- Molina Healthcare (NE)
- …is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it ... applied to the appropriate modules within the core processing system (QNXT). * Conducts focal healthcare Medical claim...+ Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using… more
- Molina Healthcare (Iowa City, IA)
- …combination of education and experience **PREFERRED EXPERIENCE:** 3+ years of experience in claims as Adjuster or claims examiner in the healthcare ... * Apply previous experience and knowledge to verify accuracy of updates to claim /encounter and/or system update(s) as necessary. * Works with fluctuating volumes… more
- JB Hunt Transport (Lowell, AR)
- …This includes setting up and assigning claim files to the appropriate Claims Examiner , establishing initial financial reserves based on early findings, and ... **Job Title:** Sr Casualty Claims Intake Representative **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... organizations, insurance marketing organizations, and employers. One core service, claims administration, is where submissions for payment/reimbursement/sharing from medical… more
- Marriott (Bethesda, MD)
- …Claims Policy and Procedure Manual requirements. * Effectively utilize the Valley Oaks Claims System (iVOS) to manage all claims electronically. * ... and/or responsibilities. The Senior Director acts as a liaison between claims department and operations promoting service excellence through education, training, and… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County, CA Job Type Full time Job Number P4886A-R Department MEDICAL EXAMINER Opening Date 10/09/2024 Closing Date Continuous + Description + Benefits + ... subject to closure without prior notice. About the Medical Examiner : The Department of Medical Examiner investigates...as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- The County of Los Angeles (Los Angeles, CA)
- …County, CA Job Type Full time Job Number P4887E-R Department MEDICAL EXAMINER Opening Date 10/16/2023 + Description + Benefits + Questions Position/Program ... Information DEPARTMENT OF MEDICAL EXAMINER -CORONER EXAM NUMBER: P4887E-R TYPE OF RECRUITMENT: Open Competitive...as spam/junk/clutter mail. Los Angeles County will not accept claims of not receiving assessment invitations as a reason… 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)
- …an office environment at a computer workstation using different desktop computer systems , a multi-line telephone system and extensive radio communications ... other business/educational software preferred. + Experience using multi-line phone systems preferred. + Previous experience in public safety dispatching preferred.… more
- Sedgwick (Fort Worth, TX)
- …Services & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; ... policies within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and… more