- Highmark Health (Little Rock, AR)
- …solve complex problems representative of a broad range of service and claim scenarios. + Other duties as assigned. Including, but not limited to additional ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the … more
- Sedgwick (Kokomo, IN)
- …regarding client claimants to follow-up and resolve high exposure and difficult claims or union representative issues; to resolve benefit representative ... work on special projects and with work groups including claim intake, case management and quality review. **ESSENTIAL FUNCTIONS...+ Follows up and resolves high exposure and difficult claims or HR/union representative issues. + Represents… more
- Access Dubuque (Dubuque, IA)
- …alignment with internal standards and cost targets. + Maintain detailed and accurate claim records, documentation, and communications in the claims system. + ... for independently managing a broad range of physical damage claims for the company's fleet, including trucks, trailers, and...knowledge and offering guidance. + Monitor and report on claim trends, delays, and cost drivers; suggest and support… more
- Gerber Collision & Glass (Fife, WA)
- …to make decisions. You control your future. Job Description: Glass America Customer Service Rep / Admin Support FIfe, WA Glass America is a respected leader in the ... auto glass industry. As a Claim Specialist, you are a key member of Glass...+ Have a sense of urgency when filing insurance claims with and/or without customers on the line. +… more
- Seventh Dimension (Richmond, VA)
- …Provide instructions to valet parked vehicle drivers on how to check and claim their valet parked vehicles. + Valet Attendant drop off procedure responsibilities. + ... Initiate the three-part valet parking ticket as a claim check. + Part one - Claim ...filed to verify parking counts and any potential damage claims . * If the vehicle driver refuses to sign… more
- Avera (Sioux Falls, SD)
- … claims for resolution. + Research for appropriate information and process claims with corrected claim information or appeal. + Reconciles patient accounts ... validating accounts to resolve denials, inappropriate payment and non payment of claims . The Specialist will identify, review and interpret third party payments,… more
- Highmark Health (Montpelier, VT)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES** +… more
- Hart Medical Equipment (Grand Blanc, MI)
- …and transmitting claims using billing software, including electronic and paper claim processing. + Following up on unpaid claims within standard billing ... management with rate changes. + Check to see if claims remain unpaid and follow up with patients and...that are denied and research how to modify the claim to ensure it is processed correctly at maximum… more
- Polk County Public Schools (Bartow, FL)
- …to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill and ability required. Reasonable accommodations may ... in administering the various insurance plans. Develops and supervises loss and claim processing procedures for all types of losses, accidents, and injuries. Reviews… more
- NJM Insurance (Trenton, NJ)
- …file selection, assuring the review process is proper and timely. + Conduct WC Claim audits to ensure adherence to department best practices in addition to state and ... federal regulations in support of quality claim outcomes, process improvements, data integrity, compliance, and best practices. + Collaborate with claims … more