- Sedgwick (Nashville, TN)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex ... claims specific to the product liability / life sciences...provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry… more
- Apple Roofing (Nashville, TN)
- As a Claims Specialist , you will play a critical role in delivering a sweeter experience to our homeowners and insurance partners by managing all aspects of ... Travel outside your home market as needed to inspect and manage MRP claims in other territories. + Collaborate with regional leadership, internal departments, and… more
- Travelers Insurance Company (Nashville, TN)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value.… more
- Trustmark (Nashville, TN)
- …communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & Customer Experience group. The ... and minimum of 2 years of experience in handling claims appropriately in accordance with the corporate claim philosophy,...trainees is adequate for their successful integration into the claims department, allowing them the ability to meet Key… more
- Sedgwick (Nashville, TN)
- …Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist - Bilingual Hindi, Japanese, Mandarin or more **We are looking for ... United States. **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement,… more
- Sedgwick (Nashville, TN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Folio Specialist SHIFT: Sunday 1pm-10pm EST; Monday, Tuesday, Thursday & Friday: 12pm-9pm EST ... OFF: Wednesday & Saturday **PRIMARY PURPOSE** **:** To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as a… more
- Travelers Insurance Company (Nashville, TN)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... Practices. Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage … more
- Sedgwick (Nashville, TN)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all … more
- HCA Healthcare (Nashville, TN)
- …for benefits may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure that we continue to provide all patients with ... apply! **Job Summary and Qualifications** Seeking a Clinical Denials Coding Review Specialist , who is responsible for applying correct coding guidelines and payor… more
- Sedgwick (Nashville, TN)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr. (Repair Solutions) **PRIMARY PURPOSE:** To review all estimates and ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...next round, a recruiter will be in touch. \#claimsexaminer # claims _As required by law, Sedgwick provides a reasonable… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Payor/Provider Enrollment **Job Summary:** JOB SUMMARY A payor enrollment specialist is responsible for tracking the process of enrolling healthcare ... of data/documents for providers and locations for them to successfully submit claims for payment. + Assures enrollment with outside affiliates by coordinating data… more
- CDM Smith (Bowling Green, KY)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Wellpath (Hendersonville, TN)
- …of care support. **How you make a difference** The Senior Medicaid Support Specialist provides guidance and technical support to field staff on Medicaid enrollment ... and helps coordinate efforts between operations, utilization management, and claims . Responsibilities include analyzing financial impacts, preventing unnecessary offsite… more
- WelbeHealth (Nashville, TN)
- **People Specialist (Assignment - Leave Experience)** WelbeHealth PACE helps seniors stay in their homes and communities by providing medical care and ... and aim to make a genuine difference in our participants' lives. The People Specialist , Leave Experience will work to foster a cohesive, caring experience for team… more
- HCA Healthcare (Nashville, TN)
- …We care like family! Jump-start your career as an Inpatient Coding Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package that ... Come join our team as an Inpatient Coding Resolution Specialist . We care for our community! Just last year,...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assists the… more
- Walgreens (Nashville, TN)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Intermountain Health (Nashville, TN)
- **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintains ... detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation. Responsible for… more
- CDM Smith (Bowling Green, KY)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (Bowling Green, KY)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- Stryker (Nashville, TN)
- **What You'll Do:** As our **Reimbursement and Market Access Specialist ,** you'll play a key role in ensuring patient access to our innovative IVS products by ... workflows. + 1+ year of experience reviewing and interpreting operative notes, claims **, EOBs** , and other clinical documentation. + Certified Professional Coder… more