- IQVIA (Phoenix, AZ)
- …responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should ... **Patient Support Medical Claims Processing Representative** _Remote Role - Location...documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining… more
- Sedgwick (Roseville, CA)
- … claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim ... Data Entry * Medical Terminology ( preferred ) * Computer Recordkeeping programs ( preferred ) * Prior claims experience ( preferred ) Additional helpful… more
- Southern California Edison (Rosemead, CA)
- …help us build the future? **Responsibilities** + Manages a complex workers' compensation claim caseload. May handle catastrophic claims as assigned + May conduct ... the Clean Energy Revolution Become a Senior Workers' Compensation Claims Adjuster at Southern California Edison (SCE) and build...reserves based on the ultimate probable cost of the claim and in accordance with the state of California… more
- Amrize (Chicago, IL)
- … nationwide. + Experience in claims handling required. + Construction industry claims knowledge preferred . + Successful candidates must adhere to all safety ... Claims Manager Requisition ID: 14597 Location: Chicago, IL,...and trials as needed. This requires close coordination of claim management strategies with defense counsel and the Legal… more
- Sedgwick (Rochester, NY)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Adjuster| Remote Are you looking for an opportunity to join a… more
- Zurich NA (Schaumburg, IL)
- … claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful ... professionals. + Provide clear, timely communication to customers and stakeholders throughout the claim process. + Ensure claims are handled in accordance with… more
- Sedgwick (Philadelphia, PA)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Philadelphia, PA (Hybrid) | Dedicated Client | PA… more
- Cedars-Sinai (CA)
- …surgery claims required. Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred ) preferred . **About Us** ... **Job Description** The Claims Examiner is responsible for accurately and consistently...scanned, EDI, or manual documents for pertinent data on claim for complete and accurate information. + Acquires daily… more
- Sedgwick (Charleston, WV)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | Dedicated Client | VA, NC, SC, KY, WV Jurisdictional… more
- Sedgwick (Erie, PA)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | MD, VA & NJ | Dedicated Client Are you looking for… more