- NTT DATA North America (Boston, MA)
- …will be assigned to conduct pre-payment reviews of medical records for healthcare claims in one or more of the following areas: (1) Partial Hospitalization and ... efficient in requesting records, reviewing documents, recommending outcomes, and coordinating claim dispositions (payment or denial) within the SIU and with internal… more
- AO Smith (Milwaukee, WI)
- …+ Monitor and track leave of absence/disability programs to ensure employee claims are processed and paid timely. + Administer benefit enrollment system + ... and educate HR to work through benefit issues and claims questions + Assist with ACA compliance + Ensure...retirees on eligibility for health insurance including coverage and claim processing including amount of coverage + Manages Qualified… more
- State of Georgia (Fulton County, GA)
- …the state of Georgia. In part, the ADR Division provides mediation services for claims throughout the state - holding over 2,000 mediations per year. Primary Duties ... workers' compensation disputes and the settlement of workers' compensation claims . Work as a mediator is key to moving...a mediator is key to moving an injured worker's claim towards a final resolution. Therefore, mediators must adhere… more
- ICW Group (San Diego, CA)
- …optimizing data models that support actuarial analysis, policy processing, claims processing, underwriting, compliance reporting, and overall business intelligence ... logical, and physical) tailored for Workers Compensation Insurance data such as claims , policies, premiums, exposures, and provider networks. + Builds and maintains… more
- Tompkins Community Bank (Batavia, NY)
- …Loss and Reporting Claims to carriers, setting up ImageRight for the Claim . + Process and mail letters/correspondence as requested. + Run and maintain the ... the handling and processing of new and renewal business, claims and special projects. It will provide in-house customer...the Employee Handbook. Qualifications + An Associate's degree is preferred . + One (1) year experience in insurance is… more
- Mindful Support Services (Goodyear, AZ)
- …payments to an EHR system + Navigating clearinghouse data and resolving rejected claims + Behavioral health medical billing experience ( preferred ) + Experience ... The Insurance Follow-Up Specialist is responsible for reviewing rejected claims , posting insurance payments, and resolving outstanding insurance balances. Successful… more
- Travelers Insurance Company (Raleigh, NC)
- …you will learn and develop expertise in billing operations for Third Party Claims , including Workers' Compensation, Property, Auto, and General Liability claims . ... specialized reports, in accordance with billing schedules. + Extract claim data from loss systems to support billing exhibits....+ Prior experience in TPA or commercial insurance billing preferred . + Strong analytical skills with the ability to… more
- HCA Healthcare (Independence, MO)
- …Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, ... Work insurance pools and contact insurance companies to resolve claims that are not paid in a timely manner....the appropriate area for review and response to expedite claim resolution. + Identify problem accounts and escalate as… more
- Hannaford (Lewiston, ME)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms if needed. * Maintain organized filing system for invoices, manual ... insurance claims , daily reports, etc.. in accordance with Standard Practice...and audio capability to process prescriptions and service customers. PREFERRED REQUIREMENTS * Support and work with all pharmacy… more
- Robert Half Accountemps (Rochester, NY)
- …in the Paychex Property and Casualty Insurance division, ensuring that all claims and inquiries are managed efficiently and in alignment with company policies. ... customer service to clients by addressing inquiries, resolving complaints, and processing claims in adherence to company policies. * Develop and maintain a solid… more