- NJM Insurance (Trenton, NJ)
- …ensure quality claim documentation; + Evaluate New Jersey Workers' Compensation claims and identify subrogation potential; + Assist in onboarding and training of ... have the ability to prioritize and proactively manage a large case load; Preferred Qualifications: + Workers' Compensation claims or legal experience … more
- State of Colorado (Denver, CO)
- Director of the Industrial Claims & Appeals Office Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5109103) Apply Director of the Industrial ... Claims & Appeals Office Salary $105,720.00 - $144,528.00 Annually...10.25 Department Department of Labor and Employment Division Industrial Claim Appeals Office Opening Date 10/16/2025 Closing Date 10/27/2025… more
- Dragonfly Health (Mesa, AZ)
- …**Required** + CPhT or EXCPT **Experience** **Required** + Experience with pharmacy claims adjudication is required. ** Preferred ** + Minimum of six (6) ... in the incumbent's performance objectives as outlined by the incumbent's immediate supervisor or manager._ 1. Assist pharmacies with real-time and retrospective … more
- Kelly Services (Honolulu, HI)
- …agency in Honolulu as a Claims Specialist! Under the supervision of the Claims Supervisor , you'll perform essential functions related to dental claims ... equivalent combination of education, experience, and training; dental office or dental claims processing experience preferred **Skills and Knowledge** + Working… more
- Texas Veterans Commission (Houston, TX)
- …able to successfully pass federal background checks and obtain accreditation to submit claims with the Department of Veterans Affairs. * Preferred Experience and ... includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of...it is incomplete. Attaching documents to the application is preferred . Resumes do not take the place of this… more
- State of Massachusetts (Boston, MA)
- …interacting directly with individuals seeking services or assistance * Experience in claims processing and/or case tracking preferred * Proven leadership ... join our Victim Compensation team. Reporting to theDirector of Victim Compensation,the Claims Manager provides management and oversight of MOVA's Claims … more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits...with accuracy, and work with the MPS Call Center Manager/ Supervisor /Team Lead and analyze the data for training purposes.… more
- Amentum (Washington, DC)
- …+ Experience with claim review lifecycles and the ability to triage claims based on established guidelines. + Highly skilled in coordinating across teams and ... This role will serve as a Project Supervisor (Review) assigned to the Radiation Exposure Compensation...concerns. + Assist Project Manager in all aspects of Claims Review team management. + Assist in the daily… more
- Trinity Health (Davenport, IA)
- …posting processes are followed. This position reports to the Supervisor Payment Posting. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates ... appropriate system(s). Tracks data on payment activity and related findings for supervisor . Adheres to proactive practices, including cash posting of all incoming… more
- Banc of California (Santa Ana, CA)
- …from fraud-related losses and improve customer experience: ACH & Check Claims /Disputes, Deposit Reviews from ATM/Mobile/RDC/In- Mail deposits, Mobile & Online ... the internal case management system. Provides escalation and updates to supervisor regarding cases. + Identifies process improvements for future fraud prevention… more