- Tech Providers Inc. (Minneapolis, MN)
- Position : Claim Examiner- WCLocation: Minneapolis MN Duration: 6+ Months (Contract) Job description: Receives claim assignment, confirms policy coverages and ... directs acknowledgement of claims . Interprets and makes decisions using independent judgment on...and prepares reports for clients, carriers and/or managementParticipates in claim reviews. Skills: Ability to work independently while assimilating… more
- Nesco Resource (Concord, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.Manages claim recoveries, including but not… more
- Mindlance (Atlanta, GA)
- … by investigating and gathering information to determine the exposure on the claim . . Manages claims through well-developed action plans to an appropriate ... including strategic vendor partnerships to reduce overall cost of claims for our clients. . Manages claim ...of claims for our clients. . Manages claim recoveries, including but not limited to: subrogation, Second… more
- Nesco Resource (Orange, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clientsManages claim recoveries, including...overall cost of claims for our clientsManages claim recoveries, including but not limited to: subrogation, Second… more
- ProKatchers (Laguna Hills, CA)
- …10 key by touch Claim system (of any type) Semi manual DMHO claims adjudication using our in-house claim system. Experience with Health insurance client. ... Job Description: MS Excel knowledge required. MS Window applications… more
- Sunbelt Rentals, Inc. (Fort Mill, SC)
- …for the management of the company's auto liability nationwide claim exposures representing approximately $20,000,000 in losses on an annual ... level of attention and technical proficiency to mitigate auto liability claims that have potential high exposure including catastrophic potential. Manage litigation… more
- Nesco Resource (Concord, CA)
- …' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.Approves and processes assigned claims , determines benefits due, ... and manages action plan pursuant to the claim or client contract.Manages subrogation of claims ...the claim or client contract.Manages subrogation of claims and negotiates settlements.Communicates claim action with… more
- PROMEDICAL, LLC (Lexington, MA)
- Complex Claims Analyst Healthcare Billing PROMEDICAL is seeking a Complex Claims Analyst. This position is responsible for the initial billing and follow-up of ... unpaid or denied workers compensation & motor vehicle medical claims . Analyst will ensure that claims are...healthcare revenue cycle background in medical billing or insurance claim processing is a must and a candidate should… more
- Public Storage (Glendale, CA)
- …Stock Exchange.We currently have an exciting opportunity for a Property & Casualty Insurance Claims Manager to be based out of our corporate office in Glendale, CA ... Risk Management.The Property & Casualty Insurance Manager manages the insurance claims process for corporate-wide property, casualty, and automobile liability and… more
- MultiPlan (Atlanta, GA)
- …healthcare claims thoroughly to maximize savings opportunities on each claim within the established department production standards and individual goals by ... healthcare providers to discuss negotiations for a specific dollar range of eligible claims /bills prior to payment, in order to achieve maximum discounts and savings… more
- Staffing Now (Tampa, FL)
- …Authorize claim payments within established limits; otherwise forward to Claims Manager * Potentially process refunds appeals, disputes and adjustments (when ... Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and...to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that all claims… more
- Spectraforce Technologies Inc (Columbia, SC)
- …according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct ... Title: Claims Customer Service Advocate I Location: Columbia, SC,...primacy for members based on COB guidelines, and processing claims . Candidate does not need customer service/phones experience. Candidates… more
- American Tire Distributors (Huntersville, NC)
- …closely with the offshore team to create better understanding of how to resolve claim processing and settlements. Will utilize the claims management tool and ... tires, custom wheels and shop supplies. Position Description: The Billing & Claims Analyst will be responsible for generating and processing invoices monthly for… more
- BELFOR Property Restoration (Ann Arbor, MI)
- …for, under general direction, ensures timely processing of workers' compensation claims ; evaluates accident reports to determine accuracy and completeness and to ... guidance to office personnel on proper treatment of workers compensation claims and protocols. Responsibilities Advises and/or assists departments in conducting… more
- Cambia Health Solutions, Inc (Portland, OR)
- …policies, procedures and mandated audit guidelines. Monitor accuracy and timeliness of claims , membership and customer service to meet performance and service level ... reports, feedback and recommendations for quality improvement to management.Responsibilities:Audit claims , enrollment, or customer service activities for accuracy and… more
- Staffing Now (Austin, TX)
- CLAIMS CUSTOMER SUPPORT REPRESENTATIVE HYBRID WORK ENVIRONMENT $19.25 - $19.75 (BL) PER HOUR! FREE LUNCHES AND GREAT BENEFITS!SNI Companies has partnered with an ... amazing organization in North Austin for a unique role as a Claims Customer Support Representative!Combine your administrative support skills with the ability to… more
- PrideStaff (Mesa, AZ)
- We are currently looking for a Medical Claims and Correspondence Processing Agent to join our team! MUST HAVE RELIABLE TRANSPORTATION Required Job Skills: Identify, ... to written or electronically submitted correspondence. Research and process claims /system editing according to business regulation, internal standards and processing… more
- Beacon Hill Staffing Group, LLC (Earth City, MO)
- Job Summary: The Claims Specialist is expected to work independently and will be responsible for effectively researching, validating, and resolving customer ... claims from inception to completion. Primary Duties and Responsibilities:...required to influence customers to issue payments for invalid claims . * Accomplished user of Microsoft Suite (Excel, PowerPoint,… more
- CornerStone Staffing (Fort Worth, TX)
- …an excellent Healthcare company in Fort Worth! JOB ID - 144713 Job Title: Medical Claims Analyst Pay: $18/hr Location: Fort Worth, TX (76102) - WILL BE FULLY ON SITE ... and maintain most current provider contact information necessary to process claims ; and maintain privacy compliance. Responsible for contacting providers by phone,… more
- TulaRay Staffing (Harrisburg, PA)
- …Maintains a working knowledge for reviewing and analyzing existing Medical Assistance (MA) regulations at 55 Pa. Code Chapters 1101, 1187, and 1189 regulations ... governing Nursing Facilities. Primary contact for managing the procedures and guidelines for the LTC Nursing Facility grant project through participation in the development of Request for Proposals (RFP's), serving on the reviewing and selection committee, and… more
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