- State of Massachusetts (Boston, MA)
- …questionable or difficult to determine. 7. Prepare accurate case notations within claims management system which contain accurate, specific, and sufficient facts ... * Claims Examiner/Job Service Representative I| Department of Family...Examiner/Job Service Representative I, who reports to the Senior Manager of Benefit Operations & Program Integrity is based… more
- CHS (Clearwater, FL)
- …related to claims and calls and provides feedback to their Manager . + Maintains up-to-date working knowledge on regulatory requirements associated with billing ... **Overview** ** ** ** Claims and Call Auditor (Call Center QC) -...with accuracy, and work with the MPS Call Center Manager /Supervisor/Team Lead and analyze the data for training purposes.… more
- Marriott (Bethesda, MD)
- …Claims Policy and Procedure Manual requirements. * Effectively utilize the Valley Oaks Claims System (iVOS) to manage all claims electronically. * ... offices in North America. In the absence of an Operations Manager , directly manages all the Claims Unit Managers and their technical staff , and administrative… more
- Marriott (Plano, TX)
- …caseloads vary based on the mix and complexity as determined by Claims Unit Manager .) **CANDIDATE PROFILE** **Education and Experience** _Required_ High ... and Procedure Manual requirements Effectively utilize the Valley Oaks System (iVOS) to manage all claims electronically...Valley Oaks System (iVOS) to manage all claims electronically Enter action plan notes/website notes into iVOS… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …process claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for all capitated & shared services accounts. This position is ... responsible for the accurate review, input & adjudication of claims using payment policies & methodologies that are consistent...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Waystar (Louisville, KY)
- …closely with User Experience team and Technology teams. The Sr. Product Manager will coordinate with key stakeholders in sales, marketing, design, development, and ... Working closely with internal and external resources to define system requirements that meet changing market needs and ensure...is trusted by 1M+ providers, 1K+ hospitals and health systems , and is connected to over 5K commercial and… more
- Sedgwick (West Des Moines, IA)
- …and schedules; follows up to ensure timely payment. + Processes recoveries into various claims systems to ensure the recovery dollars are applied to appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Recovery **Our teams connect! We collaborate...world's most reputable brands + An assigned mentor and manager who will guide you on your career journey… more
- Sedgwick (West Des Moines, IA)
- …and schedules; follows up to ensure timely payment. + Processes recoveries into various claims systems to ensure the recovery dollars are applied to appropriate ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Recovery **Our teams connect! We collaborate...world's most reputable brands + An assigned mentor and manager who will guide you on your career journey… more
- DoorDash (Tempe, AZ)
- …injury and property damage claims are required. You will report to the Insurance Claims Manager and work a hybrid schedule at our Tempe, AZ office. During ... company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for forward… more
- Elevance Health (Mendota Heights, MN)
- **Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering collaboration ... within a commutable distance from an office._ The **Director II, Digital Claims Operations** oversees a combined digital and operations unit(s); executes strategies… more