- Sedgwick (Cedar Rapids, IA)
- …system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support ... : **At Sedgwick,** **caring counts** **. We're a global leader in claims management, and we're looking for experienced, compassionate professionals to join us… more
- WFF Facility Services (Knoxville, TN)
- …Job Objective Workers Compensation Analyst processes and manages Workers' Compensation claims , investigates claims , and promotes sound decisions regarding ... operational support to ensure the best possible outcomes for our associates and company . Essential Functions: This job description should not be interpreted as all… more
- Houston Methodist (Houston, TX)
- …clinical knowledge to reduce financial risk and exposure caused by front end claim edits and retrospective denial of payments for services provided. This position ... revenue cycle personnel, and payers to successfully clear front end claim edits, appeal clinical denials, and address customer service inquiries. Additionally,… more
- Love's Travel Stops & Country Stores (Oklahoma City, OK)
- …claimant if appropriate. + Develop a plan of action to monitor and accurately document claim details. + File new claims with proper carrier or state agency. ... **Benefits:** _* Fuel Your Growth with Love's - company funded tuition assistance program_ _* Paid Time Off * 401(k) - 100% Match up to 5% * Medical/Dental/Vision… more
- Sedgwick (Orlando, FL)
- …LTD Supervisor, LTD Manager, or Project Manager. + Negotiates settlement of appropriate claims within designated authority level. + Makes claim payments and ... Services & Insurance LTD Case Specialist-1 **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …office. This role will support the execution of Premera's corporate wide claim payment accuracy strategy through conducting claim audits, identifying trends ... billing investigation. This role requires a deep understanding of medical claims adjudication, coding compliance, and regulatory guidelines. You will be responsible… more
- Sedgwick (Orlando, FL)
- …department projects within the unit. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Maintains claim caseload; analyzes mid and higher-level disability claims to ... Services & Insurance WFA Team Lead **PRIMARY PURPOSE** : To assist with claims examiner workload management; to provide guidance, training and mentoring to claims… more
- Sedgwick (Bartlesville, OK)
- …PURPOSE** **:** Step into a vital role at the heart of the insurance claims process. As a Customer Experience Specialist, you'll be the first point of contact ... specifications in assisting with questions and solving problems related to the claims application and servicing processes. + Educates and informs the customer via… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Family Dollar (Chesapeake, VA)
- …party administrator or insurance broker Strong analytical skills related to investigations, claims strategies and claim reviews Excellent written and verbal ... responsible for managing and optimizing a portfolio of general and auto liability claims to reduce costs and improve outcomes. The successful candidate will work… more