- UPMC (Williamsburg, PA)
- …received at the office via computer reports. + Review payment listings from intermediaries and insurance companies for paid claims and also for unpaid claims ... upon the direction of the Business Office Manager. Discuss claims with CCC personnel as needed. Notifies CCC of...payments and initiation of secondary billings. + Demographic & insurance data including authorization numbers must be obtained from… more
- Sedgwick (Erie, PA)
- …efficient claim processing. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, claims forms, policies, endorsements, carrier ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance French Speaking Desk Adjuster - Remote **_Bilingual/French Speaking Desk Adjuster_**… more
- Sedgwick (Erie, PA)
- …and relatively complex National Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine ... insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant(s) and witnesses… more
- Sedgwick (Harrisburg, PA)
- …further claims handling. + Interviews practitioners involved in medical malpractice claims at hospital facilities weekly as needed. + Participates in ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Consultant Sr - Professional Liability **Prior Legal Nurse Consulting expereince… more
- Western Digital (Harrisburg, PA)
- …and recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review ... is exposed) through supervision and coordination of loss prevention, asset protection, insurance , and claims control. Domestic and/or international travel may be… more
- Sedgwick (Pittsburgh, PA)
- …: To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Executive General Adjuster (Remote in PA or NY)...claimant and witnesses regarding claim. + Consults police and hospital records; and inspects property damage to determine extent… more
- University of Pennsylvania (Philadelphia, PA)
- …are complete; perform investigations under direction of in-house counsel or hospital peer review committees; complete regulatory reporting within the required ... necessary. + Performs investigations pursuant to direction of in-house counsel or hospital peer review committees, often followed by written reports, of adverse… more
- Prime Healthcare (Bristol, PA)
- …committed to our core values of quality, compassion and community! Lower Bucks Hospital , a member of Prime Healthcare, offers incredible opportunities to expand ... a community dedicated to making a difference. Lower Bucks Hospital is a community hospital , serving the...staff, as well as another 700 employees. Responsibilities The Insurance Biller is responsible to bill all insurance… more
- Genesis Healthcare (PA)
- …insurances such as: *Pet Insurance *Term and Whole Life Insurance *Short-term Disability * Hospital Indemnity *Personal Accident *Critical Illness *Cancer ... maximizing revenue to meet Genesis HealthCare Business Excellence goals. *Ensure claims /bills are produced according to payor and regulatory requirements to assure… more
- Humana (Harrisburg, PA)
- …an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider disputes in a ... this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus… more