- Aerotek (Hanover, MD)
- …+ Ensure adherence to polices for attendance and schedule. + Ensures that Claim Management team and adjudicates claims according to insurance industry standards, ... + Provides reporting on TPA efficiency benchmarks + Coordinates claim reviews and claim audits + Supports...Experience_ + 3+ years of experience (minimum) workers' compensation claims management or risk management experience preferred … more
- Cedars-Sinai (Los Angeles, CA)
- …Maintaining interim claim billing profile. + Generate regular reports on claims status, rejections, and payments for partners. + Address inquiries and provide ... definition, applications development and maintenance and enhancements for finance, claims processing, revenue management, and billing systems. Primary duties… more
- AIG (Atlanta, GA)
- …hire. What we're looking for: + 4 years previous auto or general liability claim experience preferred . + Excellent verbal and written communication skills + ... investigate, evaluate and resolve Commercial General Liability and Auto Liability claims . Provides exceptional customer service and commitment to bring assigned… more
- GE Vernova (Schenectady, NY)
- …to work cross-functionally and drive process improvements. + Knowledge of ERP or claim tracking systems is preferred (eg, SAP, Oracle). + Familiarity with ... (NAM) region. In this role, you will manage warranty claims with a focus on reducing cycle time, ensuring...timely processing and closure. + Drive reduction in warranty claim cycle time by identifying and eliminating process inefficiencies.… more
- Highmark Health (Lincoln, NE)
- …responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The incumbent will ... services and charges; will monitor internal referrals from sources such as claims , customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert… more
- Sedgwick (Irving, TX)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... . Licenses as required. Professional certifications as applicable to line of business preferred . **Experience** Six (6) years of claims experience or equivalent… more
- Sedgwick (Dublin, OH)
- …office or customer service experience required. One (1) year of benefits or claims management experience preferred . **Skills & Knowledge** + Knowledge of ERISA ... **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on medical documentation and the applicable disability… more
- Sedgwick (Long Beach, CA)
- … claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure ... business preferred . **Licensing / Jurisdiction Knowledge:** California workers compensation claim handling experience | SIP Certified **TAKING CARE OF YOU** +… more
- Sedgwick (Memphis, TN)
- … for multiple lines of business, including but not limited to, expediting the claims process and providing detailed claim notes on all calls, resolving issues ... Follows specifications in assisting with questions and solving problems related to the claims application and servicing processes. + Performs claim intake and… more
- TEKsystems (Silver Spring, MD)
- …appropriate write-offs. Key Responsibilities: + Review and follow up on aged hospital claims (180+ days) + Investigate claim status and determine resolution ... Collaborate with internal billing teams to correct and resubmit claims + Update claim status in the...+ Experience with Cerner or similar healthcare billing systems Preferred Experience: + Prior experience in medical billing, collections,… more