- Mille Lacs Health System (Onamia, MN)
- …* Bachelor's degree in Social Work or related field required; Master's degree preferred . * Licensed Social Worker (LSW) in Minnesota required. * Experience ... provides high-quality patient care across outpatient service lines. The Social Worker demonstrates strong patient and family assessment skills, plans and implements… more
- Travelers Insurance Company (Alpharetta, GA)
- …appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of ... paid out. With close to moderate supervision, may handle claims of greater complexity where Injured worker ...Our Ideal Candidate Have?** + 2 years Workers Compensation claim handling experience preferred . + Analytical Thinking:… more
- Sedgwick (Tallahassee, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Worker Compensation (REMOTE- Southeast State exp needed) ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans.... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … more
- The Hartford (Las Vegas, NV)
- …service with the valuation, disposition and settlement of worker compensation claims while consistently adhering to our corporate claim settlement policies. ... accountable for planning, recommending, and executing the investigation of workers' compensation claims . Our dynamic team of claim professionals provide superb… more
- CenterLight Health System (NY)
- …required. Experience: + 1-3 years of healthcare experience, managed care setting is strongly preferred . + Experience in claims appeals and/or claims audit ... JOB PURPOSE: The Claim Appeals and Audit Specialist will play a...Medicare). + Claims adjudication and understanding of claims PPS is strongly preferred . + Knowledge… more
- NJM Insurance (Trenton, NJ)
- …the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all internal ... guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride...a high level of customer service that promotes injured worker advocacy-based principles to improve outcomes for all parties… more
- FlexStaff (Bronx, NY)
- …years of insurance experience within a healthcare or managed care setting ( preferred ) - Claims adjudication experience - Knowledge of MLTC/ Medicaid/Medicaid ... **Req Number** 158358 FlexStaff is seeking a Temp to Perm Claims Specialist for our client, a non-profit healthcare organization providing home and community-based… more
- Zurich NA (Schaumburg, IL)
- … operations and drive strong outcomes. In this position you will manage Worker 's Compensation multi-party commercial line claims of moderate to high exposure ... claims data/information in compliance with best practices for worker 's compensation claims of moderate to high...working for an insurance carrier(s) + Experience handling commercial claims + Highly preferred Jurisdictions in the… more
- CenterLight Health System (NY)
- …in data analytics, ie SAS, SQL. + Claims adjudication and understanding of claims PPS is strongly preferred . + Knowledge of Medicaid and Medicare benefits, ... JOB PURPOSE: The Claim Analyst will play a pivotal role in...role in enhancing the efficiency and effectiveness of the claims department by evaluating and refining processes, conducting comprehensive… more
- HUB International (Brentwood, TN)
- …refer files to Subrogation Representative for evaluation and pursuit of potential subrogation claim . * **Required Experience:** * 10+ years claims experience or ... that investigate, coordinate, evaluate, and negotiate complex Non-Subscriber/Occupational Accident claims presented by insured's or claimants. This includes, but is… more
- Actalent (Bronx, NY)
- Immediately Hiring a Claims Specialist! The Claims Specialist will support department operations related to provider communication, pended claim review, ... State, Federal, and contractual guidelines. Job Responsibilities: + Review and investigate claims to be adjudicated by the Third Party Administrator (TPA), including… more
- Actalent (Bronx, NY)
- Job Title: Procurement SpecialistJob Description The Claims Specialist will support department operations related to provider communication, pended claim review, ... applicable State, Federal, and contractual guidelines. Responsibilities + Review and investigate claims to be adjudicated by the TPA, including the application of… more
- FlexStaff (Bronx, NY)
- **Req Number** 154447 FlexStaff is seeking a Claims Specialist to support department operations related to provider communication, pending claim review, ... Hybrid Wednesday and Friday in the office. Responsibilities: + Reviews and investigates claims to be adjudicated by the TPA, including the application of contractual… more
- Orlando Utilities Commission (Orlando, FL)
- …trends, brokers, regulators; + Claims investigation, evaluation and litigation; + Claims administration software (File Handler, Risk Master preferred ); + ... **,** is presently seeking a **Manager of Insurance & Claims ** to join the Risk Management department within the...Management, Accounting, Finance, or a related field (Master's degree preferred ). + 7+ years of experience in insurance, property… more
- CenterLight Health System (NY)
- …in data analytics, ie SAS, SQL. + Claims adjudication and understanding of claims PPS is strongly preferred . + Knowledge of Medicaid and Medicare benefits, ... JOB PURPOSE: The Claims and Encounter Analyst enhances the efficiency and...of HCC and ICD-10. + Review, validate, and reconcile claim and encounter data submissions for completeness, timeliness, and… more
- Travelers Insurance Company (Alpharetta, GA)
- …other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's degree preferred . + Claim management experience preferred . + Leading the ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...engagement, accuracy and efficiency. + Review new notices, ensuring claims are assigned to staff with appropriate skill sets.… more
- JB Hunt Transport (Lowell, AR)
- …Manage claims made under our auto liability, general liability, worker 's compensation, or cargo insurance coverage. Performs duties to ensure the Company's ... **Job Title:** Claims Examiner II **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part Time:**… more
- Beth Israel Lahey Health (Boston, MA)
- …responsible for planning, coordinating and managing HIPAA EDI activities including Claims , Remittance, as well as Provider Enrollment processing for Harvard Medical ... EDI including analysis, design, mapping, testing, training. The Manager of EDI Claims , Remittance and Enrollment is responsible for ensuring adherence to and… more
- Trinity Health (Syracuse, NY)
- …in Healthcare required. Bachelor's degree required. Master's degree or higher preferred . Experience in Risk Management preferred . Certification (CPHRM) is ... identify potential risks and mitigation associated with that risk. **LIABILITY CLAIMS SUPPORT:** Works collaboratively with assigned Trinity Health Area Claims… more
- Access Dubuque (Dubuque, IA)
- … Worker (Softball) - Temporary 2025 Ter City of Dubuque Facilities Maintenance Worker University of Dubuque Workers Compensation Claims Adjuster (Must be loca ... Production Worker **Express Employment Professionals** 1 Positions ID: 14280100...be punctual and reliable. . High school diploma is preferred . **WORK ENVIRONMENT:** . Due to the product, the… more