- Alexander Shunnarah Trial Attorneys (Boston, MA)
- …and coaching clients on treatment and recovery milestones. Control the paperwork: Order, audit , and summarize medical bills and liens, track all deadlines, and ... 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… more
- CERiS (Fort Worth, TX)
- …leadership). Strong leadership, interpersonal, and team-building skills. Proficiency in audit tools, electronic medical records (EMR) systems, abstracting ... Position Summary: The DRG Audit Program Director is a strategic and operational...finding generation and appeal management. Oversee the entire clinical claims review process, understanding various client configurations and workflows.… more
- Stanley Black & Decker (Towson, MD)
- …and detail-oriented individual to join our Legal Team as a Supervising Claims Coordinator. In this position, you will provide administrative support to Product ... including quarterly reporting to Medicare's claim systemCMS. Preparing quarterly Mass Tort audit and summary for EII Board Meetings. Receiving M&S Mass Tort… 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
- Chubb (Wilmington, DE)
- Job Description Chubb North America Claims seeks a Claim Compliance Director to assist with and manage the day-to-day operations of the Chubb Quality Assurance and ... (TPAs), Accident & Health and Personal Injury Protection (PIP) claims . RESPONSIBILITIES Assists with NA Claims market...Workers' Compensation, A&H and PIP. Assist with and develop audit /compliance related responses to ad hoc audit … more
- Experis (Houston, TX)
- …Health Plan in developing an auditing and monitoring program. Develop comprehensive audit tools to objectively measure internal performance and performance of third ... Health Plan metrics, policies, regulations, and industry standards. Internal and external audit tools with measurable metrics will be created with feedback from… more
- Trinity Health (Howell, MI)
- …insurance, or managed care industries is highly preferred. Experience performing medical claims processing, financial counseling and clearance, or accounting ... for claims processing and maintenance of an accurate electronic medical record. Registers and checks-in patients and determines preliminary patient and insurance… more
- Tal Healthcare (White Plains, NY)
- Job Description Our client, a leading non-profit medical center in Westchester County, is seeking a detail-oriented and analytical Managed Care Analyst to support ... You'll play a key role in data analysis, contract modeling, audit support, and payer relations-ultimately strengthening the organization's financial health and… more
- Houston County, MN (Caledonia, MN)
- …the determination and collection of debts owed to the county including Medical Assistance estate asset collection, foster care parental fees, crisis detox/mental ... of operations and services of the Fiscal Services Division. Essential Duties Medical Assistance Collections - Estate Collections (70%) Collect Medical Assistance… 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
- San Francisco Art Institute (Beverly Hills, CA)
- …management, and Alert Line investigations Ensure all components of the SFA HR Audit are always at standard Ensure People Data is accurate through Weekly Roster ... systems, accurately and timely Ensure requests for data related to Unemployment Claims is submitted through Case Builder, accurately and timely Liaise with store… more
- Vital Care Infusion Services (Pittsburgh, PA)
- …Duties/Responsibilities: Review patient files for completeness and accuracy, identify and audit claims , ensure all revenue opportunities are included, and ... in required intervals. Investigate and verify benefits for pharmacy and medical third-party claims . Obtain prior authorizations; initiate requests, follow… 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
- Washington University (St. Louis, MO)
- …leadership for all billing functions, including charge capture, coding, claims submission, accounts receivable management, and denials management. Lead continuous ... cycle metrics. Direct activities between WashU Physicians Billing Service and Medical School Finance (journals, report requests, budgets, year-end close). Recommend… more
- IEC CORP GROUP (Irvine, CA)
- …processes as directed by the VP of HR. Work with the HR Manager to audit monthly billings for benefits programs and ensure timely processing of invoices. Assist the ... accurate documentation. Assist the HR Manager with workers' compensation claims , including processing and communication with relevant stakeholders. Manage and… more
- Transdev (Lombard, IL)
- …and 4 floating - Other standard benefits: 401(k) retirement plan, medical , dental and vision, life insurance, short-term disability, voluntary long-term disability. ... Responsibilities: Primary support for key internal topic of insurance and insured claims estimates Work with actuary and risk department to support valuation of… more
- FedEx (Farmington, NY)
- …inquiries and issues Assists management with Business Control Self Assessment (BCSA) audit activity by retrieving data and/or files for review In addition to ... for management review Reviews and trends loss and damaged claims filed to identify improperly charged claims ...Employment Laws: Know Your Rights Pay Transparency Family and Medical Leave Act (FMLA) Employee Polygraph Protection Act E-Verify… more
- Sunrise Senior Living (Westmont, IL)
- …internal business controls. Process and manage unemployment and worker's compensation claims and update claim activity as necessary. Clearly communicate and convey ... company policy and completed for each business area. Assist in providing audit materials and information as requested. Meet business process deadlines consistently.… more
