- Principal Financial Group (Des Moines, IA)
- …use your excellent analytical, communication and customer service skills to assist with our client's disability claims - all during a time in which they may be ... manage, and make appropriate and accurate decisions on Life and/or Disability claims in accordance to policy and state/federal law and regulations. Mentor,… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is hiring a detail-oriented **Senior Claims Examiner** to train and work from home! Join our team as a Senior Claims Examiner and play a ... health of our organization while supporting quality patient care. The Senior Claims Examiner's primary function is to ensure the accurate adjudication of all… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is hiring a work from home, detail-oriented medical ** Claims Examiner** looking to make a significant impact in the healthcare industry. Join ... our remote team as a Claims Examiner and play a crucial role in ensuring...team that celebrates diversity and drives innovation!_ _Equal Employment Opportunity/ Disability /Veterans_ _If you need accommodation due to a … more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Investigates, manages and resolves reported claims and adverse events defined by Risk Management. Requires coordination with ... with relevant staff, and analysis of liability and case value. Manages claims information in internal database. Assists Sr. Manager- Claims & Litigation… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager oversees the workers' compensation ... Health Care, Stanford Health Care Tri-Valley, and Stanford Children's Health. The Claims Manager acts as the primary liaison with the third-party administrator (TPA)… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager is primarily responsible for ... handling Employment Practices Liability (EPL) claims for Stanford Health Care, Stanford Health Care Tri-Valley,...marital status, medical condition, genetic information, veteran status, or disability , or the perception of any of the above.… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is excited to announce that we are hiring **Work-From-Home Claims Processors!** In this role, you'll play a key part in ensuring the accurate ... entry, review, and resolution of simple to moderately complex Medicaid claims . You'll follow established guidelines, procedures, and client policies while helping… more
- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK)...spending account + Life insurance + Short- and long-term disability insurance (company paid) **_Benefits to Make Your Life… more
- Ally (Phoenix, AZ)
- …for a Field Adjuster that can appraise and/or adjust physical damage and mechanical claims within an assigned territory and key point or other assigned location for ... without regard to age, race, color, sex, religion, national origin, disability , sexual orientation, gender identity or expression, pregnancy status, marital status,… more
- Ally (Springfield, IL)
- …Title: Auto Mechanic, Service Manager or Service Technician Actual Job Title: Mechanical Claims Specialist (MCS) Set Pay Rate: $27.50/hr = $57,200 + 5% annual bonus ... love and passion for all things auto? The Mechanical Claims Specialist (MCS) role at Ally is perfect for...regard to age, race, color, sex, religion, national origin, disability , sexual orientation, gender identity or expression, pregnancy status,… more
- Usaa (Colorado Springs, CO)
- …assistance is not available for this position. These positions will support Claims Litigations. What you'll do: Develop and implement strategic customer specific ... systems to collect and analyze data. What sets you apart: P&C Litigation Claims Operations and/or Optimization experience. 2+ years Manager, Claims Operations… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …the two aspects of the business together to inform configuration that supports accurate claims processing. Act as a key resource and contact for clinical coding, the ... codes that accurately represent services. Collaboration with configuration teams (ie , Claims and Product) is vital to ensure codes are established in the… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more
- Towne Park (Philadelphia, PA)
- …company-paid basic life and AD&D insurance as well as short-term and long-term disability . Employees are also able to enroll in the company's 401k retirement savings ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …with medical management teams and other health plan departments, including Claims and Network Development, to ensure seamless coordination. Provides excellent ... + Assist with complaints and appeals related to eligibility and claims , documenting information accurately in the utilization management system _Provider and… more
- Caris Life Sciences (Irving, TX)
- …The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role ... Review insurance denials and take appropriate action. + Check claims status via phone or poral. + Submit Medical...other things, or status as a qualified individual with disability . Caris Life Sciences is a leading innovator in… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …and manages real-time escalations as needed + Works collaboratively with Claims , Eligibility, Provider Relations, Business Operations and other Health Plan teams ... Utilization Management experience + General understanding of health plan operations, claims and eligibility systems, claims processing, and health care… more
- Towne Park (Kansas City, MO)
- …company-paid basic life and AD&D insurance as well as short-term and long-term disability . Employees are also able to enroll in the company's 401k retirement savings ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls… more
- US Physical Therapy (Garden City, NY)
- …join our Garden City team! This role is essential in ensuring accurate claims management, timely collections, and smooth patient billing processes. **Why You'll Love ... growth in revenue cycle management! **What You'll Do** + Manage commercial insurance claims from submission through payment + Follow up on denials, rejections, and… more
- JE Dunn Construction Company (Raleigh, NC)
- …by project needs. + Leads and supports Change Management delays and claims (compensable and non-compensable, excusable, and non-excusable, etc.). + Leads, supports ... along with how to effectively deal with Change Management delays and claims (compensable and non-compensable, excusable and non-excusable) + Ability to read and… more
