- Sedgwick (Long Beach, CA)
- … claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | Long Beach, CA (Hybrid) | SIP Required Are you… more
- Mom's Meals (Ankeny, IA)
- …medical administrative assistance, or healthcare finance + Previous experience with electronic claims , such as electronic 835/837 claim and remit files, Zirmed, ... performing specified financial tasks in support of the day-to-day operations of the Billing/Revenue Cycle Department.We're looking for someone...drive collections, is a team player, and ensure every claim is handled with care and urgency. PTO and… more
- CVS Health (Franklin, TN)
- …member's rights and responsibilities in accordance with contract. + Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), ... Assists in preparation of complaint trend reports. + Assists in compiling claim data for customer audits. + Determines medical necessity, applicable coverage… more
- TEKsystems (Earth City, MO)
- …mechanic looking to shift gears in your career? We are seeking a Mechanical Claims Specialist to join our expanding customer contact team. In this role, you'll ... expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace, allowing you to… more
- Houston Methodist (Houston, TX)
- …ESSENTIAL FUNCTIONS** + Partners with revenue cycle leadership and peers and clinical operations to reduce denials. This includes reviewing claim edits and ... clinical knowledge to reduce financial risk and exposure caused by front end claim edits and retrospective denial of payments for services provided. This position… more
- Montana State University (Bozeman, MT)
- …### Classification Title Culinary Svcs Mgr I - BZ Working Title Warehouse Operations Manager Brief Position Overview Culinary Services is looking for motivated team ... relax. The division is comprised of 2 residential dining halls, 9 retail operations , Brick Breeden Fieldhouse and Bobcat Stadium Concessions, Fork in the Road food… more
- Generac Power Systems (South Portland, ME)
- …solutions company, we continue to push new boundaries. The Service Operations Specialist III contributes to Generac's next-level customer support with effective ... KPI reporting, fleet process development and implementation, expedient warranty claim and RMA processing, Service Dealer management, and proactive campaign… more
- Sysco (Tolleson, AZ)
- …Provide on-going guidance and feedback to Sysco facilities on appropriate documentation and claim mitigation practices. + 10%: Prepare claims packet in Sysco ... and optimal ordering patterns. + Partner with Supply Chain Inventory Management, Operations , and 3rd party carriers to provide resolution on Inbound Logistics… more
- UPMC (Pittsburgh, PA)
- We are seeking highly skilled Claims Operations Specialists to join our dynamic team. This role is responsible for processing medical claim adjustments and ... contributing to the overall accuracy and integrity of our claims processing operations . This position will work... and adjustments in a timely manner (project reports, claim adjustment pends, corrected claims , CUT logs)… more
- USAA (Orlando, FL)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes… more