- Zelis (Plano, TX)
- …Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, with a focus on various pricing methodologies including Medicare, ... This role involves leveraging data to ensure accurate and efficient claim processing, offer insights into contract performance, and communicate results to… more
- Allied Universal (Wake Forest, NC)
- ** Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …compensation, property, and casualty exposures. ORM is also responsible for managing all tort claims made against the state or any of its agencies, whether or not ... of Federal Regulations. ORM contracts with a third party administrator to provide claims adjusting and loss prevention services, however ORM retains its authority to… more
- Insight Global (Irving, TX)
- …is responsible for managing the end-to-end lifecycle of workers' compensation claims -from initial incident reporting through resolution and closure. This role ... facilitates communication between stakeholders, and supports risk mitigation strategies. Claims Management Oversee all phases of workers' compensation claims… more
- Robert Half Legal (Stone Mountain, GA)
- …an excellent opportunity to support the Workers' Compensation team in handling claims and providing administrative relief during a busy period. Ideal candidates will ... have relevant licensing and experience in claims adjustment, particularly in workers' compensation or similar areas. Responsibilities: * Assist in managing workers'… more
- South Middlesex Opportunity Council (Framingham, MA)
- …Vision Insurance available to full-time employees. + 403(B) Retirement Plan with a company match starting on day one for all full-time and part-time employees. + ... Employee Assistance Program, Tuition Reimbursement and more. Primary Responsibilities: + Submit claims to payors, electronically or in paper form and verify receipt… more
- Robert Half Accountemps (Old Bridge, NJ)
- …be responsible for the medical billing process, accounts receivable, posting payments, insurance claims , and more. If you have 1+ years of experience as a Medical ... * Handle medical billing processes, including accounts receivable tasks, insurance claims , and denial management. * Review and analyze Explanation of Benefits… more
- Cook Medical (Bloomington, IN)
- …have a strong background in global risk management, alternative risk financing, and claims management, we want to hear from you. Responsibilities + Co-lead the ... and multi-year deals. + Support governance and performance of the company 's captive insurance operations, ensuring compliance and cost-effectiveness. + Manage… more
- Sedgwick (Tampa, FL)
- …confirming delivery of said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as ... ensuring that each referral is deemed medically necessary and approved by the claim 's adjuster. + Confirms all required and relevant billing information exists in… more
- Sedgwick (Dubuque, IA)
- …+ Ensures data integrity by accurately interpreting the leave and disability claims data coding hierarchy and applying the correct leave and disability codes ... into the payroll and time and attendance system. + Review reports for claim accuracy; processes and balances colleague time card file based on client's paid time off… more