- EY (Austin, TX)
- …also haveRelevant insurance related experience (property damage and business interruption claims ) or disaster management experience, preferably with a ... working world for all.Location: Austin.The opportunityEY's Insurance and Federal Claims Services practice specializes in assisting policyholders to prepare, present,… more
- Rose International (San Diego, CA)
- …Rate ($): 30.00 Max Hourly Rate ($): 36.23 Must Have Skills/Attributes: Case Management , Claims , Investigations, MS Excel, MS Office Job Description **Only those ... locating them, negotiating settlements and arranging billing correspondence. Experience: . Claims investigation, liability analysis, case management or closely… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …billing, collections and/or reimbursement to include authorizations, charge entry, claims management , payment posting and accounts receivable.Other: Preferred ... Rep is responsible for accurate and prompt follow-up of unpaid or denied claims /charges. Rep is also responsible for providing outstanding customer service to both… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of our communities. About the Role:Job SummaryPrimarily responsible for the investigation and management of workers' compensation claims . Conducts a 1 to 3-point ... contact on the managed claims , which is dependent on either the facts of...the case or the claim type; determines compensability of claims , manages the medical treatment program, and assists in… more
- Cynet Systems Inc. (Bethesda, MD)
- …Skills and Abilities, Qualifications: Knowledge of medical terminology Understanding of claims management . Excellent oral and written communication PC literate, ... required. College courses preferred. Experience: One year of customer service and claims experience or an equivalent combination of education and experience is… more
- EY (Chicago, IL)
- …core banking platforms, capital market systems, insurance policy administration, insurance claims management , market data, digital assets or cryptocurrency ... matter direction and guidance to a team - Schedule and budget management - Communications management with project sponsors and work stream delivery. Must have 4… more
- Cambia Health Solutions, Inc (Portland, OR)
- Claims Supervisor Remote within WA, OR, UT, IDOnsite/Hybrid can be an option if an office is available in the local area.Primary Job Purpose:This role supports ... workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to State, Federal and company… more
- Mindlance (Atlanta, GA)
- Job Title: Claims Examiner - Workers Compensation Location: Remote Job Length: 3 Months (Possibility of extension) Manager's Note: . Alaska work comp license or a ... adjuster's license. Job Overview: Analyze complex or technically difficult workers' compensation claims to determine benefits due. Work with high-exposure claims … more
- ICONMA (Atlanta, GA)
- . To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and ... rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to… more
- MultiPlan (Atlanta, GA)
- …by interpreting our client's needs and tailoring innovative healthcare cost management solutions. Our commitment to diversity, inclusion and belonging are part ... discuss negotiations for a specific dollar range of eligible claims /bills prior to payment, in order to achieve maximum...AND RESPONSIBILITIES: 1. Manage a high volume of healthcare claims thoroughly to maximize savings opportunities on each claim… more
- MultiPlan (Atlanta, GA)
- …by interpreting our client's needs and tailoring innovative healthcare cost management solutions. Our commitment to diversity, inclusion and belonging are part ... to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to ensure medical...benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES AND… more
- Staffing Now (Tampa, FL)
- …of claim types to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that all claims are adjudicated ... Authorize claim payments within established limits; otherwise forward to Claims Manager * Potentially process refunds appeals, disputes and...Ability to work independently or within a team * Time management skillsWill go remote after 6 months of… more
- Percepta (Melbourne, FL)
- Automotive Claims RepresentativeAt Percepta, we bring first-class service across each market we support. As a Automotive Claims Representative in Melbourne ... independent repair facilities regarding extended service contract coverage and provides claims adjudication per contract terms and contact handling processes *… more
- TulaRay Staffing (Harrisburg, PA)
- …Review reports and provide responses to various inquiries and report information to management staff on findings as needed. Prepare and scan documents for the ... electronic filing system including completion of quality control process and renaming documents. Other CMP duties as assigned. more
- Staffing Now (Philadelphia, PA)
- …occupancy throughout the assigned portfolio, through effective unit turnover, wait list management , rent collection and special claims processing. FACILITIES ... Senior Property Manager provides leadership, innovation, and vision in the management of residential facilities (multi-site supportive and affordable housing). This… more
- EDI Staffing (Long Beach, CA)
- …data gaps Support the centralization of information for using OnBase for content management Support claims in load processes and procedures Lead all Encounter ... with SQL Server 2012 Experience with Transactional Systems, specifically X12 Claims , Eligibility and Authorization transactions EZCAP and EZEDI experience preferred… more
- American Honda Motor Co Inc (Torrance, CA)
- …smooth flow of all customer inquiries, parts and service processes, campaign management and performance, warranty claims , authorizations and goodwill ... for all Honda Export distributors with AHM's Regional HQ management . As such, all Parts and Service issues involving...and review policies & procedures with all levels of management and departments at export distributors and dealers to… more
- Option Care Health (Dublin, OH)
- …to financial assistance program).Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where ... missing).Assist Patient Registration Supervisor and Manager with special assignments as needed. Supervisory ResponsibilitiesDoes this position have supervisory responsibilities? NO(ie hiring, recommending/approving promotions and pay increases, scheduling,… more
- Integrated Resources, Inc (Montezuma, GA)
- …professionalism and confidentiality. Major Duties and Responsibilities: . Safety-related Management functions ( claims , data integrity, documentation) . Worker's ... Compensation activities . Oversee the day-to-day site security operations. . Provide EH&S training for employees on policies, regulations, and procedures. . Inspect and verify company compliance with relevant safety regulations. . Conducts safety meetings,… more
- Careerbuilder-US (Chesapeake, VA)
- …invoicing processes for assigned vendors.Visibility reporting, freight invoice validation, claims , load planning, order/booking management , analysis, and ... for all aspects of the Import Group.Works closely with the Import Management Team and personnel from other departments to facilitate supply chain processes.Improve… more
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