- State of Minnesota (St. Paul, MN)
- **Working Title: Claims Adjudication Supervisor ** **Job Class: State Program Administrator, Supervisor Senior** **Agency: Department of Employment ... do is more than just a job.** At the State of Minnesota, employees play a critical role in...deliver this new benefit to Minnesotans. **Position Purpose:** The Claims Adjudication Supervisor plays a… more
- State of Nevada (NV)
- DISABILITY ADJUDICATION SUPERVISOR APPROXIMATE ANNUAL SALARY - $64,414.80 to $95,630.40 PAY GRADE: 35 The salary range indicated in this announcement is based on ... Las Vegas or Carson City, depending on the candidate chosen. The Disability Adjudication Supervisor will provide supervisory oversight of a team of disability… more
- Sedgwick (Shreveport, LA)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE - Needs SE... Examiner - Workers Compensation (REMOTE - Needs SE state Exp FL, GA, NC, SC, TN, AL) **PRIMARY… more
- Library of Congress (Washington, DC)
- …experience and must possess substantial experience in the evaluation, litigation, or adjudication of copyright infringement claims . The applicant must have ... member in good standing of the bar of a state , District of Columbia, territory of the United States,...must possess substantial experience in the evaluation, litigation, or adjudication of copyright infringement claims . The applicant… more
- Texas Veterans Commission (Midland, TX)
- …existing statutes and procedures, precedent rulings, and state law in the adjudication process. . Prepares and files claims and appeals with supporting ... job histories, which includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of duties performed.To receive… more
- CVS Health (Franklin, TN)
- …responsible for overseeing day-to-day operations to ensure timely, accurate, and compliant adjudication of claims . This role provides leadership, coaching, and ... system updates, and process enhancements. * Ensure compliance with internal policies and CMS/ state regulations governing Medicare Supplement claims . * Step in to… more
- Sedgwick (Roseville, CA)
- …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in- State Employer Claims Examiner - Workers Comp (Hybird Roseville, CA) **PRIMARY ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- Sedgwick (Atlanta, GA)
- …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in- State Employer Claims Examiner - Workers Compensation **PRIMARY PURPOSE** : To ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- Sedgwick (Honolulu, HI)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Liability Claims Examiner | Hybrid Are you looking for an opportunity to join a… more
- Sedgwick (Hampton, VA)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (Need VA & Longshore Exp) ** Claims … more
- Texas Veterans Commission (TX)
- …PO Box in city which JIV Coordinator resides. . Prepares incarcerated veterans claims and supporting evidence for successful adjudication . . Plans and ... includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of...position that serves as a vital member of the Claims Department of the Texas Veterans Commission. Position will… more
- Sedgwick (Roseville, CA)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | San Diego or Roseville, CA Are you looking for an… more
- Henry Ford Health System (Detroit, MI)
- …prepare periodic file summaries for claim documentation and presentation to HFHS Claims Review and Adjudication Committee or similarly constituted internal ... professional and general liability, workers compensation and employers liability claims review, investigation, management and disposition, including financial mitigation… more
- CVS Health (Monroeville, PA)
- …Years of insurance billing or collections, accounts receivable experience, health plan claims adjudication experience, or other acceptable related experience in ... of insurance billing or collections, accounts receivable experience, health plan claims processing or adjudication experience, or other acceptable related… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …or related field **Experience:** + Required: 1 year experience using the RxIQ claims adjudication platform + Preferred: 2 Years experience with Health Care, ... adjudication platform. Works closely with the Benefit Operations Supervisor in ensuring the team's goals are met. Translates...is a multistate organization and abides by all local, state , and federal regulations as it pertains to minimum… more
- University of Rochester (Rochester, NY)
- …payment methodology, including add-ons + Follow-up with payers on incorrectly paid claims through final resolution and adjudication , including refund of credits ... to ensure that the process conforms to federal and state regulations. The Claim Resolution Rep III will represent...supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor… more
- University of Rochester (Rochester, NY)
- …methodology, including add-ons - - Follow up with payers on incorrectly paid claims through final resolution and adjudication , including refund of credits - ... within 2 hours of RTP and within New York State . Position Summary With latitude for initiative and independent...supervisor or manager on trends of incorrectly paid claims from specific payers - - Work with … more
- University of Rochester (Rochester, NY)
- …methodology, including add-ons - - Follow up with payers on incorrectly paid claims through final resolution and adjudication , including refund of credits - ... supervisor or manager on trends of incorrectly paid claims from specific payers - - Work with ...Recommends the filing of a formal complaint with the State 's regulation commission or agency. - Determines when to… more
- AIG (Charleston, WV)
- …service with empathy and efficiency. This position is with the Charleston, WV Dedicated Claims Office, which provides services the State of WV account. How you ... claims involving litigation. The position also ensures ongoing adjudication of claims within the Company standards,...of the claim. + Refer case as appropriate to supervisor and management. Respond to requests or directions in… more
- Sedgwick (Atlanta, GA)
- …liability claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... claims within designated authority level. + Prepares necessary state filings within statutory limits. + Manages the litigation...coding is correct. + Refers cases as appropriate to supervisor and management. + Leads team meetings and assigns… more