- University of Rochester (Rochester, NY)
- …to insurance companies to determine reason for claim denial, or reason for unpaid claim . Address unpaid claims , and solicit a payment date from the payer. + ... Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim ...supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor… more
- University of Rochester (Rochester, NY)
- …meetings / work at RTP are required. Remote location must be within 2 hours of RTP and within New York State. **Position Summary:** With considerable latitude for ... independent judgment, the Claim Resolution Rep IV is responsible for the follow...of peers and lesser-grade staff, as directed by the Supervisor . Independent judgment is necessary in escalating collection activities… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND ... change from time to time. 1. Manage the supervision and coordination of the claims department and staff. 2. Organize and disseminate information that affects the … more
- Crawford & Company (Brea, CA)
- …on hours . Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on ... + We are seeking candidates with experience handling WC claims in CA! + Bilingual is a plus. +...practices. Evaluates and sets reserves using independent judgment. Assists supervisor and defense attorneys in preparing cases for litigations.… more
- Randstad US (Orange, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... salary: $40 - $47.86 per hour shift: First work hours : 8 AM - 4:30 PM education: Bachelors Responsibilities...including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim … more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …examiners and claim adjusters in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains reports on ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4476650)...required college training on the basis of 30 semester hours for one year of experience. NOTE: This substitution… more
- City of New York (New York, NY)
- …and centralized data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office ... of Liens & Trust (OLT) and Supplemental Nutrition Assistance Program - Claims & Recovery (SNAP-CR). Within Revenue, SNAP-CR is a revenue producing, federally… more
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 10 **Position:** Supervisor Claims PFS **Union Code:** 00 - Non Union ... similar required. **Status:** Full Time **Shift:** Days **Scheduled Work Hours :** 8a-5p **Salary Range:** $49,861-$76,359 annually *Wage will be...**Bi-Weekly Hours :** 75 **Weekend/ Holiday Requirement:** No Weekends or Holidays… more
- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000116 Date: Apr 17, 2024 Location: TALLAHASSEE, FL, US, 32301 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 822431 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000116 Pay Plan: Lottery Exempt Serv Position… more
- Allied Universal (Pittsburgh, PA)
- …Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding ... compliance and investigation jobs! Allied Universal(R) is hiring a SIU / Claims Investigator. Special Investigations Unit (SIU) Specialists investigate claims … more
- Trinity Health (Farmington Hills, MI)
- …and non-government accounts. The position reports directly to the Supervisor Billing and Follow-up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Billings Clinic (Billings, MT)
- …benefits package to all permanent full-time employees (minimum of 24 hours /week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, ... prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I - CBO (Full-time/Billings) CENTRAL BILLING OFFICE… more
- Sharp HealthCare (San Diego, CA)
- …Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** ** Hours ** **Shift Start Time:** 6:30 AM **Shift End Time:** 3 AM **Additional Shift ... business practices. **What You Will Do** Minimal data entry from non-scanned claims into GE according to established procedures. **Required Qualifications** + 1 Year… more
- State of Indiana (Indianapolis, IN)
- …into the claims database all application information. + Review each claim application for completeness. + Required to review the narratives from confidential ... upload all bills and other supporting documentation for each claim into the claims database. + Process...+ Maintain, monitor, and order program assets. + Assist supervisor in the development and planning of overall program… more
- Federal Highway Administration (Lakewood, CO)
- …Engineer is head of Central Federal Lands Highway Division's (CFLHD's) Construction Branch Claim Review Section. The person in this position is a technical expert in ... aspects of highway design and construction, and experience resolving contractor claims and requests for equitable adjustments. Responsibilities As a Civil Engineer… more
- Crawford & Company (Phoenix, AZ)
- …programs. + Previous experience providing services in branch operations and/or as a Supervisor or Branch Manager. + Flood positions: 4-5 years of experience as a ... and/or licensing in field; continuing education courses when required. For Claims trainers, a professional designation is preferred (AIC, ARM, CPCU, SCLA… more
- Marriott (Costa Mesa, CA)
- …Associate in Risk Management or related field is desirable + California Experienced Claims Adjuster Designation and current on education hours . + California ... Number** 24069181 **Job Category** Finance & Accounting **Location** Western Casualty Claims Office, 3100 Bristol Street Suite 425, Costa Mesa, California, United… more
- Texas Veterans Commission (Harlingen, TX)
- …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 ... and eligible persons with the Department of Veterans Affairs claims process. Work involves collaboration with external partners to...accreditation with the Department of Veterans Affairs . Work hours other than designated hours may be… more
- Veterans Benefits Administration (Philadelphia, PA)
- Summary This Senior Veterans Claims Examiner serves as one of a group of Claims Examiners who determine entitlement and amount of Government Life Insurance ... correspondence. Provides day-to-day technical guidance and assistance to lower graded claims examiners. Conducts case reviews on lower graded employees, as assigned,… more
- Health Plans, Inc. (Dallas, TX)
- …care. Role and Responsibilities This role will be responsible for claims administration, roster management, and appeal resolution within the Network Operations ... Department. + Maintain and review all inbound claims for network and pricing accuracy. + Implement Quality...process improvement. + Any other responsibilities assigned by his/her supervisor . + Abide by all obligations under HIPAA related… more