- Creative Financial Staffing (Grand Rapids, MI)
- …supervise all phases of accurate billing of primary, secondary, and tertiary claims to Medicare, Medicaid, Commercial, Work Comp, Automotive, and all others, within ... insurance timely filing limits. Includes billing initial claims , corrected claims , and canceled ...be knowledgeable about and actively support 1) culturally competent, recovery -based practices, 2) person centered planning as a shared… more
- Sedgwick (West Des Moines, IA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Recovery **PRIMARY PURPOSE** **:** To process ... files; to coordinate with collection agencies; and to support the Claims Recovery Team within company standards and industry best practices. **ESSENTIAL… more
- Sedgwick (Seven Hills, OH)
- …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Recovery ** Claims Associate ** ... collaboration, growth, and inclusion. **ARE YOU AN IDEAL CANDIDATE?** To analyzer recovery claims on behalf of our valued clients to determine benefits due,… more
- Humana (Louisville, KY)
- …a part of our caring community and help us put health first** The Pharmacy Claims Lead - Financial Recovery leads a team that is responsible for monitoring ... of diverse scope and complexity ranging from moderate to substantial. + The Pharmacy Claims Lead - Financial Recovery leads a team that is responsible for… more
- Sedgwick (Seven Hills, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Claims Associate **PRIMARY PURPOSE:** Processes and reviews subrogation ... recovery files; coordinates with collection agencies; and supports the Claims Recovery Team within company standards and industry best practices. **ESSENTIAL… more
- Allied Solutions (Plano, TX)
- …policy; + Determine the appropriate application of coverage and damage to identify those claims with the highest amount of recovery potential for EZ Claim Total ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...other adjusting tools; + Meet and exceed all established recovery and claim service standards and benchmarks for a… more
- Crawford & Company (Lake Zurich, IL)
- …+ Evaluates claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only … more
- Sedgwick (New York, NY)
- …but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), ... + Identifies and investigates for possible fraud, subrogation, contribution, recovery , and case management opportunities to reduce total claim...Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional… more
- Humana (Columbus, OH)
- …+ Prior claims processing experience + Overpayment experience + Financial recovery experience + Previous experience with Mentor software + PrePay or Post Pay ... community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims...PHI / HIPAA information. **Language Proficiency Testing** Any Humana associate who speaks with a member in a language… more
- Marriott (Costa Mesa, CA)
- …outside attorneys, assisting in discovery/trial preparation and strategy + Evaluate claims for potential third party or subrogation recovery + ... **Education or Certification** + High School Diploma or GED + Associate degree (or higher) in Claims or Associate in Risk Management or related field… more
- City of New York (New York, NY)
- … Claims and Insurance Takeover Procedures; - Follow stated timelines for handling all claims ; - Settle outcomes for the maximum recovery for the City on ... & Adjustment (BLA) is responsible for investigating and adjusting claims filed against the City of New York. The...from an accredited college or university; or 2. An associate degree or 60 semester credits from an accredited… more
- Aston Carter (Earth City, MO)
- …with customers when claims are confirmed to be invalid and pursuing cash recovery . The Claims Specialist will work closely with the Claims Analysts ... Claims Specialist St. Louis, MO HYBRID Description: The...times, inquisitive, ask questions. Education and Experience Profile * Associate degree in Accounting, Finance, or business-related field required.… more
- LA Care Health Plan (Los Angeles, CA)
- …forms to support payments/decisions. Negotiate reimbursement amounts for out-of-network claims ; Identify dual coverage, Potential third party savings/ recovery ; ... Claims Examiner II (Temporary) Job Category: Claims...High School Diploma/or High School Equivalency Certificate Education Preferred Associate 's Degree Experience Required: At least 1 year of… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. The ... Claims Account Specialist will be responsible for contacting all...all parties + Recognize and investigate subrogation opportunity for recovery of third-party funds + Work with the policyholder… more
- SMBC (New York, NY)
- …repayment plans and resolve delinquency status on accounts. Achieve debt recovery targets, adhering to policies and procedures, regulatory requirements. **Role ... repayment plans and resolve delinquency status on accounts. Achieve debt recovery targets, adhering to policies and procedures, regulatory requirements. Liaise with… more
- UNC Health Care (Rocky Mount, NC)
- …the health and well-being of the unique communities we serve. **Summary:** The Recovery Audit Nurse will work closely with other Business Office staff members to ... assist in facilitating: 1) clinically related reviews of patient accounts/ claims to ensure compliant billing guidelines (internal and external) are followed… more
- Travelers Insurance Company (Houston, TX)
- …Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to ... Will You Do?** + Follow operational policies to analyze, investigate, and resolve BSI claims of varying levels of severity with active supervision from claims … more
- The Boeing Company (Everett, WA)
- …The Boeing Commercial Airlines (BCA) team is looking for a highly motivated ** Associate Cost Recovery Estimating Analyst** located in either **Everett or Renton, ... On our team you will develop estimates and prepare fully substantiated claims including all cost associated with disruption resulting from supplier non-performance… more
- Commonwealth of Pennsylvania (PA)
- …liable for reimbursement of medical/cash assistance relating to personal injury and estate recovery claims , or if there is pending litigation, a lawsuit ... Other Information. + Master's Degree + Bachelor's Degree + Associate 's Degree + No Degree 06 You must complete...of medical/cash assistance relating to personal injury and estate recovery claims , or if there is pending… more
- R1 RCM (Jenkintown, PA)
- …flows while reducing operating costs and enhancing the patient experience. The Operations Associate I in our Revenue Recovery Practice, will be responsible for ... order to be successful in this role, the Ops Associate I will be primarily responsible for researching underpayments...+ Abstract information from Medical Records of Managed Care claims for accurate discharge status information on all managed… more
