- University of Rochester (Albany, NY)
- …requirements and rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up ... through telephone calls, payer website, and written communication to ensure accurate processing of claims . Collaborate with appropriate departments to generate a… more
- AIG (Atlanta, GA)
- …guidelines and authority, indemnity and legal payments through the appropriate Claims Processing Systems. + Forecasts potential recoveries and updates ... highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims... claim improvement and consistent outcomes. AIG manages claims using a wealth of technical and market knowledge… more
- PruittHealth (Norcross, GA)
- …variances, make corrections, and take appropriate corrective actions to ensure timely claim resolutions. 8. Evaluates accounts, resubmits claims , and performs ... all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for… more
- Sedgwick (Chicago, IL)
- … claims and executes technical and jurisdictional requirements for accurate claims processing , benefit review and interpretation of regulations, financial ... payment processing , and...claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Makes independent claim determinations, based on the information received, to approve… more
- Masonicare (Wallingford, CT)
- …established procedures. - Works with - operations to resolve - issues that impact claims processing . Brings problems and delinquent responses to the attention of ... a variety of complex operations related to the eligibility, claim preparation, claim submission, suspense resolution, ...Manager. Process- corrections - and generate- claims for re- processing . - - Reviews denials… more
- ICW Group (TX)
- …injured workers. + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, ... attorneys, and employers to get additional information. + Communicates claim activity and processing with the injured...and providing benefits as prescribed by law. + Ensures claim files are properly documented and claims … more
- PPL Corporation (Louisville, KY)
- … claims and potential claims for exposure and incurred costs, and processing invoices related to claim payments. + Manage insurance certificates for both ... such as monitoring status of claims and potential claims for exposure and incurred costs, and processing invoices related to claim payments. + Manage… more
- AON (Fort Washington, PA)
- …processes for the Affinity Life & Health program, including preparing account data for claim handling and remitting 1st reports of claims in a timely and ... + Perform daily QC of policy issuance and correspondence processing . Interface with the client, when necessary. Be empathic...Life & Health program, including preparing account data for claim handling and remitting 1st reports of claims… more
- Invenergy (Chicago, IL)
- … notice intake, evaluation, and reporting, oversee claim handling, support claim investigations, complex claims and coverage determination and disputes, ... of accurate records of claims across all lines of coverage in internal claim management systems. + Oversee regular claim reporting and maintain open … more
- Michaels (Carpenter, IA)
- …than quarterly) claim reviews with third-party administrator (TPA) and broker claims control consultant. + Has oversight responsibility for working with TPA in ... accruals and overall performance assessment. + Coordinate and complete property loss claims as necessary. + Manage claim -related discovery requests. + Manage… more