- Alight (IN)
- … in occupational health field. + Preferred experience in disability claims management or Workers Compensation claim management. + Dedicated to providing ... examiners as they manage short- and long-term disability claims . Using MDGuidelines, which is the gold standard in...Serve as primary clinical resource on a team of claim examiner managing medical disability and accommodation… more
- Alight (IN)
- … in occupational health field. + Preferred experience in disability claims management or Workers Compensation claim management. + Dedicated to providing ... examiners as they manage short- and long-term disability claims . Using MDGuidelines, which is the gold standard in...Serve as primary clinical resource on a team of claim examiner managing medical disability and accommodation… more
- Sedgwick (Orlando, FL)
- …Services & Insurance WFA Team Lead **PRIMARY PURPOSE** : To assist with claims examiner workload management; to provide guidance, training and mentoring to ... department projects within the unit. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Maintains claim caseload; analyzes mid and higher-level disability claims to… 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
- Blue KC (Kansas City, MO)
- …conducts reviews to identify potential fraud, waste, and abuse (FWA) and claim overpayments. Assigned cases and projects are generally of moderate complexity and ... reports to key stakeholders (eg, Provider Relations, Medical Management, Pharmacy, Claims , Legal) + Assist in coordinating responses to subpoenas and preparation… more
- City of Bellingham (Bellingham, WA)
- …medical dispatch facility with Computer Aided Dispatch. + Prior supervisory experience preferred . + An Associate's degree or two years of equivalent higher education ... preferred . + Prior experience as a Communications Training Officer preferred . Necessary Special Requirements + Employment contingent upon passing a criminal… more
- City of Bellingham (Bellingham, WA)
- …database management, desktop publishing programs or other business/educational software preferred . + Experience using multi-line phone systems preferred . ... by the date/time you apply.) If you wish to claim Veterans' Preference Points, please complete the Veterans Scoring...a protest may be filed in writing with the Examiner within five (5) days following the date of… more
- Sedgwick (Fort Worth, TX)
- …policies within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and ... Licensing** High School diploma or GED required. Associate degree preferred . **Experience** Two (2) years of claims ...degree preferred . **Experience** Two (2) years of claims management or insurance experience or equivalent combination of… more
- Sedgwick (Columbus, OH)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... recovery. + Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes client… more
- Health Care Service Corporation (Chicago, IL)
- …Accredited Health Care Fraud Investigator + Certified Professional Coder + Certified Fraud Examiner + Knowledge of health care claims processing and benefit ... tools and techniques to conduct detailed investigations of potentially fraudulent claim activity by members, employees and providers, both internally and externally… more