- Sedgwick (Harrisburg, PA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- CDM Smith (Harrisburg, PA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- Sedgwick (Philadelphia, PA)
- …policies within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and ... Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple...operational expense check requests. + Queues claims for Managed Care; transfers payment allocations; and runs… more
- Sedgwick (Harrisburg, PA)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... recovery. + Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes client… more
- Highmark Health (Pittsburgh, PA)
- …and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Analyze and evaluate claim processes specific to professional, hospital, ambulatory surgical center, ... recover identified overpayments, performing a follow-up review to ensure that the claims were adjusted correctly, resulting in expected recovery/savings. + Perform … more
- Commonwealth of Pennsylvania (PA)
- …the Air Brake Restriction (L) removed. + Must possess a valid Medical Examiner 's Certificate in accordance with the Federal Motor Carrier Safety Regulations . ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....box below. 03 Do you possess an active Medical Examiner 's Certificate in accordance with the Federal Motor Carrier… more
- Commonwealth of Pennsylvania (PA)
- …employment. + This position requires employees to possess an active Medical Examiner 's Certificate in accordance with the Federal Motor Carrier Safety Regulations on ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....+ None 05 Do you possess an active Medical Examiner 's Certificate in accordance with the Federal Motor Carrier… more
- Commonwealth of Pennsylvania (PA)
- …Class B Commercial Driver's License. + Must possess a valid Medical Examiner 's Certificate in accordance with the Federal Motor Carrier Safety Regulations. ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....+ None 04 Do you possess an active Medical Examiner 's Certificate in accordance with the Federal Motor Carrier… more
- Commonwealth of Pennsylvania (PA)
- …Class B Commercial Driver's License. + Must possess a valid Medical Examiner 's Certificate in accordance with the Federal Motor Carrier Safety Regulations. ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....+ None 04 Do you possess an active Medical Examiner 's Certificate in accordance with the Federal Motor Carrier… more
- Commonwealth of Pennsylvania (PA)
- …Driver's License. + This position requires possession of a valid Medical Examiner 's Certificate in accordance with the Federal Motor Carrier Safety Regulations. ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....+ None 04 Do you possess an active Medical Examiner 's Certificate in accordance with the Federal Motor Carrier… more