- Alexander Shunnarah Trial Attorneys (Boston, MA)
- …litigation. If you're passionate about client advocacy and have experience as a Claims Adjuster or Personal Injury Case Manager/Legal Assistant, this role is perfect ... coaching clients on treatment and recovery milestones. Control the paperwork: Order, audit , and summarize medical bills and liens, track all deadlines, and maintain… more
- Marriott International (Bethesda, MD)
- …Investigations, Legal and Internal Audit , in the resolution of EPLI and Fidelity claims . Advise the Director of Specialty Claims of any high exposure ... Job Description JOB SUMMARY The Senior Manager, Specialty Claims is primarily responsible for overseeing and managing...to $154,500 annually. Marriott offers a bonus program, comprehensive health care benefits, 401(k) plan with up to 5%… more
- CERiS (Fort Worth, TX)
- Position Summary: The DRG Audit Program Director is a strategic and operational leader responsible for the development, implementation, and oversight of all DRG ... clinical validation and audit initiatives. This role ensures the integrity of healthcare...finding generation and appeal management. Oversee the entire clinical claims review process, understanding various client configurations and workflows.… more
- Servpro (Commerce City, CO)
- …401(k) matching Company parties Competitive salary Dental insurance Employee discounts Health insurance Opportunity for advancement Paid time off Training & ... for someone to join our team as a Restoration Claims Specialist. If you're ready to dive into intriguing...and Dispatching Monitor job file status Monitor job file audit status Maintain customer job files Monitor and ensure… more
- Navitus Health Solutions, LLC (Brentwood, TN)
- …are expanding our operations team at an exciting time in our history. The Claims Operations Analyst will be a key member of the operations team supporting pharmacy ... with the company's core operations and become a key individual contributor. The Claims Operations Analyst will be responsible for working with internal and external… more
- Chubb (Cincinnati, OH)
- Job Description The Premium Audit Production Service Manager is responsible for overseeing the verification and accuracy of premium audits for insurance policies. ... a key role in process improvement and strategic planning within the audit department. Key Responsibilities: Supervising and Mentoring: Manage a team of auditors,… more
- KING'S INSURANCE STAFFING LLC (Charlotte, NC)
- …General Liability, Bodily Injury, and Property losses being handled by TPA's. Monitor and audit claims while working with claims adjusters and attorneys to ... Our client, a National Insurance Carrier, is seeking to add aP&C Oversight Claims Specialist to North Carolina operations. This person would be responsible for… more
- Axis Capital (New York, NY)
- …upon request for candidates taking part in the selection process. Job Description: Senior Claims Specialist AXIS is seeking a Senior Claims Specialist to join ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management… more
- TriHealth (Cincinnati, OH)
- Job Description TriHealth is actively recruiting for a Finance and Health Plan Operations Administrator to work with the PACE of Cincinnati PACE Center located in ... for the Elderly (PACE) is a Medicare and Medicaid program that helps people meet their health care needs in the community instead of going to a nursing home or other… more
- Ballad Health (Johnson City, TN)
- …in a courteous and friendly manner and registers the patient according to Ballad Health processes. The duties of the PSR may include, but are not limited to: ... proper payment distribution CPT & ICD-10 codes, filing and refiling insurance claims , reconciling the charge sheet, counting the cash drawer, preparing bank… more
- WMC Health (Valhalla, NY)
- …set up and maintained. Software & Data Management Maintain, test, and audit split-billing software and associated data feeds, ensuring accuracy and compliance. ... Develop and refine claims qualification logic and data feeds for contract pharmacy...Auditing & Compliance Oversight Develop and maintain a 340B audit compliance program, executing self-audits and implementing corrective action… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Chubb (Wilmington, DE)
- …with Workers' Compensation Direct and Third-Party Administrators (TPAs), Accident & Health and Personal Injury Protection (PIP) claims . RESPONSIBILITIES Assists ... Job Description Chubb North America Claims seeks a Claim Compliance Director to assist...Workers' Compensation, A&H and PIP. Assist with and develop audit /compliance related responses to ad hoc audit … more
- Experis (Houston, TX)
- …and external auditing and real-time monitoring activities related to the Health Plan's regulatory and contractual requirements in accordance with the Compliance ... in accordance with the Compliance Program, and with HHSC, TDI, NCQA and Health Plan Senior Management. *Ensure ongoing compliance with federal and state regulations… more
- Tal Healthcare (White Plains, NY)
- …You'll play a key role in data analysis, contract modeling, audit support, and payer relations-ultimately strengthening the organization's financial health ... role at a mission-driven medical center recognized for its commitment to community health and patient-centered care. You'll be working with an engaged team that… more
- Houston County, MN (Caledonia, MN)
- …: Caledonia, MN Job Type: Full-time Job Number: 2025-00088 Department: Public Health and Human Services Department Opening Date: 07/17/2025 Closing Date: 8/8/2025 ... 8, 2025 Reporting to and under the general direction of the Public Health and Human Services (PHHS) Fiscal Supervisor, the Collections Officer's primary duties… more
- Trinity Health (Columbus, OH)
- …wide variety of professional roles including information technology, financial analysis, audit , provider relations and more. About the job: Provider Service ... to Plan documentation policies Review, investigate and advise providers regarding claims status and payment determinations Maintain a comprehensive knowledge of plan… more
- Chubb (Boston, MA)
- …to drive profitable new business revenue while adhering to audit and compliance requirements. Responsibilities: Multiline underwriting including Package, Umbrella, ... as well as following a referral process to maintain compliance and audit standards Cross-sell additional lines of business to maximize revenue per account,… more
- O'Reilly Auto Parts (Woonsocket, RI)
- …core and warranty returns are picked up and credited in a timely manner. Audit customer returns for warranty abuse and makes sure all returns are tagged/labeled ... duties, ie, auto-load, returns, stock, etc., as needed. Assist with customer labor claims , making sure they are processed quickly and efficiently. All other duties… more
- Washington University (St. Louis, MO)
- …leadership for all billing functions, including charge capture, coding, claims submission, accounts receivable management, and denials management. Lead continuous ... accuracy benchmarks. Facilitate regular meetings with the vendor to review audit results, resolve coding issues, and implement workflow improvements. Collaborate… more
