- Hartford HealthCare (Farmington, CT)
- …system. *_Position Summary:_* Responsible for the timely and accurate collection of third party pay revenue cycle activities associated with timely collection ... of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare hospitals, medical group and homecare to… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …activities for claims , exercising first-line functional supervision over the State's Third Party Administrator (TPA). * Oversees work processes; reviews and ... Insurance Claims Supervisor GL (State Risk Adjuster...ever supervised a claim adjusting service and/or a TPA ( Third Party Administrator)? If yes, please explain… more
- Sedgwick (Ontario, CA)
- …claims and claims over the authority of the individual examiner. + Monitors third party claims ; maintains periodical review of litigated claims , ... combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of claims … more
- Paramount (Los Angeles, CA)
- …made in conjunction with compliance/financial audits, including but not limited to third party participations and residuals/guild audits of various Paramount ... retrieving historical records from archived records (off-site facilities) in support of third - party audits of any Paramount Global division Perform various… more
- Health Plans, Inc. (Westborough, MA)
- …a passion to take it on. Not just a job-a mission. What you'll do The Claims Supervisor will oversee a dedicated unit of Claim Examiners and Claim Seniors. The ... spirit has given us our strong reputation. As a third - party administrator, we offer a suite of...operations and plan for future workflow and scheduling. The Supervisor will mentor Claims Seniors and staff… more
- Wellpath (Nashville, TN)
- …healthcare liability claims to coordinate with insurance adjusters, third - party administrators, and defense counsel to manage and resolve ... at a time. **How you make a difference** As the Claims Litigation Senior Supervisor , you willbe responsible foroverseeing the day-to-day management of the… more
- Beth Israel Lahey Health (Boston, MA)
- …or more years of customer service experience and/or basic knowledge of third party coverage, registration and billing. **Competencies:** + **Decision Making:** ... next payer. + Reviews payer rejections and makes corrections to ensure payer acceptance of claims . + Follows up with the payers regarding claims that have not… more
- Humana (Atlanta, GA)
- …a team of service professionals in a fast-paced and metric-driven environment. The Supervisor , Claims Processing will directly lead and guide 14 associates in ... improvement in the areas of contributions, competencies, and performance. The Supervisor , Claims Processing + Commitment to preserving confidentiality +… more
- Billings Clinic (Billings, MT)
- …The Claim Specialist's main focus is to obtain maximum and appropriate reimbursement for all claims from government and third party payers. The Claims ... responsible for preparing and submitting timely and accurate insurance claims to government and third party...concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees… more
- Concord Group Insurance (Auburn, ME)
- …or bachelor's degree preferred + 3 to 5 years of experience adjusting third - party liability claims ; more experience preferred + Experience handling ... This Branch Claims Representative handles bodily injury and general liability...litigated and/or multi- party claims that may involve risk transfer...litigated and/or multi- party claims that may involve risk transfer preferred + Ability… more
- Sedgwick (Dallas, TX)
- …claims and claims over the authority of the individual examiner. + Monitors third party claims ; maintains periodical review of litigated claims , ... combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of claims … more
- Crawford & Company (Atlanta, GA)
- …in payments for claims within authority limits. + Develops subrogation and third party recovery potential and follows reclaim procedures. + Analyzes ... Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established… more
- Crawford & Company (Lake Zurich, IL)
- …and prepares written updates for supervisor to review. + Develops subrogation/ third party recovery potential and follows recovery procedures. + Performs ... 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
- NJM Insurance (Trenton, NJ)
- …accounts + Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs to keep current on relevant ... NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist....+ Recognize and investigate subrogation opportunity for recovery of third - party funds + Work with the policyholder… more
- Sedgwick (Roseville, CA)
- …claims and claims over the authority of the individual examiner. + Monitors third party claims ; maintains periodical review of litigated claims , ... and experience required to include two (2) years of workers compensation claims supervisor experience. **TAKING CARE OF YOU** + Flexible work schedule. +… more
- AIG (Parsippany, NJ)
- …client service requirements. What you need to know: + Analyze and process third - party property damage claims by investigating and gathering information ... of products to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the most trying… more
- HCA Healthcare (Denver, CO)
- …the Business Office Manager/Business Office Supervisor , you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather ... you have the career opportunities as a Medical Insurance Claims Representative you want with your current employer? We...as a liaison and administer contracts in collection of third party accounts (Medicare and Medicaid) +… more
- Trinity Health (Farmington Hills, MI)
- …resolution. Proactively follow up on delayed payments by contacting patients and third - party payers determining the cause for delay and supplying additional ... and non-government accounts. The position reports directly to the Supervisor Billing and Follow-up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and… more
- Billings Clinic (Billings, MT)
- …Financial services, and ensuring proper coding in compliance with government and third - party payer regulations and CPT-4, ICD, and HCPCs guidelines. Responsible ... methodologies. Essential Job Functions * Researches, analyzes, and appeals government and third - party payer coding related denials of service based on… more
- USAA (Phoenix, AZ)
- …technology support services to meet those needs. + Participates in the development of 3rd Party vendors strategy and provides oversight to ensure achievement of ... us so special! **The Opportunity** As a dedicated Director, Information Technology/Engineering in P&C Claims , you will be part of Claims IT leadership team, lead… more