- Ally (Austin, TX)
- **General information** **Ref #** 20948 ** Remote ?** No **Ally and Your Career** * Ally Financial only succeeds when its people do - and that's more than some cliche ... your opportunities be, too? **The Opportunity** The Fraud Investigations Senior Supervisor oversees a fraud investigation team, ensuring thorough and effective… more
- United States Fleet Forces Command (Kittery, ME)
- …related emergencies and incidents until replaced by a senior radiological control supervisor or manager. Requirements Help Conditions of employment Must be a US ... duty station to CONUS and OCONUS and may include remote or isolated sites. You must be able to...individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit… more
- Commonwealth Care Alliance (Boston, MA)
- 081730 instED-Information Technology **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be ... risk based contracts to identify areas of improvement - Evaluate clinical and claims information shared by prospects to identify patient population and services for… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …is hiring experienced **Healthcare Customer Service Specialists** to join our remote team! These roles support healthcare members, patients, and providers by ... and other requests + Assist members or patients with claims questions, billing inquiries, and account updates + Review...+ Escalate complex issues to the appropriate team or supervisor for resolution **Qualifications** + High School Diploma or… more
- Ryder System (Providence, RI)
- …claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... superior claim technical skills, past experience handling commercial auto claims and a comprehensive understanding of the related coverages . Superior… more
- Guidehouse (San Antonio, TX)
- …Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:** None ** REMOTE REMOTE REMOTE !** **Join Our Growing Medical Coding ... Team! All roles are 100% REMOTE .** As an organization experiencing exponential growth, we are...certified. At Guidehouse, coding is more than charts and claims - it's about making an impact. As a… more
- Brighton Health Plan Solutions, LLC (NC)
- About the Role The Claims Supervisor is responsible for supervising a staff of Claim Examiners and Claim Team Leads, 12-20 direct reports. The ... and training while promoting quality and superior customer service. The Claims Supervisor is accountable for identifying opportunities for enhancements… more
- Sedgwick (Seattle, WA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Austin, TX)
- …Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- Sedgwick (Annapolis, MD)
- …Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an opportunity to join a global industry leader where ... by investigating and gathering information to determine the exposure on the claim ; assesses damages; manages claims through well-developed action plans to an… more
- Sedgwick (Springfield, IL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Remote IL - Midwest Jurisdiction Are ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...coding is correct. + Refers cases as appropriate to supervisor and management. + Performs other duties as assigned.… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Remote AZ Are you looking for an ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...coding is correct. + Refers cases as appropriate to supervisor and management. + Performs other duties as assigned.… more
- Sedgwick (Rancho Cordova, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...coding is correct. + Refers cases as appropriate to supervisor and management. **QUALIFICATION** **Education & Licensing** **:** Five… more
- Sedgwick (Denver, CO)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. _As required by law, Sedgwick provides a ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability - Remote ...of the appeal. + Reviews reserve amounts on high-cost claims and claim over the authority of… more
- Integra Partners (Troy, MI)
- …focus on metrics. Salary: $65,000.00/annual JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The Claims Supervisor 's responsibilities include but are not limited ... Integra is seeking a results-oriented, dynamic, proven Claims professional, capable of managing a leading team...+ Health and wellness programs + Career development opportunities Remote Opportunities We are actively seeking new colleagues in:… more
- Adecco US, Inc. (Los Angeles, CA)
- … Claims Examiner positions located in Los Angeles CA 90045** **Job Title: Claims Examiner** **Location: Los Angeles CA 90045 ( Remote or Onsite)** **Hours: 8 ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Kelly Services (Orange, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... company. + Convenient dayshift timing (M-F, 8am-5pm PST). + Remote or on-site role. **What's a typical day as...including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim … more
- Cedars-Sinai (CA)
- …arise. **Department specific responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection ... may act in the absence of the lead and/or supervisor . This position may be cross trained in other...claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include… more
- Beth Israel Lahey Health (Charlestown, MA)
- …claims through the Epic Billing System.** **Works higher level of complexity specific claim edit work queue(s) daily and resubmit claims through the Epic ... billing system** **Works higher level of complexity External claim edits from Clearinghouse and resubmits claims ...claims /data problems that cannot be handled to the Supervisor /Manager within one (1) day of identifying the problem.**… more
- Zelis (St. Petersburg, FL)
- …the personal interests that shape who you are. Position Overview The Sr. Supervisor , Clinical Chart Review is focused on supervising a team of Clinician's performing ... clinical reviews of facility claims , including UB's, Itemized Bills and medical records, to...records, to verify billing accuracy and clinical appropriateness. The Supervisor will be responsible for monitoring the Clinical Reviewer's… more
