- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …team, is critical to BCBSMA's goal of affordability. Key Functions: + Support implementation of identified opportunities to improve the effectiveness of the ... + Assist managing provider reimbursement strategic planning process + Support the professional reimbursement strategic planning process and strategy execution,… more
- Philadelphia Insurance Companies (Plano, TX)
- …Company. Qualifications: + College degree preferred + 1 to 2 years experience as claims support staff + Basic Accounting background + Efficient and accurate ... Description Marketing Statement: TM Claims Service (TMCS) is an independent global ...Issue and clear payments in a timely manner. Provide support to PL, OTAI, and MCD departments. Maintain the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical ... Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in… more
- Samsung SDS America (Plano, TX)
- …and provide legal advice on logistics claims , disputes, and complaints + Support claim processes, assessing validity, coverage, and liability + Assist with ... Legal Counsel on the Legal & Compliance team, you'll deliver strategic legal support to our Smart Logistics (SL) business, driving growth in 3PL/4PL services,… more
- DriveTime (Fort Worth, TX)
- …all inbound calls in a timely manner + Handle customer complaint claims resulting from repossession activity through customer calls, research, and appropriate vendor ... information to customers, vendors, and third parties to resolve claims and invoice disparities + Work independently with customers...to problem solve and identify root cause of alleged claims to ensure satisfactory resolution withing SLAs + Work… more
- Veolia North America (Oakbrook Terrace, IL)
- …+ Oversee all aspects of the Workers' Compensation program, including claims management and collaboration with third-party administrators (TPAs) and medical ... managing employee occupational injuries/illness with emphasis on management of Worker's Compensation claims ( claims management of complex claims , working… more
- City National Bank (Los Angeles, CA)
- …Responding to calls from customers to explain card related services, procedures and policies. Support Reg. E/Z claim and dispute processes by entering claim ... from customers to explain card related services, procedures and policies. * Support Reg. E/Z claim and dispute processes by entering claim details into … more
- Justworks (New York, NY)
- …Insurance Claims Team with resolving state inquiries (including child support fact-finding documents, mortgage and earning verifications, wage audits, and more) ... with the Senior Coordinator of Unemployment Operations and Verification to provide direct support to the claims and registration teams. + Pull, organize and… more
- DATAMAXIS (Springfield, IL)
- …to make determinations relating to complex processes involving claims processing/adjudication, recipient/provider eligibility, and third-party liability. * ... projects like the following: CMS Federal Reporting, quality measures, claims processing, Medicaid program eligibility, provider enrollment, third-party liability. *… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Marine Claims Major Loss Adjuster to play your part in that transformation. It's an opportunity to ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...have the opportunity to grow your experience by providing support to Team Managers and deputizing in their absence.… more