- Sedgwick (Long Beach, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Supervisor | Long Beach, CA (Hybrid) | SIP Required Are ... combination of education and experience required to include two (2) years claims supervisor experience. **Licensing / Jurisdiction Knowledge:** SIP required.… more
- Sedgwick (Riverside, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead ( Supervisor ) - Workers Compensation...management reports and takes appropriate action. + Performs quality review on claims in compliance with audit… more
- Kemper (Henderson, NV)
- …skills, strong technical skills and the ability to handle increasing responsibility. + Ability to review and handle claims via on-line claims system. + Must ... our stakeholders that delivers on our promises._ **Position Summary:** Our Express Supervisor is responsible for supervision of a unit of outbound Express Adjusters… more
- Central Maine Medical Center (Lewiston, ME)
- …leave program for Parental Leaves + Comprehensive Wellness Program + Essential Duties: Review claims using electronic claims software -compliance products, ... our community and for each other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is a full time 40-hour, benefits… more
- Insight Global (Los Angeles, CA)
- … Health Insurance Plan based in Los Angeles is in the immediate need of a Medical Claims Representative. The Medical Claims Representative will be ... phone and troubleshooting any of the participants bills or claims . The Medical Claims Representative...required. Ability to accept direction and developmental guidance from supervisor . - Ability to work effectively with individuals at… more
- CHS (Clearwater, FL)
- …strong operational controls relating to claims cost control, including review processes for potential pre-existing conditions, determining medical necessity, ... and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and… more
- Carnival Cruise Line (Miami, FL)
- …teams, and shore based Medical , Safety, HR, HESS and Security teams to review programs, suggest mitigation plans related to claims history and advise on ... is based in our Miami office. Oversees the guest claims team of 7 adjusters and the supervisor...and fosters collaboration with the ships, Safety, Security and Medical to make corrections to the areas giving rise… more
- HUB International (Brentwood, TN)
- …reasonable resolution. We are seeking a detail oriented Non-Subscriber or Occupational Accident Claims Supervisor /Manager to join Avant Specialty Claims , a ... leader is responsible for our team investigating and adjusting employee injury claims , benefit determination, wage replacement, and medical management for Texas… more
- Robert Half Accountemps (Savannah, GA)
- … and process incomplete and completed claims under the guidance of the Claims Supervisor . * Gain a thorough understanding of Group Insurance Plan policies, ... Description We are looking for a detail-oriented Medical Billing/ Claims /Collections specialist to join our team in Savannah, Georgia. This Contract-to-Permanent… more
- Henry Ford Health System (Detroit, MI)
- …in professional and general liability, workers compensation and employers liability claims review , investigation, management and disposition, including financial ... and prepare periodic file summaries for claim documentation and presentation to HFHS Claims Review and Adjudication Committee or similarly constituted internal … more
- Travelers Insurance Company (Hartford, CT)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage or liability… more
- CommuniCare Health Services Corporate (Akron, OH)
- …to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF ... STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… more
- Raphael and Associates (Rutherford, NJ)
- …in-office position located at our Rutherford, NJ, headquarters. Key Responsibilities: + Initial Claims Setup: + Review FNOL (First Notice of Loss) and ensure ... and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on...+ Assign the claim to the appropriate adjuster and supervisor . + Set adjuster diaries with new claim notifications… more
- Sedgwick (Salem, OR)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Environmental Claims Specialist **Job Description Summary** To analyze complex or technically ... difficult environmental claims ; to provide resolution of highly complex nature and/or...Conducts or assigns full investigation to include complete coverage review and provides report of investigation pertaining to new… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …**Education** Required: High School diploma or GED Preferred: Additional training as a medical office assistant, medical claims processor, or medical ... Must be familiar with laws and regulations governing Medicare billing practices, medical billing systems, and claims processing. Preferred: IDX/EPIC, PC skills,… more
- Texas Veterans Commission (Temple, 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 ... assisting veterans and eligible persons with the Department of Veterans Affairs claims process. Work involves collaboration with external partners to include the… more
- Marriott (Bethesda, MD)
- … Claims Representative is responsible for the administration and disposition of medical only (MO) workers compensation (WC) claims . Caseload will be ... exclusively WC claims and responsibility is limited to non-litigated medical only and disability claims of limited duration. Claims involving continuous… more
- Beth Israel Lahey Health (Boston, MA)
- …is responsible for planning, coordinating and managing HIPAA EDI activities including Claims , Remittance, as well as Provider Enrollment processing for Harvard ... Medical Faculty Physician's (HMFP) professional services. It is responsible...analysis, design, mapping, testing, training. The Manager of EDI Claims , Remittance and Enrollment is responsible for ensuring adherence… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- … review and analysis of application to the individual claim. With supervisor approval, negotiate with policyholders to settle claims of limited monetary ... hours. Maintain effective communications with the Customer at all times. 6. Under supervisor authority, negotiate with policyholders to settle claims of limited… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review...implemented for compliance, as needed. + As a unit supervisor at the LA General Medical Center:… more
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