- Sedgwick (Nashville, TN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** ... to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices and… more
- HUB International (Brentwood, TN)
- …leader is responsible for our team investigating and adjusting employee injury claims , benefit determination, wage replacement, and medical management for Texas ... and taking the action necessary to bring all assigned files to a reasonable resolution . **Job Responsibilities:** * Ensure that claims handling is conducted in… more
- Sedgwick (Nashville, TN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE - AR, KY, OK, and/or ... limits. + Manages the litigation process; ensures timely and cost effective claims resolution . + Coordinates vendor referrals for additional investigation and/or… more
- Sedgwick (Nashville, TN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex ... Claims & Litigation Experience Required **Must have experience with...through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the… more
- Sedgwick (Nashville, TN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation (Remote) **PRIMARY PURPOSE** : To ... agency. + Develops and coordinates low level workers compensation claims ' action plans to resolution , return-to-work efforts,... coding is correct. + May process low-level lifetime medical and/or defined period medical claims… more
- Sedgwick (Nashville, TN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Bodily Injury (Auto) **PRIMARY PURPOSE** : To analyze and ... process complex auto and bodily injury claims by reviewing coverage, completing investigations, determining liability and...and to move the file towards prompt and appropriate resolution . + Identifies and pursues subrogation and risk transfer… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… 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 ... severe/complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O … more
- Travelers Insurance Company (Nashville, TN)
- …claimants or their legal representatives. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff ... evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle… more
- Cardinal Health (Nashville, TN)
- …The AR Insurance Collector is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient ... for the organization. **_Key Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution and reimbursement. + Contact… more
- Cardinal Health (Nashville, TN)
- …appeals, providing documentation and support as needed. + Reviews and analyzes insurance claims for accuracy and completeness before submission. + Investigates ... insurance verification or related role preferred. + Advanced knowledge of medical insurance terminology, policies, and procedures. + Skilled in using EHR… more
- e CancerCare (Nashville, TN)
- …and relationship to patient care. Consults with appeals department for disputed medical necessity denied claims . Works and Understands electronic claim ... Job Purpose: The Insurance collector generates revenue by monitoring and pursing...interchange and the life cycle of the claims process. Ability to read and interpret electronic remittance… more
- USAA (Nashville, TN)
- …guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will ... + Partners with vendors and internal business partners to facilitate complex claims resolution . May also involve external regulatory coordination to ensure… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …The local "ecosystem approach" creates a unified focus among account management, medical , patient access and market access to engage local healthcare systems and ... expertise regarding products and the approved conditions they treat. Otsuka's Medical Science Liaison (MSL) will provide deep clinical expertise on-demand and… more
- Humana (Nashville, TN)
- …part of our caring community and help us put health first** The Resolution team handles all complaints for Humana, including formal grievances, appeals, inquiries ... the overall experience for our associates, members and providers. As the Resolution Team Operations Director (Director, Grievance and Appeals), you will be… more
- Humana (Nashville, TN)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Humana (Nashville, TN)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Humana (Nashville, TN)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Cognizant (Nashville, TN)
- …following benefits for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + ... Follow Up, you will make an impact by performing advanced level work related to resolution of hospital denials. You will be a valued member of the Cognizant team and… more
- Cardinal Health (Nashville, TN)
- …+ Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly resolves by follow-up & disposition. ... maintain optimal account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely… more