- Lowe's (Cedar Rapids, IA)
- …training Admin Service Associateso Inventory Flow related to Vendor Returns, 3PL claims and Inventory Processingo Managing and assigning tasks to Admin Service ... Associateso Developing Associate Schedulingo Solving Customer Escalationso Leading resolution of same...dialogue with 3PL vendor partner(s) to address and resolve claims and complaints received involving In Home Customer Delivery… more
- Veterans Affairs, Veterans Health Administration (Des Moines, IA)
- …Care Service Line. Each primary care provider will be rated by the CBOCs Provider Supervisor and the Associate Chief of Staff of the service line will sign ... Summary The Community Based Outpatient Clinic (CBOCs) Provider Supervisor has the responsibility of overseeing both the...cost-effective care is provided. This position reports to the Associate Chief of Staff, Primary Care and Specialty Care… more
- Concord Group Insurance (Auburn, ME)
- …Evaluate, negotiate and settle claims + Other related duties as assigned by supervisor Requirements + Associate 's or bachelor's degree preferred + 3 to 5 ... This Branch Claims Representative handles bodily injury and general liability...insured and/or claimants and/or their representatives + Initiate initial claims handling + Recommend and maintain appropriate claim… more
- University of Rochester (Rochester, NY)
- …to insurance companies to determine reason for claim denial, or reason for unpaid claim . Address unpaid claims , and solicit a payment date from the payer. + ... Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim ...supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor… more
- University of Rochester (Rochester, NY)
- …York State. **Position Summary:** With considerable latitude for independent judgment, the Claim Resolution Rep IV is responsible for the follow up and collection ... point person for complex accounts. Serves as main point of contact in claim resolution process for Strong Memorial Hospital (SMH) clinical staff and outside agencies… more
- The Cigna Group (Bloomfield, CT)
- …and Improve Lives? EviCore, a division of The Cigna Group is hiring a Claims System Configuration Associate . For this essential fast-paced Claims Systems ... Claims Systems configuration within the claims adjudication engine. The Claims Systems Configuration Associate will ensure data integrity, data security… more
- Universal Health Services (Reno, NV)
- …and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Claims Supervisor will play a crucial role in ensuring the ... claims within our organization. You will lead a team of claims analysts, oversee claim submission, review, and adjudication processes, and collaborate… more
- CVS Health (Hartford, CT)
- …health care more personal, convenient and affordable. On-site in Hartford, CT required Claim Supervisor : Responsible for the overall supervision of Medical ... train, evaluate and coach staff to provide cost effective claim review/processing and claim service while ensuring...a quality assurance and production capacity Education : - Associate 's degree, or High School Diploma and equivalent work… more
- Sedgwick (New York, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and… more
- NJM Insurance (Trenton, NJ)
- …+ Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs to keep current on relevant ... NJM's Workers' Compensation Claims Team is seeking a Claim ...(including NJ, MD, CT, DE, PA and/or NY) + Associate 's or Bachelor's degree + AIC/CPCU Designations Salary: +… more
- NJM Insurance (Hammonton, NJ)
- …+ Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs to keep current on relevant ... counsel and vendors as needed. In coordination with the Claim Resolution Supervisor , make recommendations for medical,...seek authority as needed. This role will manage litigated claims of low complexity for further development within this… more
- BrightSpring Health Services (Longmont, CO)
- …7 business days Responsibilities * Works in conjunction with the 3rd Party Claims Manager to establish specific associate goals, department wide goals, ... join our team and apply today! We are seeking Claims Supervisors with 3rdparty claims experience. Pharmacy...resolution.* Mentor and provide oversight of Team Leads and Associate II staff to insure they are adequately communicating… more
- Crawford & Company (Brea, CA)
- … terminology gained through industry experience and/or through specialized courses of study ( Associate in Claim designation, etc). + Must have or secure and ... We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our...post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only … more
- Aerotek (Tempe, AZ)
- …in Tempe, AZ.** **Job Summary:** Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review ... Field Office. + Obtains evidence in contested and/or litigated claims to assist outside attorneys to defend claim...and 3 years work experience in insurance, workers compensation claim management or risk management or + Associate… more
- Allied Universal (Pittsburgh, PA)
- …+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) ... + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property Casualty Underwriter (CPCU) **BENEFITS:** + Medical, dental, vision,… more
- Lowe's (Mooresville, NC)
- …preparation of tender letters. * Drafts correspondence * Handles JURIS requests under supervisor or manager direction. * Closes claims by releasing hold notices ... by the legal department through the use of the Claim Capture system. * Handles routine claim ...working in a corporate environment * 6 months previous claims processing experience **Preferred Qualifications:** * Associate … more
- Brookdale Senior Living (Brentwood, TN)
- …+ Pet Insurance + Adoption Reimbursement Benefits + Variety of Associate Discounts Veterans, transitioning active duty military personnel, and military spouses ... a year. Responsibilities Serves as a member of the Claims , Litigation & Risk team by actively analyzing, managing...and documents, and preparing status updates on litigation and claim . + Reviews and assists in the preparation of… more
- Marriott (Costa Mesa, CA)
- …informed + Show dependability **Education or Certification** + High School Diploma or GED + Associate degree (or higher) in Claims or Associate in Risk ... Number** 24069181 **Job Category** Finance & Accounting **Location** Western Casualty Claims Office, 3100 Bristol Street Suite 425, Costa Mesa, California, United… more
- Covenant Health (Lubbock, TX)
- …Business Office Director and the direct supervision of the Manager and/or Supervisor , the Associate Billing and Collections Representative is responsible for ... **Description** This is a combined posting for Associate Billing and Collections Representative, Billing and Collections...and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either… more
- Bozeman Health (Bozeman, MT)
- …Health and all related entities, to include insurance follow-up related to no response, returned claims , denied claims , or claim edits preventing claim ... resolve discharged not billed (DNB) or claim edits that are preventing timely claim submission. Monitor denials, returned claims , claim edits, and payer … more
