- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Claims Processing Representative 2 adjudicates pharmacy claims and processes pharmacy ... support assignments. Performs computations. Typically works on semi-routine assignments. The Claims Processing Representative 2 determines whether to return,… more
- Travelers Insurance Company (Buffalo, NY)
- … Intermediate + Value Determination- Intermediate + Settlement Techniques- Intermediate + Medical Knowledge- Intermediate **What is a Must ... is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment… more
- Travelers Insurance Company (Alpharetta, GA)
- … Intermediate + Value Determination- Intermediate + Settlement Techniques- Intermediate + Medical Knowledge- Intermediate **What is a Must ... and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (St. Paul, MN)
- …and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims , or first party business property claims of moderate severity, ... such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of… more
- Travelers Insurance Company (Richmond, VA)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature… more
- Travelers Insurance Company (Irvine, CA)
- … Intermediate + Value Determination - Intermediate + Settlement Techniques - Intermediate + Legal Knowledge - Basic + Medical Knowledge - Intermediate ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (St. Paul, MN)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …- Advanced. + Settlement Techniques - Advanced. + Legal Knowledge - Advanced. + Medical Knowledge - Intermediate . **What is a Must Have?** + High School ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- TEKsystems (Springfield, MO)
- We are seeking a motivated and persistent Collections Representative to support our team in Springfield, Missouri. This role serves as a critical link between ... insurance claims (health, workers' comp, etc.) and the law firms...firms, insurance carriers, and other stakeholders. Job Title: Collections representative Location: Springfield, Missouri Placement type: 2 Month Contract… more
- Apex Health Solutions (Houston, TX)
- …to increase revenue, leverage resources, manages and/or minimizes expenses, drive medical expense initiatives and ensure compliance with all regulatory requirements. ... and STARs/quality performance. Facilitate resolution related to practice concerns, grievances, claims and care delivery. Assist in the STARS and clinical metrics… more
- Humana (Austin, TX)
- …support duties that require independent initiative and judgment. May apply intermediate mathematical skills. The Agency Management Representative 3 provides ... our caring community and help us put health first** The Agency Management Representative 3 analyzes transactions posted to the general ledger, 1099 reporting, and… more
- Garnet Health (Middletown, NY)
- … Representative on our Patient Financial Services team at/in Garnet Health Medical Center-Middletown. Responsibilities Files insurance claims to all payers in ... timely and accurate manner. Representative serves as primary contact for patient reimbursement issues...or equivalent required, Associates degree preferred in a related medical field or business. Must be proficient in computer… more
- Nucor Steel Auburn, Inc. (Phoenix, AZ)
- …communities we serve. Nucor supports its teammates with top-tier benefits like Medical , Dental, Vision, and Disability Insurance, 401K and Roth accounts, Profit ... Profit Share 5-year Average: 20.17% A full benefits package, including Medical /Dental/Vision insurances; Life Insurance, Paid Vacation and Holidays; 401k and Stock… more
- Akumin (Jacksonville, FL)
- The **Patient Account Representative ** (PAR) is the organization's liaison between the patient (or patient's relatives) and the healthcare provider. The primary ... from patients + Review patient information to determine why claims were not paid, update accordingly and resubmit. Notate...and any other billing forms and filing requirements. + Intermediate skills in Microsoft Office (Word, Excel) + A… more
- Banner Health (WY)
- …am - 5 pm **Ideal Candidate:** + **Minimum of 1 year experience in Medical Insurance AR and/or Physician Fee for Service Billing clearly reflected in uploaded ... resume;** + ** Intermediate to Advanced skill level in Microsoft Excel.** Within...more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as… more
- TEKsystems (Springfield, MO)
- …with high volume outbound calls! Description Their company serves as the gap between claims (health, workers comp, etc) and the law firms that are processing the ... calling the point of contacts for these accounts, adjusters, claims managers, anyone who should be paying for it....Skills & Qualifications Customer Service Excel Collections Experience Level Intermediate Leve Job Type & Location This is a… more
- TEKsystems (Chino, CA)
- …calls with utmost professionalism. . Provide comprehensive support and details on claims . . Utilize call center software to efficiently manage interactions and data. ... minimum Computer skills Previous customer service experience Experience Level Intermediate Level Pay and Benefits The pay range for...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- WFF Facility Services (Knoxville, TN)
- …regular follow-up on action items. * Knowledge of medical terminology, medical treatment protocols, and legal proceedings. * Intermediate technology skills ... Job Objective Workers Compensation Analyst processes and manages Workers' Compensation claims , investigates claims , and promotes sound decisions regarding … more
- Ryder System (Providence, RI)
- … claims staff including conducting audits and performance appraisals; intermediate level; preferred. Knowledge of supervisory techniques and interpersonal skills, ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- State of Colorado (Denver, CO)
- …Coloradans. What we do: Retail Operationsprovides the sale of Lottery products, claims processing, redemption of prizes, and customer service at the Pueblo, Denver, ... Grand Junction, and Ft. Collins Claims Counters, including providing customer service support to retailers,...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
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