- American Honda Motor Co Inc (Chino, CA)
- …and compensation claims , in support of the Contact Center.The Level 1 Case Manager reviews and assesses Level 1 cases (including death, injury, accidents, ... property damage, vehicle fires, and compensation claims ) for resolution consistent with company, state, and federal...all parties from subsequent liability. Additionally, the Level 1 Case Manager accurately and thoroughly identifies and… more
- Marriott (Costa Mesa, CA)
- …Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Management **JOB SUMMARY** A Claims Adjuster II is responsible for the timely, good faith ... and complexity of Worker's Compensation and General Liability cases as determined by Claims Unit Manager .) **Expected Contributions** + Investigate claims … more
- Marriott (Costa Mesa, CA)
- …team, and **become** the best version of you. **Job Description** **JOB SUMMARY** A Claims Adjuster II is responsible for the timely, good faith adjustment and ... the jurisdiction(s), mix and complexity of General Liability cases as determined by Claims Unit Manager . **Expected Contributions** + Investigate claims … more
- JB Hunt Transport (Lowell, AR)
- …document incidents involving damages up to $20,000 (greater than $20,000 with manager approval/discretion). Manage claims made under our auto liability, general ... Maintain a suspense system to ensure regular review of case files. Monitor case files daily to...School (Required) **Work Experience:** Legal **Job Opening ID:** 00560457 Claims Examiner II (Open) JB Hunt Transport,… more
- Elevance Health (Indianapolis, IN)
- **"Telephonic" Nurse Case Manager II ** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... of receipt and meet the criteria._** The **"Telephonic" Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires a… more
- Elevance Health (Indianapolis, IN)
- **Telephonic Nurse Case Manager II ** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. family of companies, ... 10 am - 7 pm EST.** The **Telephonic** **Nurse Case Manager II ** is responsible...reimbursement, as applicable. + Assists in problem-solving with providers, claims , or service issues. + Assists with the development… more
- Elevance Health (Indianapolis, IN)
- **Telephonic Nurse Case Manager II ** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Indianapolis, IN)
- …- 6:30pm ET; 1-2 late nights per month required 11:30am - 8:00pm ET The **Nurse Case Manager II ** is responsible for care management within the scope of ... treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of...**Preferred skills, capabilities, and experiences:** + Certification as a Case Manager is preferred. + Telephonic … more
- Elevance Health (Latham, NY)
- …pm EST with 2 late evenings per month 11:30 am to 8:00 pm EST.** The **Nurse Case Manager II ** is responsible for care management within the scope of ... as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of...is providing services in multiple states. Certification as a Case Manager is preferred. + For URAC… more
- Sutter Health (San Francisco, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- City of New York (New York, NY)
- … who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and distribute cases in ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
- Elevance Health (Wilmington, DE)
- …rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- First Student (OH)
- …of TPA personnel and oversight of management of approved vendors. + Ensure the claims assigned to this manager are adequately reserved at all times, that ... brands include Transco, Total Transportation, Maggies Paratransit, and GVC II . Our employees are at the forefront of safety...in submitting information necessary to take liability or subrogation claims forward. The manager may also be… more
- State of Massachusetts (Boston, MA)
- …deliver program integrity. *What you'd do:* Lead Claims Examiner/Job Service Representative II , who reports to the Senior Manager of Benefit Operations & ... *Lead Claims Examiner/Job Service Representative II | Department...Job Service-Representative I's on fact-finding and the resolution of case issues. Interpret and explain relevant laws, regulations, policies… more
- City of New York (New York, NY)
- …cases with SNAP recoupments. SNAP-CR is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist, who will: - Review, ... enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
- Santa Clara Valley Water District (CA)
- …be administered by this Senior Management Analyst, with support from a Management Analyst II , and oversight by the Grants Unit Manager . Senior Management Analyst ... Grants Senior Management Analyst/ Analyst II (Two Positions) Print (https://www.governmentjobs.com/careers/scvwd/jobs/newprint/4646038) Apply Grants Senior… more
- Sutter Health (Modesto, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- ManpowerGroup (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... Work Experience: 7 years-healthcare program management. Preferred Licenses and Certificates: Case Manager Certification, clinical certification in specialty area… more
- WellSpan Health (York, PA)
- Patient Financial Services Representative II Location: WellSpan Health, York, PA Schedule: Full Time General Summary Completes assigned revenue cycle tasks. Acts as ... Cycle functions including, submitting electronic and / or manual insurance claims , resolves claim edits, performs insurance account follow-up, researches claim… more
