regulations, and providing insightful analysis to support decision-making. The accountant contributes to the responsible management… more
- MyBrandForce by Ensiteful (State College, PA)
- …schedule! Whether you're a truck driver, a stay-at-home parent, a full-time office worker , or fully retired, your schedule fits with our schedule! With each mission ... and pay! Even better, you have the choice to claim and complete your mission when it's convenient for...free in-app resource, you can learn marketable skills to support long-term growth. Being a Brand Agent with MyBrandForce… more
- Kaiser Permanente (Baldwin Park, CA)
- …tasks by others. Develops and implements data collection and analyses to support quality improvement efforts by: conducting advanced statistical analysis for quality ... areas of improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys for their cost… more
- Elite (Philadelphia, PA)
- …considerations. Excellent communication, collaboration, and decision-making skills. Proficiency with EMRs, claims platforms, and clinical decision support tools. ... review and case management services. This role ensures that injured worker care is medically appropriate, evidence-based, cost-effective, and compliant with… more
- Pennsylvania Medicine (Philadelphia, PA)
- …to discharge. Maintain communication with ambulatory based clinical pharmacist, social worker , discharge and specialty pharmacy program team members as needed to ... obtain complete, accurate financial information required for claim adjudication. Immediately communicate any issue with coverage to the clinical practice to… more
- PAX Health (New York, NY)
- …with medical necessity requirements and workers' compensation treatment guidelines to support recovery and return to work. Administer medications and provide patient ... service plan. Ensure accurate and timely documentation for workers' compensation claims , including progress notes, functional assessments, and medication management… more
- UnitedHealth Group (Red Oak, TX)
- …Conducts Chronic Care Model visits and reviews the patient's informal and formal support systems, focusing on what patients want to improve and educating them about ... necessary resources. Communicates these needs to the appropriate person (ie Social Worker , clinic staff, etc.) or addresses them per process Collaborates with the… more
- Selfhelp Community Services (Bayside, NY)
- …agencies to coordinate assessment and necessary paperwork, in accordance with Claims Conference policies and procedures. Represents the organization at community ... registration to practice as a Licensed or Certified Social Worker in New York State preferred May supervise the...York State preferred May supervise the social work and/or support staff in the program; interviewing and training employees;… more
