- Travelers Insurance Company (Charlotte, NC)
- …reserving, negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …claims and 1151 claims , reporting data as indicated to the Tort Claim Information System (TCIS) and is the primary liaison with Regional Counsel in matters ... of the Medical Centers Quality Management Program: Tort and Other Claim Reviews Coordinates peer and administrative reviews subsequent to notification of … more
- UNC Health Care (Rocky Mount, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payers, having claim edits, and/or having ... charge corrections, payment corrections, writeoffs, refunds or other methods. 3. Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope… more
- Travelers Insurance Company (Raleigh, NC)
- …Openings** 1 **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader ... externally. + This position will oversee the following key areas: + Medical Claim Product Research, Strategy and Innovation: + Design and direct innovative,… more
- Sedgwick (Greensboro, NC)
- …Canadian French **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- CVS Health (High Point, NC)
- … * Follow validation instructions provided by our constituents to properly review ACAS claims for overpayment * Utilize GPS for claim review * Utilize SCM ... **Position Summary** This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and validate claims… more
- ProTrain (Raleigh, NC)
- …systems and related medical terminology in order to properly process clean claims . + Utilize the ICD‐10-CM manual, including V codes, E codes, and the Neoplasm ... for an experienced Live Online instructor with experience teaching Medical Billing & Coding. Candidates must have experience teaching...Identify solutions for denied and rejected paper and electronic claims . + Identify when a paper claim … more
- UNC Health Care (Chapel Hill, NC)
- …outstanding insurance claims follow up for no response from payors, and/or claim denials. + Works physician claims ("professional billing"). + Maintains A/R ... at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . + Performs all duties in a manner which promotes teamwork and reflects UNC… more
- CDM Smith (Raleigh, NC)
- …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
- Lowe's (Mooresville, NC)
- …+ Experience with RMIS platforms (eg, Riskonnect, Origami, Ventiv) and legal or claims systems. + Understanding of litigation processes, claim life cycles, and ... This is a hybrid role, responsible for collecting, structuring, and analyzing claims and litigation data with a focus on general liability, premises liability,… more