- Robert Half Accountemps (Raleigh, NC)
- …regarding claim -related issues. Requirements * Proven experience in medical claims processing and reconciliation. * Familiarity with payer portals and ... is ideal for someone with extensive experience in medical claims processing and a strong ability to...their functionalities. * Strong skills in handling claim denials and rejected claims . * Knowledge… more
- Sedgwick (Pittsburgh, PA)
- …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... and risk transfer opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- Sedgwick (West Hills, CA)
- …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability...physical damage claims under close supervision. + Processing disability claims of minimal disability duration… more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic and policies… more
- Sedgwick (Augusta, ME)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Bartlesville, OK)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Jefferson City, MO)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Syracuse, NY)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- APTIM (Santa Fe, NM)
- …reviewers, estimators, and support personnel to ensure timely, accurate, and compliant claims processing in alignment with federal regulations and program ... customer service. **Key Responsibilities/Accountabilities:** + Supervise day-to-day work of claims reviewers and technical staff, ensuring timely claim … more
- Sedgwick (West Des Moines, IA)
- …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability...physical damage claims under close supervision. + Processing disability claims of minimal disability duration… more
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