- Fallon Health (Worcester, MA)
- …as the initial investigator for provider appeals related to filing limit, claim denials, claim payment, retrospective referrals, administrative inpatient days ... Responsible for processing all incoming mail, as well as forwarding all initial claim submissions, claim adjustments, and other miscellaneous mail to appropriate… more
- Commonwealth of Pennsylvania (PA)
- …clerk to provide updates, concerns and pertinent consumer information. A Pennsylvania driver's license is required, CDL license is not. Work Schedule and ... Requirement: + You must possess a valid Pennsylvania driver's license . Condition of Employment: + No suspension of driver's...addresses the items listed below which relate to your claim . If you indicated you have no work experience… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …maintains risk reduction strategies, policies, and education; analyzes safety and claims trends; and provides expert consultation on potential liability and patient ... loss prevention strategies + Manage and evaluate safety and claims trend data to minimize economic and patient impact...program and must have a valid, active unencumbered Nursing license approved by the Georgia Licensing Board + **Knowledge,… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...Provide a copy of any required New York State license (s)/certificate(s). **Failure to comply with any of the above… more
- Humana (Springfield, IL)
- …including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals). + Work with internal ... resources and systems (eg, claims , reimbursement, provider enrollment) to provide Exceptional Experience in...requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with… more
- Breakthru Beverage Group (Minneapolis, MN)
- …and executing on all Safety related programs and policies. Manages the Workers Compensation claims and works to reduce the financial impact of claims in the ... company insurance carrier to reduce the financial impact of claims in the state. Ensure that all aspects of...all associates in driving positions for violations, suspensions, revoked license , etc. + **General Liability -** Files property damage… more
- Sedgwick (Honolulu, HI)
- …Insurance Marine Investigator **PRIMARY PURPOSE** **:** To perform detailed admiralty claims investigation and analysis through examination of the loss, collection ... or other stakeholders. + Runs and interprets formal background checks related to claims through online resources, evaluating the results as it relates to policy… more
- Veterans Affairs, Veterans Health Administration (Saginaw, MI)
- …insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year ... professional judgment and clinical decisions regarding medical service connection claims . Compensation & Pension exam reports solely utilizing CAPRI templates… more
- Rush Enterprises (San Antonio, TX)
- …changes, keeping detailed records of customer transactions, certificate requests, claim filing and answering questions regarding policies and explaining coverage. ... customers and insurance company regarding ongoing service, policy changes, claims and customer satisfaction. + Follow up on outstanding...+ Position requires Texas General Lines P & C license . Must be able to obtain license … more
- The County of Los Angeles (Los Angeles, CA)
- …related procedures. + Prepares and submits final documents for license revocations, decertification non-renewals and injunctions, maintaining liaison with district ... SELECTION REQUIREMENTS: One year's experience as a Health Facilities Evaluator I.* LICENSE : A certificate as a Registered Environmental Health Specialist issued by… more