- Intercare Holdings Insurance Services, Inc. (Rocklin, CA)
- …anticipated for ultimately resolving the claim. Form a partnership with the medical case manager to maximize early return to work potential thereby reducing ... case toward closure. Assure that all assigned indemnity claims have an up to date plan of action...the need for extended disability payments, vocational rehabilitation, and other protracted … more
- BlueCross BlueShield of South Carolina (Columbia, SC)
- Summary We are currently hiring for a Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. You will be responsible for responding to ... research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny...and guidelines and refer to a team lead or manager for resolution. You will also identify and report… more
- Advocate (Orlando, FL)
- …of EDPNA's and case managers. We are seeking a highly organized and dedicated Case Manager to join Advocate and oversee the progress of disability cases ... medical records, filing recon appeals, and collaborating with SSA/DDS to resolve case -related issues. If you have strong time-management skills and thrive in a… more
- Corvel (Sandy, UT)
- …within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of ... work both independently and within a team environment Knowledge of the entire claims administration, case management and cost containment solution as applicable… more
- The Travelers Indemnity Company (Diamond Bar, CA)
- …contingencies for self or others to meet current or future goals. Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical ... you do it. Job Category Claim, Nurse - Medical Case Manager Compensation Overview The annual base...to work planning, coordination of quality medical care on claims involving disability and medical treatment as… more
- Crawford and Company (Brea, CA)
- …the team members, and/or clients. Approves payments of medical bills on lost time disability claims within area of payment authority up to, but not exceeding, ... claims of low monetary amounts, including medical only claims . Documents and monitors open case inventory...medical bill coding rules and state regulations. Keeps Team Manager informed verbally and in writing of activities and… more
- UPMC Senior Communities (Pittsburgh, PA)
- …providing case follow-up, case closing, and ensuring readiness of case file for affiliate claims . Identify difficulties with specific affiliates, need ... UPMC Workpartners' LifeSolutions team is seeking a Care Manager ! This role will work 11:30 am -...to candidates with phone center, crisis support, intake, and case management experience. Under the general direction of the… more
- Blue Cross and Blue Shield of Minnesota (St. Paul, MN)
- …ensure appropriate resource utilization, identification of referrals to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... also evaluate appropriateness of code submission on facility and professional claims and complete unspecified code and modifier code reviews. Your Responsibilities… more
- AECOM (Dallas, TX)
- …a better world. Join us. Job Description AECOM is seeking a Construction Project Manager - Aviation to be based in Dallas, Houston, Austin, or San Antonio, Texas. ... and procedures. Project Managers will be responsible for projects from Business Case through Closeout. RESPONSIBILITIES Administer one or more projects, to include… more
- Gallagher (Baton Rouge, LA)
- …Provides medical management to workers compensation injured employees, performing case management through telephonic and in-person contact with injured workers ... and medical providers. Coordinates with employers and claims professionals to manage medical care in order to return injured employee to work. This position will… more
- Relation Insurance (Owings Mills, MD)
- …to our ongoing growth and success. WHAT WE'RE LOOKING FOR The Account Manager manages the overall client relationship by providing strategic advice on coverage, risk ... client's insurance program aligns with long-term goals and growth plans. The Account Manager remains knowledgeable of advances in the insurance business as well as… more
- Penn National Insurance (Pittsburgh, PA)
- Job Description We have an exciting opportunity for a Territory Manager in the Pittsburgh, PA area. The Territory Manager is responsible for overseeing and ... our agents, regional underwriting team and corporate departments. The Territory Manager is also responsible for identifying new business opportunities, ensuring… more
- Walgreens (Bronx, NY)
- …events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations Counsels patients and ... ensuring that elements of Good Faith are present. Collaborates with Store Manager to define and develop new strategic business opportunities. Maintains information… more
- University of Southern California (Los Angeles, CA)
- …excellence in patient care and customer service. Preferred Qualifications: Pref Certified Case Manager - CCM (CMSA) Nationally recognized certification such as ... provides administrative and operational support to the Director of Case Management. The Manager of Utilization Review...submitted in a timely manner. Analyze trends in denied claims and collaborate with internal and external partners to… more
- Hastings Mutual Insurance Company (Toledo, OH)
- …will investigate, evaluate, and resolve routine to moderate-level property claims within the company's contractual and legal obligations. Most importantly, ... Property Claim Representative is a remote position that handles claims primarily within the greater Toledo, Ohio, and Northwest...the claim system of record. Establishes and maintains appropriate case reserves sufficient to fund the payment of the… more
- Elevance Health (Topeka, KS)
- Anticipated End Date: 2025-08-04 Position Title: Registered Nurse Case Manager (South Central Kansas) Job Description: Location: This is a field based position ... work 2nd shift are strongly preferred! The RN Nurse Case Manager is responsible for performing care...reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. Required qualifications: Requires BA/BS in… more
- Amazon (Sunnyvale, CA)
- …Fire TV and Amazon Echo. What will you help us create? The Business Manager is the relationship owner for the Amazon Electronics Manufacturing Services (EMS) Device ... the Emerging Products space. In this capacity the Business Manager has the responsibility to: - Lead the sourcing,...successful launches (products that "wow" the customer). In the case of an EMS relationship ensure that the contracts… more
- NFP (New York, NY)
- …parties informed throughout the process Coordinates all collateral assignments, death or disability claims , and fund allocation changes with the assistance of ... and communicating with RM and client as necessary Participates in Relationship Manager /New Business case management calls Reviews insurance policies and prepares… more
- Nationwide Mutual Insurance Company (Garden City, NY)
- …assigned jurisdiction(s). You'll be expected to maintain a highly productive case volume that reflects our collective commitment to innovative thinking, effective ... embracing technology and a highly organized and proactive approach to case management. Job Description Key Responsibilities: Demonstrates the requisite trial… more
- GGRM Law Firm (Las Vegas, NV)
- …Position Summary The Office Assistant provides general support for the Administrative Manager by assisting with various Claims duties. Essential Duties and ... include, but are not limited to, the following: Assisting the Administrative Manager with personal injury or workers' compensation projects as needed Preparing for… more
