- New York State Civil Service (Endicott, NY)
- …13760 Duties Description * Manage the day-to-day duties as a medical only Case Manager in the NYS Segment.* Work-up and process Workers' Compensation claims .* ... via phone and email.* Routinely communicate with employers to obtain info about claims .* File forms and correspond with the Workers' Compensation Board.* Review … more
- UCLA Health (Los Angeles, CA)
- …reviewing treatment progress, recommending medical treatment interventions to the third-party claims examiner , and ensuring compliance with applicable workers' ... Description Under the direction of the Workers' Compensation Analyst and department manager , you will manage workers' compensation claims by supporting employees… more
- Point32Health (Canton, MA)
- …Pre-Payment Fraud Waste & Abuse ("FWA") investigations under the direction of the Manager , FWA Prepayment Review. The Investigator I works closely with other members ... involving existing and upcoming FWA schemes. + Handling substantial prepayment claims including extensive administrative tasks, review of medical records, and… more
- Option Care Health (Bannockburn, IL)
- …summarize and communicate complex findings effectively. Reporting to the Senior Manager , Compliance Auditing, Monitoring and Analytics, this individual assists in ... to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance activities and to identify… more