- Travelers Insurance Company (Milpitas, CA)
- …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… more
- GAF (Parsippany, NJ)
- …internal business partners in connection with technical instructions, warranty coverage, warranty claim initiation, and claim status. This position will provide ... in a call center environment + Assist customers by opening new warranty claims upon request + Ability to resolve inquiries regarding GAF's published application… more
- US Tech Solutions (Columbia, SC)
- …medical claims review and utilization review practices: Performs medical claim reviews and makes a reasonable charge payment determination. Monitors process's ... protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. **Responsibilities:** + 80% May provide any of the… more
- BrightSpring Health Services (Valdosta, GA)
- …remits for denial reasons and experience with State Billing Portal sites, preferred .* Experience in filing claim appeals with insurance companies to ... accounts list, code and comment prior to monthly Critical Account call.* Rebill claims for any outstanding AR that is collectible. Provide detail comment in aging… more
- CVS Health (Hartford, CT)
- …work environment that encourages continuous professional growth. As part of the AT Claim Organization, you will be responsible for managing a team of software ... developers supporting our Claim applications. The Claim Organization is accountable...growth mindset (agility and developing yourself and others) skills ** Preferred Qualifications** + Software Engineering Master Certification (SEMC) +… more
- CVS Health (Blue Bell, PA)
- …hours at least one week a month. + Support the process of setting large claim accruals for each monthly financial close based on the monthly accrual schedule and ... estimates. + Support the communication with business partners in Claim Ops, Finance, and MEU to incorporate feedback into...well as provider discounts to apply to billed large claims . + Ad-hoc valuation actuarial projects including and not… more
- Community Health Systems (Franklin, TN)
- …for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government ... Associate Degree in Business, Finance, Healthcare Administration, or a related field preferred + 0-2 years of experience in medical collections, accounts receivable,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …player. + Proficient in computer systems with high technical aptitude. + Advanced claims processing expertise preferred but can be trained + Strong understanding ... assigned. + Utilize self-help tools to generate approved member claim history reports. + Stay current and adapt to...of the healthcare industry and claims processing ( preferred ). About At Brighton Health… more
- Elevance Health (Norfolk, VA)
- …using medical charts, medical notes, and provider contracts. + Verifies dollar amount on claim is correct in claims system and writes report of the findings ... charts, medical notes, itemized bills and providers contracts to ensure that a claim is paid in accordance with the contract, provider reimbursement policies, and… more
- HCA Healthcare (Nashville, TN)
- …Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, ... and HCA's legal team to assess the validity of claims and assist in the pursuit of payment on...education and guidance to help prevent recurrence of similar claim issues. **Major Responsibilities:** + Conducts comprehensive clinical record… more