- Washington Metropolitan Area Transit Authority (Washington, DC)
- …may receive work guidance from attorneys, managers, supervisors, and the Paralegal Supervisor . Familiar with a variety of the field's concepts, practices, and ... and Tables of Authorities (TAC). + Performs investigations of accident/injury claims of Washington Metropolitan Area Transit Authority (WMATA) employees, clients and… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Library of Congress (Washington, DC)
- …authors of literary, dramatic, musical, artistic, and other works. The Copyright Claims Officer has responsibilities and delegated authority for the oversight and ... and reference services to the public. Through the Copyright Claims Board, it also administers an efficient and user-friendly...describes what you would bring to the position. The Supervisor leads his/her staff toward meeting the Library's vision,… more
- Sedgwick (Annapolis, MD)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Annapolis, MD)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Amentum (Washington, DC)
- …and other staff management concerns. + Assist Project Manager in all aspects of Claims Review team management. + Assist in the daily oversight and management ... This role will serve as a Project Supervisor ( Review ) assigned to the Radiation...of Claims Review support processes. + Coordinate tasks...of Claims Review support processes. + Coordinate tasks and responsibilities of… more
- Carrington (Washington, DC)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Aerotek (Hanover, MD)
- …of the Workers Compensation department. This includes direct supervision of the Claims Review Specialist, Return to Work Specialist and Compliance Analyst. ... effectively and efficiently. + Oversees large loss, settlements, and reserves over Claims Review Specialist authority + Leads and manages special projects… more
- Ryder System (Annapolis, MD)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Cummins Inc. (Glen Burnie, MD)
- **DESCRIPTION** We are looking for a talented Service Supervisor to join our team specializing in Service for Cummins, Inc. in Glen Burnie, MD. **In this role, you ... materials, equipment, and employees to ensure safety, quality, and efficiency. + ** Review Quotes** : Ensure accuracy of quotes before communicating to customers and… more
- Cardinal Health (Annapolis, MD)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- UIC Government Services and the Bowhead Family of Companies (Adelphi, MD)
- …often without the availability of immediate supervisory guidance. + Keeps the supervisor advised of progress, but receives little review during progress ... precedents. Receives initial instructions, equipment requirements, and advice from supervisor or engineer as needed; performs recurring work independently; work… more
- Walgreens (Arlington, VA)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Cardinal Health (Annapolis, MD)
- …to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work patient accounts to ensure timely resolution and ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- Cardinal Health (Annapolis, MD)
- …payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with insurance carriers for reimbursement ... + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange +...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Walgreens (Brooklyn, MD)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- CVS Health (Arlington, VA)
- …clinical coverage policies. Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility and ... including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility.… more
- CVS Health (Annapolis, MD)
- …distribution of the monthly premium invoices. The Billing Premium Consultant must review invoices for reasonability and accuracy and make any necessary adjustments ... billing systems. + Execute monthly invoices on appropriate billing platform and review group specifications to ensure all appropriate information is included with… more
- Point32Health (Washington, DC)
- …**Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal ... skills in all interactions. This individual prepares cases for presentation, discussion, review , and final disposition at the Member Appeals Committee (MAC) and… more
- Walgreens (Largo, MD)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more
