- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Investigates, manages and resolves reported claims and adverse events defined by Risk Management. Requires coordination with ... with relevant staff, and analysis of liability and case value. Manages claims information in internal database. Assists Sr. Manager- Claims & Litigation… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager is primarily responsible for ... handling Employment Practices Liability (EPL) claims for Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Children's Health. Claims include… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager oversees the workers' compensation ... Stanford Health Care Tri-Valley, and Stanford Children's Health. The Claims Manager acts as the primary liaison with the...liaison with the third-party administrator (TPA) to ensure proper claims handling and with internal partners to evaluate and… more
- Osmose Utilities Services (Atlanta, GA)
- Summary of position: The Claims Analyst will play a key role in supporting the Company's multi-jurisdictional workers' compensation program by managing, tracking, ... and analyzing employee injury claims . This position will ensure timely reporting, investigation, and...position will ensure timely reporting, investigation, and resolution of claims in compliance with state laws and Company policies.… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is excited to announce that we are hiring **Work-From-Home Claims Processors!** In this role, you'll play a key part in ensuring the accurate ... entry, review, and resolution of simple to moderately complex Medicaid claims . You'll follow established guidelines, procedures, and client policies while helping… more
- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... client outside counsel to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK) on the client's… more
- FM (Reston, VA)
- …make a difference in the future - yours, your clients', and the company's? The Claims team within our DC Operations in Reston (VA) has a great opportunity for you ... summer 2026! When you join FM as a Property Claims intern, you can bring your talents to life...collaborative, inclusive and diverse environment with Clients during the claims process. This internship will provide the successful candidate… more
- FM (Malvern, PA)
- …agents/brokers. FM Boiler Re, a division of FM, is currently seeking a claims intern for our Malvern, PA headquarters. This position provides administrative support ... FM Boiler Re's normal hours of operation, and providing support for the claims staff. + Computer skills + Excellent writing skills + Organizational and communication… more
- Ally (Trenton, NJ)
- …for a Field Adjuster that can appraise and/or adjust physical damage and mechanical claims within an assigned territory and key point or other assigned location for ... the various Ally Insurance / Dealer Products and Service lines. The ideal candidate must reside in Southern New Jersey, Philadelphia, PA Metro area and be able to travel locally to support the territory. This position also requires flexibility in work… more
- Dona Ana County (Las Cruces, NM)
- …PURPOSE SUMMARY. Oversee the county's risk management, safety, insurance, and claims programs. This position identifies, evaluates, and mitigates risks to the ... and the public, while managing liability, property, and workers' compensation claims . The Risk Manager supervises staff, develops and implements policies, conducts… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …the two aspects of the business together to inform configuration that supports accurate claims processing. Act as a key resource and contact for clinical coding, the ... accurately represent services. Collaboration with configuration teams (ie , Claims and Product) is vital to ensure codes are...are established in the system in order to pay claims appropriately. **_What you'll do:_** + Collect and analyze… more
- Tutor Perini (New York, NY)
- …changes from initiation through negotiation and final approval. + Investigate potential claims , such as delays, unforeseen conditions, or extra work. + Prepare claim ... + Collaborate with legal and contract teams to ensure claims are submitted in accordance with contract terms and...P6. + Develop and maintain a Change Log and Claims Register. + Participate in negotiation of change orders… more
- Caris Life Sciences (Irving, TX)
- …The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role ... Review insurance denials and take appropriate action. + Check claims status via phone or poral. + Submit Medical...request and follow up on submission. + Submit HCFA's claims to insurance companies that do not accept electronic… more
- Towne Park (Vienna, VA)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates ... have been adequately trained in safety and loss prevention procedures + Ensures claims are reported timely and accurately and cooperates with the Risk Management… more
- Valero (San Antonio, TX)
- …eligibility for Short-Term Disability (STD) and Family and Medical Leave Act (FMLA) claims . This role acts as a clinical resource for HR and claim professionals, ... Reviews and analyzes medical documentation submitted for assigned STD and FMLA claims . * Determines eligibility and benefit duration in accordance with company… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …with medical management teams and other health plan departments, including Claims and Network Development, to ensure seamless coordination. Provides excellent ... + Assist with complaints and appeals related to eligibility and claims , documenting information accurately in the utilization management system _Provider and… more
- Towne Park (Kansas City, MO)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... have been adequately trained in safety and loss prevention procedures. Ensures claims are reported timely and accurately and cooperates with the Risk Management… more
- KIK Consumer Products (Lawrenceville, GA)
- …Human Resources team and implements the cost-effective resolution of labor and employment claims and grievances as well as general and products liability claims . ... and ANZAC. The lawyer also will drive the timely resolution of claims , implementing handling procedures and developing lessons learned to improve the company's… more
- Warner Music Group (New York, NY)
- …including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to ... internal label clients regarding how to respond to those claims , facilitating settlement negotiations between the party auditing and...the audit concerned; + Review and analyze the audit claims submitted by the auditor in question, as well… more
- Commonwealth Care Alliance (Boston, MA)
- …team. Cross-Functional Collaboration - Work closely with network contracting, credentialing, claims , IT, customer service, compliance, and quality teams to address ... Knowledge, Skills & Abilities (must have): - Strong understanding of claims processing, reimbursement methodologies, and payment policies, with the ability to… more
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