- American Medical Association (Chicago, IL)
- …heading up an insurance operations team in a life and/or health insurance company, large brokerage or third- party administrator , required. + Experience must ... + Knowledge of customer service and call center processes; insurance administration and claims systems + Directly...and call center processes; insurance administration and claims systems + Directly manage relationships with TPA clients,… more
- MTA (New York, NY)
- …for the overall management of a staff of 2 people including the Sr Claims Administrator , 1 Analyst and approximately 7 consultants. + Responsible for the ... York, NY, United States Regular/Temporary: Regular Department: Office of Insurance & Risk Mgt Date Posted: Oct 28, 2025...and assess loss picks, ensuring accuracy in estimating future claims costs. Oversees OCIP claims and settlements… more
- Elevance Health (Tampa, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Elevance Health (Indianapolis, IN)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- University of Michigan (Ann Arbor, MI)
- …+ Support staff with tasks such as payroll deductions, guarantor changes, and insurance updates. **Charge and Work Queue Management** + Review and correct charge ... of contact for clinic staff, patients, and families regarding billing and insurance inquiries. + Obtain post-service authorizations and assist with appeals for… more
- Securitas Security Services USA, Inc. (Charlotte, NC)
- … claims in a timely manner, handling follow up inquiries from claims administrator + Compile and maintain personnel files; manage records retention ... all applicable regulations, laws, and company policies + Respond to unemployment claims and related inquiries + Assist with the coordination of Operations Center… more
- Access Dubuque (Dubuque, IA)
- …Functions:** + Answer customer inquiries on benefits plans + Process Medical/Dental Claims + Ability to learn/retain large amounts of technical information + ... _Most benefits start day 1_ + Medical, Dental, Vision Insurance + Flex Spending or HSA + 401(k) with...SISCO was established in 1980 as a boutique third-party administrator dedicated to the administration of unique, complex plan… more
- Florida Crystals Corporation (Baltimore, MD)
- …the Third Party Administrator (TPA), to review and monitor workers' compensation claims costs and develop plans to minimize active claims . WORK EXPERIENCES + ... as relevant consensus standards (eg, ANSI, NFPA). + Workers' Compensation Claims Management Experience. + Return-To-Work Program Management Experience. + Behavioral… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma… more
- Access Dubuque (Dubuque, IA)
- …and projects related to PPO and Provider Maintenance **Experience:** + Medical claims and customer service supervisor experience preferred **About SISCO:** SISCO was ... established in 1980 as a boutique third-party administrator dedicated to the administration of unique, complex plan...in Dubuque, IA. For the past decade, many Health Insurance Carriers and Payers have been quietly driving industry… more