- US Tech Solutions, Inc. (Scottsdale, AZ)
- …D balances to providers. Assist in ad hoc assignments as assigned by leadership. Duties: Review daily claims intake and perform lookup of provider ID data in ... Job Title: Billing Representative Job location: Scottsdale, AZ 85260 Duration: 06...invoice and collect outstanding balances. Experience: A minimum of 2 years related work experience required Strong verbal and… more
- Cambia Health Solutions, Inc (Portland, OR)
- …developing rates, (group size, type of benefits, age/gender composition, large claims , experience provided from the prior carrier, current rates).Answers questions ... meet with external customers, brokers or account representatives to review underwriting calculations and provide explanations for rating principles.May prepare… more
- Integrated Resources, Inc (King Of Prussia, PA)
- …regulatory guidelines. Document all follow up activities into the patient's medical record. 2 . Review payments for accuracy. Identify and report all issues and ... Months + possible extension Schedule: 3 Day remote + 2 days Onside. Pay range: $25 - $29/hr. on...Summary: . The primary focus of the accounts receivable representative is to provide consistent follow up on the… more
- Sedgwick (Atlanta, GA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative Liability **PRIMARY PURPOSE** : To process low level ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Las Vegas, NV)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative Workers Compensation **PRIMARY PURPOSE** : To process ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (New Orleans, LA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Workers Compensation **PRIMARY PURPOSE:** To process ... or equivalent combination of education and experience or successful completion of Claims Representative training required. Skills & Knowledge: Performs other… more
- DATTCO (New Britain, CT)
- …+ After invoice review , submit invoices for payment Minimum Requirements: + 2 + years- claims experience with workers- compensation or auto liability ... Insurance Claims Representative Department: Risk Management Location:...state + Prepare reports for audits as requested + Review loss runs and billing for accuracy and communicate… more
- State of Minnesota (Bemidji, MN)
- **Working Title** : **Tribal Veterans Services Officer** **Job Class: Veterans Claims Representative ** **Agency: Minnesota Department of Veterans Affairs** + ... on-going education and information dissemination and all facets of claims and appeals process. **Minimum Qualifications** Two ( 2...be conducted on all finalists. This may include a review of documentation related to job performance. It also… more
- Robert Half Accountemps (Novi, MI)
- Description Job Summary The Claims Liaison (CL) has responsibility for the oversight of all aspects of operational support for the Disability Management Services ... disability claim review process, including any administrative and/or clerical tasks as...deemed necessary. Job Description Role and Responsibilities * Initiates claims from the client to determine whether all required… more
- National General Insurance Company (FL)
- …damage + For claims involving injuries (if handled), learns how to review , evaluate, and negotiate basic to moderate injury claims + Applies increased ... Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: + Handles investigation… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Service Representative 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #811 Monday, April 1, 2024 Centers Plan for Healthy Living's goal is to create ... + Adjust claim(s) as warranted based on discussion and review of the provider's issue. + Deliver all information...regulations. Education and Experience : + HS Diploma + 2 years of college preferred About us: Centers Plan… more
- City of New York (New York, NY)
- …is recruiting for ( 2 ) two Eligibility Specialist IIs to function as a Claims Review Specialists, who will: - Review , process, determine and/or establish ... data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review...semester credits at an accredited college or university; or 2 . A four high school diploma or its educational… more
- Access Dubuque (Dubuque, IA)
- …Start Date 20240424 End Date 20240526 Featured Job TH Ad TH Comments **Similar Jobs** Claims Representative - Auto Sedgwick Claims Team Lead - Liability ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit...Sedgwick Auto Liability Claims Team Lead Sedgwick Claims Assistant Sedgwick Claims Representative … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …guidelines. This position requires strong clinical and medical coding skills to review claims for medical necessity, appropriate coding, and pricing of ... and use existing documentation to develop and revise workflows. + Act as claims representative in corporate meetings involving changes in medical policy, pricing… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …process ensuring proper documentation was created in the system and/or files. 7. Review claims and approve payments under the appropriate binding authorities. 8. ... **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Responsible for overseeing, managing...time. 1. Manage the supervision and coordination of the claims department and staff. 2 . Organize and… more
- CRC Insurance Services, Inc. (Valdosta, GA)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... 1. Supervise a multi-person team ensuring all pertinent information is communicated. 2 . Evaluate claims , reporting forms and cancellations and initiate necessary… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Process claims , which includes ... Specific activities may change from time to time. 1. Review policy to determine if loss is covered. If...then hire attorney for coverage counsel for coverage analysis. 2 . Settle claims within settlement authority, where… more
- Truist (Atlanta, GA)
- …focused on specific client needs, ensuring accuracy, timeliness of client-related communications. 2 . Handle all claims within the upper and Jumbo segments ... English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Support Clients and Producers by servicing… more
- State of Indiana (Indianapolis, IN)
- …claims file for each application that is submitted and enter into the claims database all application information. + Review each claim application for ... Compensation Claims Analyst Date Posted: Apr 19, 2024 Requisition...accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, April 1, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
