- ZOLL Medical Corporation (Broomfield, CO)
- …and/or prepare claims packets for payers in accordance with payer specific claim requirements. 12) Screens for clean claims submission pursuant to payer ... as well as compliant coding and billing with appropriate payer claims specifications and accompanying documentation. This position performs demographic and medical… more
- Festival Foods (WI)
- …programs related to various lines of insurance are fully utilized. + Review company policies and emerging trends within claims to determine coverage and ... ) CLAIMS MANAGEMENT + Oversees and ensures execution of a comprehensive claims management program that aligns with company standards as well as local,… more
- MAPFRE Insurance (Webster, MA)
- … and policy data. With the graph analytics, the relationship among the claim , the insured, their policy, previous fraudulent claims , are detected. Later, ... Analytics Date: Oct 3, 2025 Location: Webster, MA, US Company : MAPFRE MAPFRE Insurance is offering a unique opportunity...Claims team finally makes the decision about the claim . 2. A Policy Life Expectancy model, which predicts… 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
- Highmark Health (Dover, DE)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... ** Company :** Highmark Inc. **Job Description :** **JOB...and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES**… more
- Robert Half Accountemps (Rochester, NY)
- …accounts receivable processes and collection strategies. * Expertise in appeals and claim administration to address denied claims effectively. * Advanced skills ... role in managing billing operations and ensuring accurate processing of medical claims . This opportunity is ideal for professionals with a strong background in… more
- Access Dubuque (Dubuque, IA)
- …under ADA, state, and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims or makes a recommendation ... Galleria Officentre Southfield MI 48034 **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures… more
- Access Dubuque (Dubuque, IA)
- …under ADA, state, and/or client requirements for a qualifying condition. * Makes claim determinations to approve non-complex ADA claims or makes a recommendation ... Ingenuity Dr Orlando FL 32826 **PRIMARY PURPOSE:** To process claims and determine accommodation options following written guidelines and...Location Dubuque, IA Job Type Employee Full/Part Full Time Company ID 8326 Job REQ # R66424 \# Positions… more
- Access Dubuque (Dubuque, IA)
- …PURPOSE** The Senior Disability Representative is responsible for overseeing complex disability claims with a high level of autonomy and expertise. This role ... benefits eligibility, process timely payments and approvals, and manage claims involving comorbidities, concurrent plans, and ADA accommodations. The position… more
- Sedgwick (Sun Prairie, WI)
- …litigation support to the legal department; to prepare status reports related to claims against the Company ; to conduct initial investigation of claims ... reports to assist legal counsel in analysis of E&O claims to meet client specific, program or company...utilizing information technology to obtain information regarding the underlying claim . + Assists with reporting appropriate claims … more