- AmeriHealth Caritas (Philadelphia, PA)
- …tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; + Research ... and/or provider appeals and grievance requests, including review of UM/ claim denial reasons, contract/regulatory rules, benefits, and documentation received on… more
- USAA (New York, NY)
- …Investigation Unit (SIU) referrals, when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity ... and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate… more
- Sedgwick (Albuquerque, NM)
- …repair estimates for heavy equipment and specialty vehicles involved in insurance claims . This role requires strong technical knowledge, analytical skills, and the ... to collaborate with repair facilities to ensure accurate and timely claim resolution. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Review photos, documentation,… more
- Cardinal Health (Tallahassee, FL)
- …the integrity and accuracy of revenue cycle operations. By auditing payments, claim history, and beneficiary documentation, this function helps validate claim ... or equivalent work experience, preferred + Knowledge of insurance billing, Medicare claims , and audit processes. + Familiarity with healthcare compliance issues and… more
- Robert Half Legal (Novato, CA)
- …legal industry by representing injured workers in their workers' compensation claims . The firm offers remote flexibility throughout California. Responsibilities: * ... Advocate for injured workers in their compensation claims * Manage a full caseload of ...Adobe Acrobat for document management and organization * Handle claim administration and complaint handling with detail-oriented and empathetic… more
- Norfolk Southern (Atlanta, GA)
- …now " **Date:** Nov 25, 2025 **Location:** Atlanta, GA, US, 30318 ** Company :** Norfolk Southern Corp. Requisition 39242: Rail Network Operations Intern - Spring ... is clear and up-to-date for reference by various teams. **Data Analysis of Labor Claims ** : Gather and analyze data on recurring union labor claims related… more
- APTIM (Santa Fe, NM)
- **Summary:** The Mid-Level Estimator supports the claims review process by generating accurate cost assessments for disaster-related property damage. This role ... federal policy and program guidelines. The Estimator works closely with claims reviewers, SMEs, and site inspectors to ensure consistency, documentation accuracy,… more
- Commonwealth of Pennsylvania (PA)
- …+ Supervise and manage store operations during shifts, ensuring adherence to company policies and procedures. + Lead, motivate, and manage a team of ... Help ensure compliance with all relevant laws, regulations, and company policies related to alcohol sales. + Collaborate with...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Sedgwick (Concord, NH)
- …Insurance Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up ... documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims...+ Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience… more
- SSM Health (MO)
- …denied claims by performing appeals and denial recovery procedures. Works denied claim lines and no response claims to resolve outstanding accounts. + ... an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to… more