- Sedgwick (Dublin, OH)
- …system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support ... **_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now,… more
- Sedgwick (Cedar Rapids, IA)
- …Sr **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Sedgwick (Raleigh, NC)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client… more
- USAA (Philadelphia, PA)
- …using technology and desk adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to physically inspect ... accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Applies proficient… more
- Bluestone Physician Services (Stillwater, MN)
- …Salary will be commensurate with experience. Responsibilities : + Review and resolve all claims errors before claim is submitted for payment + Review and ... the Revenue Cycle Specialist performs duties related to full claims processing from submission through payment. This includes but...effectively troubleshoot all known claim denials and rejections, follow up with insurance providers… more
- Covenant Health Inc. (Knoxville, TN)
- …time management. + Review patient accounts for resolution- check status with insurance company for billed claims that have not processed & determine what ... quality standards. + Responsible for facilitating communication between insurance company and the patient to resolve issues holding up...departments in order to correct any issues with billed claims to ensure correct billing and proper claim… more
- Alight (IN)
- …with preferred in occupational health field. + Preferred experience in disability claims management or Workers Compensation claim management. + Dedicated to ... **Our story** At Alight, we believe a company 's success starts with its people. At our...as a clinical consult nurse to our non-clinical disability claim examiners. This role provides clinical expertise and guidance… more
- Hendrick Automotive Company (Kansas City, MO)
- …Kansas City, Missouri 64114 Summary: Responsible for preparing records, reconciling warranty claims , and submitting warranty claims to the factory and ... distributors in accordance with Company guidelines. Supervisory Responsibilities: This job has no direct supervisory responsibilities. Essential Duties and… more
- Sedgwick (Frisco, TX)
- …questions and issues in accordance with designed guidelines and policies. + Communicates claims status and current claim activity with client and appropriate ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...medical contact; responds to inquiries about jurisdiction- and claim -specific issues. + Enters data into claims … more
- GuideOne Insurance (West Des Moines, IA)
- …you will be responsible for the full adjustment of first party commercial lines claims . In this role, you will be primarily accountable for overseeing large loss ... claims within the non-profit, church, education centers and niche...damages, making coverage recommendations and total value determinations, negotiating claim settlements and analyzing all necessary investigative documentation. +… more