- CVS Health (Tallahassee, FL)
- …non-participating providers. Additionally, they will assist in creating bulletins, newsletters, and claim trainings to improve provider claims issues. as well as ... The ** Claim Field Analyst** works with the grievance and appeal and claims operations department to trend provider claim issues or concerns that could… more
- University of Rochester (Rochester, NY)
- … to obtain and verify insurance coverage. + Follows up on unpaid accounts working claims . + Reviews reasons for claim denial. + Reviews payer website or contacts ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits … more
- Sedgwick (Lansing, MI)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **LOCATION**...are contacted. + Resolves complex, high dollar, and specialized claim resolution issues due to coordination of benefits, eligibility… more
- NJM Insurance (Trenton, NJ)
- …to providing transparent, empathetic support and collaborative engagement during the life of a claim . The WC Claims Department takes pride in being a key ... NJM's WC Claims Department is seeking an experienced Claims...practices and company guidelines, and timely, accurate documentation of claim activity + Provide a high level of customer… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …compassion that they give to others every day. We're seeking a **Workers' Compensation Claims Adjuster** who shares our mission of caring for people - ensuring that ... every claim is handled with empathy, integrity, and attention to...**What You'll Do:** + Manage and resolve workers' compensation claims with compassion and fairness, from first report through… more
- Sedgwick (West Des Moines, IA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Recovery **Our teams connect! We collaborate in the ... financial and professional needs. **PRIMARY PURPOSE:** Processes and reviews subrogation claims across all lines of business and all jurisdictions within an… more
- Sedgwick (West Des Moines, IA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Recovery **Our teams connect! We collaborate onsite and ... financial and professional needs. **PRIMARY PURPOSE:** Processes and reviews subrogation claims across all lines of business and all jurisdictions within an… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. ... of 20-40 claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage application. This position will… more
- Walmart (Bentonville, AR)
- …improved claim outcomes. **Strategic Planning & Execution** - Implement claims strategies and key initiatives that drive operational excellence, reduces claim ... The Senior Manager of Workers' Compensation or General Liability claims is responsible for overseeing multiple claims ...teams of case managers. - Responsible for an annual claim cost spend of up to **$250,000,000** - Provide… more