- Plante Moran (Southfield, MI)
- …as of date of death Settlement of all debts and payment of all valid claims and costs of administration Distribution of assets pursuant to the terms of the Trust ... and collective development, but also encourage individuals to work with their supervisor and team to determine their optimal working environment each day. Plante… more
- 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 (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
- Sedgwick (Troy, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability - Troy, MI - Hybrid Are you looking for an ... : To analyze complex or technically difficult general liability 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
- Raphael and Associates (Howell, MI)
- …Raphael & Associates is a third-party administrator and independent claims adjusting company internationally recognized for exceptional service. We understand ... our services to our client's specific needs. As a claims organization, what we do is complex. Our mission...any subrogation potential and liability exposure and consult with supervisor . + Work seamlessly with internal examiners to prepare… more
- Trinity Health (Farmington Hills, MI)
- …problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Acosta Group (Novi, 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
- Trinity Health (Farmington Hills, MI)
- …problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... recommendations for resolutions of the issues and findings for the supervisor . Resolves independently or escalates issues affecting customer complaints and issues… more
- Walgreens (Commerce Township, 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
- Henry Ford Health System (Troy, MI)
- …area, educating team members on account resolution workflows, and assisting the supervisor with escalated issues. The CBO Coding Senior Specialist confirms the ... accuracy and completeness of coding to ensure compliant claims are sent to payers. The CBO Coding Senior...team with the objective of sending out clean quality claims and working and preventing denials. EDUCATION/EXPERIENCE REQUIRED: +… more
- Lowe's (Commerce Township, MI)
- …all administrative tasks related to Worker's Compensation, General Liability, and Auto Claims . To be successful, the individual in this role must be organized ... be scheduled off for a specific day require advanced notification and approval by supervisor . * Minimally must be able to lift 10 pounds without assistance; may lift… more
- Walgreens (Commerce Township, MI)
- …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
- BorgWarner Inc. (Auburn Hills, MI)
- …Customer Focus: o Monitor and track customer complaints and warranty claims to identify recurring issues.o Support root cause analysis using structured ... possible dangerous situations, incidents, or occurrences to the immediate supervisor .Equal Employment OpportunityBorgWarner is an equal employment opportunity employer… 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
- Starfish Family Services, Inc. (Westland, MI)
- …Medicare, Medicaid, MCPN and commercial insurance companies. + Monitors failed claims and authorization reports and notifies staff of authorization requirements. + ... monthly client enrollment reports and other compliance reports as designated by supervisor . + Confirms all intake appointments within 1-2 business days prior to… more
