- Plante Moran (Southfield, MI)
- …as of date of death Settlement of all debts and payment of all valid claims and costs of administration Distribution of assets pursuant to the terms of the Trust ... and collective development, but also encourage individuals to work with their supervisor and team to determine their optimal working environment each day. Plante… 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...to: * Leading a team consisting of 15+ claims representatives * Responsible for real time management of… more
- Sedgwick (Troy, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability - Troy, MI - Hybrid Are you looking for an ... : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. + Performs other duties as assigned.… more
- Sedgwick (Detroit, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an ... the same assisting our public entity clients with their claims ! If you are an agile multi-line examiner with...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Southfield, MI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation **PRIMARY PURPOSE** : To analyze complex or ... technically difficult workers' compensation claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Rock Family of Companies (Detroit, MI)
- As a Security Supervisor , you'll lead and inspire a team to create and maintain safety and security for all guests and team members while delivering unparalleled ... and comfort of all team members and guests + Investigate loss claims , conduct special investigations and surveillance for property operators when requested,… more
- McLaren Health Care (Shelby Township, MI)
- …insurance data is entered utilizing the conventions required to produce correct claims and HIPAA compliant transactions, and that services are financially screened. ... 2. Coordinates review of emergent inpatient admissions, ensuring that precertification and concurrent review requirements set forth by third party payers are met in a manner to prevent denials and avoid the need for appeal. Coordinates financial counseling… more
- Sedgwick (Detroit, MI)
- …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
- Trinity Health (Farmington Hills, MI)
- …problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Command Investigations (Detroit, MI)
- …premier servicer for insurers and defense attorneys throughout Michigan, and our Assigned Claims Plan (ACP) unit is actively expanding to meet the increasing demand ... medical, wage loss, attendant care, replacement service and survivorship claims generated through the Michigan Assigned Claims ...direction of, and to the standards set by, their supervisor . Investigators will be required to record all… more
- Acosta Group (Southfield, MI)
- …clean and secured in the agreed upon area of the backroom. * When Supervisor is absent, communicate with store management about the upcoming events and the execution ... of past events in their store. * When Supervisor is absent, be the point person for all...the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related… more
- Trinity Health (Farmington Hills, MI)
- …problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... recommendations for resolutions of the issues and findings for the supervisor . Resolves independently or escalates issues affecting customer complaints and issues… more
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the...Administration, preferred. + Ability to communicate effectively with colleagues, supervisor , and manager. + Ability to work independently. +… more
- Walgreens (Sterling Heights, MI)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Chesterfield, MI)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient… more
- Henry Ford Health System (Troy, MI)
- …area, coaching team members on account resolution workflows, and assisting the supervisor with team management. The Sr. Specialist confirms the accuracy and ... completeness of patient financial, insurance and demographic information to ensure compliant claims are sent to payers. The Sr. Specialist works independently to… more
- CVS Health (Detroit, MI)
- …* Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... to clinical resources and other interdisciplinary team members. * Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more
- AmeriHealth Caritas (Detroit, MI)
- …more about us at www.amerihealthcaritas.com. **Role Overview: ;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages ... treatment plans. + Address service issues and assist with provider or claims -related problem-solving. + May oversee tasks assigned to other licensed or unlicensed… more
- Elevance Health (Dearborn, MI)
- …service as required. + Conduct business in a professional manner. + Troubleshoot claims issues. + Investigate and research to resolve customer complaint problems and ... ethical manner. + Actively assess work area for non-compliance issues and notify supervisor or call Ethics Hotline. + Adhere to compliance training requirements and… more
- BorgWarner Inc. (Auburn Hills, MI)
- …Customer Focus: o Monitor and track customer complaints and warranty claims to identify recurring issues.o Support root cause analysis using structured ... possible dangerous situations, incidents, or occurrences to the immediate supervisor .Equal Employment OpportunityBorgWarner is an equal employment opportunity employer… more
