- MAPFRE Insurance (Webster, MA)
- …Physical Damage (Express/Glass)** to lead our fast-paced Express and Glass Claims Units and oversee post-training deployment for staff entering the Physical ... on operational excellence, transformation, and talent development-ideal for a seasoned claims professional ready to drive innovation and elevate customer experience.… more
- Commonwealth of Pennsylvania (PA)
- …training. Special Requirements: + You must possess a valid Pennsylvania Driver's License . + Employee entering this classification must obtain a Commercial Driver's ... License that permits the operation of vehicles of 26,000...Select the "Level of Performance" which best describes your claim . + A. I have experience monitoring the physical… more
- The County of Los Angeles (Los Angeles, CA)
- …five (5) years, administering or adjusting California workers' compensation indemnity claims , -AND- possession of a valid California Self Insurance Certification of ... by passing the California State Self Insurance Plans exam. License A valid California Class C Driver License...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Northern Light Health (Brewer, ME)
- …Light Health. Position is focused on financial accuracy in billing and claims . Auditing and reconciling departmental charges, analyzing claim denials, and ... charges and reimbursement. + Works across teams to resolve claim denials. + Use Pharmacy Pricing Policy to determine...MOs. + Other Duties. Other Information: + Pharmacy Technician License with Maine Board of Pharmacy. + Certified Pharmacy… more
- Allied Universal (Colorado Springs, CO)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic...are available** **!** + **Must** **possess** **a valid driver's license with at least one year of driving experience**… more
- State of Georgia (Fulton County, GA)
- …across both program areas. + Troubleshoot and resolve escalated GHVP claims -related issues, including payment denials, corrections, and recoupments. + Review weekly ... GHVP claim reports and ensure timely resolution of any issues....licensure. Note: Some positions may require a valid driver's license . Additional Information + Agency Logo: + Requisition ID:… more
- CVS Health (Madison, WI)
- …areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to ... Wheelchair DME consultant include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the… more
- Avera (Sioux Falls, SD)
- …Verifies, submits and adjudicates patient billing information, submits necessary claim forms and reconciles accounts receivable remittances appropriately and ... accounts. Additional responsibilities include verifying and correcting billing input for claim processing and reconciles Point of Sale cash flow. A successful… more
- Geisinger (Danville, PA)
- …reimbursement or recovery recommendations based on PI team's review of claims for appropriate coding, billed statistics, policies, industry standards and compliance ... Abuse and Program Integrity audits. + Responsible for Key Performance Indicators including claim edit and claim audit savings, dollars at risk, overpayment… more
- Auffenberg Dealer Group (Shiloh, IL)
- …pleasure in walking clients through their policy options and helping them settle their claims as quickly and efficiently as possible? If so, we urge you to apply ... and future needs * Deliver policy proceeds after a claim is filed and approved * Communicate with Insurance...* 3+ years' experience in insurance sales * P&C license ideal; but not required - training is available… more