- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** Under the direct supervision of the Safe Choice Claims Manager the Claims Adjuster is responsible for the review, analysis and processing of ... Provide and Coordinate training with HR team4. Work with Claims Manager for improvements in processes to...payroll and for all approvals of medical bills per claim file.Pay and process claims within designated… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Recovery Manager is responsible for leading the recovery operations within the MSO Claims department. This ... as well as enhance controls to prevent future payment errors. The Recovery Manager works in close coordination with internal audit, provider dispute resolution, and… more
- AAA Mid Atlantic (Cincinnati, OH)
- … to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures. + ... is processed with carrier, providing accurate and timely claim information. + Continuously monitor claims until...the insurance carrier. Report any potential issues with a claim to the client's Account Manager and… more
- Geisinger (Danville, PA)
- …providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and ... how to phrase physician queries. + Assists the Coding Quality and Professional Manager with training of new coding staff related to hospital and professional coding… more
- MTA (New York, NY)
- …Agency Protective Liability (AAPL) and Premises claims are accurately entered into the claims system . + Process and settle subrogation claims on behalf ... all requests and assist with the preparation of all claim reports. + The Claims Specialist is...assigned. Required Qualifications: Required Knowledge/Skills/Abilities: + Experience with varied Claims Management and RMIS Systems + Thorough… more
- CommonSpirit Health (Englewood, CO)
- …and/or certification required. **Job Summary** Responsible for Professional Billing and Claims applications and systems , from identification and implementation ... opportunities by participating in feasibility studies, time and cost estimates, system upgrades, updates and revisions, maintaining awareness of current software… more
- Zurich NA (Schaumburg, IL)
- …strategic direction + Leverage AI and machine learning technologies to automated and streamline claim system processes + Drives the execution of a number of ... or product development area Preferred Qualifications: + P&C - Commercial Insurance, Claims system experience desired + Practical experience utilizing Microsoft… more
- Sedgwick (Cleveland, OH)
- …Contacts the customer by telephone, written correspondence and/or the claims system regarding documentation required to process a claim , required time frames ... Bilingual Spanish and Brazilian Portuguese , Customer Service and Claims Positions **Are you looking for an impactful job...world's most reputable brands + An assigned mentor and manager who will guide you on your career journey… more
- Axis (New York, NY)
- …risk assessments to support decision-making processes. + Keeping precise records of claim activities and promptly updating systems with allrelevant details ... The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength...expression. + Showcase skill as a litigator or litigation manager , well-versed in dispute resolution. + Write coverage letters… more
- ADP (San Dimas, CA)
- …is hiring a ** Claims Lead Examiner** . **_RESPONSIBILITIES:_** + Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO ... that could be problematic and take steps along with Claims Manager to take steps to develop...modeling, and metrics, data analytic tools and HRIS and claims systems . + Requires comprehensive knowledge of… more