- Integra Partners (Troy, MI)
- …focus on metrics. Salary: $65,000.00/annual JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The Claims Supervisor 's responsibilities include but are not limited ... Integra is seeking a results-oriented, dynamic, proven Claims professional, capable of managing a leading team...to: * Leading a team consisting of 15+ claims representatives * Responsible for real time management of… more
- Sedgwick (Troy, MI)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. Locations: West Des Moines, IA - Hybrid Troy, ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability - West Des Moines, IA or Troy, MI - Hybrid… more
- Sedgwick (Detroit, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an ... the same assisting our public entity clients with their claims ! If you are an agile multi-line examiner with...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Detroit, MI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Telecommute MI **ARE YOU AN IDEAL ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. + Performs other duties as assigned.… more
- Sedgwick (Southfield, MI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation **PRIMARY PURPOSE** : To analyze complex or ... technically difficult workers' compensation claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Ford Motor Company (Dearborn, MI)
- **In this position ** The Workers' Compensation Claim Supervisor , working under general direction, is responsible for supporting the administration of workers' ... investigation and litigation issues. + Supports handling the workers' compensation claims from initial report to resolution and investigates accidents involving… more
- Rock Family of Companies (Detroit, MI)
- As a Security Supervisor , you'll lead and inspire a team to create and maintain safety and security for all guests and team members while delivering unparalleled ... and comfort of all team members and guests + Investigate loss claims , conduct special investigations and surveillance for property operators when requested,… more
- Molina Healthcare (Warren, MI)
- …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides ... exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal… more
- McLaren Health Care (Shelby Township, MI)
- …insurance data is entered utilizing the conventions required to produce correct claims and HIPAA compliant transactions, and that services are financially screened. ... 2. Coordinates review of emergent inpatient admissions, ensuring that precertification and concurrent review requirements set forth by third party payers are met in a manner to prevent denials and avoid the need for appeal. Coordinates financial counseling… more
- Sedgwick (Southfield, MI)
- …Services & Insurance LTD Case Specialist **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to ... and collect overpayments. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes assigned claims and determines benefits due. + Informs claimants of documentation… more
- Command Investigations (Detroit, MI)
- …premier servicer for insurers and defense attorneys throughout Michigan, and our Assigned Claims Plan (ACP) unit is actively expanding to meet the increasing demand ... medical, wage loss, attendant care, replacement service and survivorship claims generated through the Michigan Assigned Claims ...direction of, and to the standards set by, their supervisor . Investigators will be required to record all… more
- Sedgwick (Detroit, MI)
- …non-technical issues or questions. + Communicates high visibility issues to immediate supervisor . + Maintains high level of knowledge of applicable claim systems, ... an accredited college or university preferred. **Experience** Three (3) years claims management experience or equivalent combination of experience and education… more
- Acosta Group (Southfield, MI)
- …clean and secured in the agreed upon area of the backroom. * When Supervisor is absent, communicate with store management about the upcoming events and the execution ... of past events in their store. * When Supervisor is absent, be the point person for all...the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related… more
- Walgreens (Sterling Heights, MI)
- …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
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the...Administration, preferred. + Ability to communicate effectively with colleagues, supervisor , and manager. + Ability to work independently. +… more
- AmeriHealth Caritas (Detroit, MI)
- …more about us at www.amerihealthcaritas.com. **Role Overview: ;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages ... treatment plans. + Address service issues and assist with provider or claims -related problem-solving. + May oversee tasks assigned to other licensed or unlicensed… more
- Henry Ford Health System (Troy, MI)
- …area, coaching team members on account resolution workflows, and assisting the supervisor with team management. The Sr. Specialist confirms the accuracy and ... completeness of patient financial, insurance and demographic information to ensure compliant claims are sent to payers. The Sr. Specialist works independently to… more