- MyFlorida (Tallahassee, FL)
- …. + Experience working in a Risk Management Information System , Insurance Management system , or similar claims database. + Currently have or have held a ... - 43000332 Date: Dec 15, 2025 The State Personnel System is an E-Verify employer. For more information click...vendors. + Responsible for the overall maintenance of the claims information contained in the assigned claim … more
- MyFlorida (Fort Lauderdale, FL)
- …- GOVERNMENT OPERATIONS CONSULTANT II Date: Jan 9, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... AHCA is focused on advancing Governor DeSantis' vision for Florida's health care system to be the most cost-effective, transparent, and high-quality health care … more
- Unum Group (Portland, ME)
- …and RTW strategies, as required. + Acquire an operating knowledge of the applicable claims system (s). + Coordinate and share information with other products as ... the essential skills, knowledge, and behaviors necessary to successfully resolve assigned claims , in accordance with Unum's claims philosophy, policies and… more
- Sedgwick (Chicago, IL)
- …to move the call forward, and issue resolution by phone, written correspondence and/or claims system . + Facilitates claim resolution and handles escalated ... exposure claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Makes independent claim determinations, based on the information received, to approve complex … more
- University of Rochester (Albany, NY)
- …denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + ... of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is responsible for working across the… more
- Covenant Health Inc. (Knoxville, TN)
- …information pre-bill as identified on daily failed bill reports from the patient accounting system to ensure that the claim can be processed in an accurate ... knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This...and timely manner. Analyzes claim edits within billing system and payer… more
- Mohawk Valley Health System (New Hartford, NY)
- …("CRM") is responsible for identifying, assessing, and mitigating risks across the MVHS system while enhancing patient safety and quality of care. This position will ... of safety, throughout the organization. Responsible for management of pending insurance claims and partnering with brokers and insurers. Core Job Responsibilities +… more
- AIG (Atlanta, GA)
- …to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims using a wealth of ... guidelines and authority, indemnity and legal payments through the appropriate Claims Processing Systems . + Forecasts potential recoveries and updates… more
- Sedgwick (Orlando, FL)
- …& Insurance Intake Associate - Property **PRIMARY PURPOSE** **:** To accurately set up claims into the claims management system and provide support to ... FUNCTIONS and RESPONSIBILITIES** + Sets up and enters new claims into the claims management system...outbound calls to claimant and/or client to obtain new claim details. + Finds opportunities to refer claims… more
- Masonicare (Wallingford, CT)
- …patients. Processes claims and bills in Electronic Medical Record (EMR) system following established procedures. - Works with - operations to resolve - issues ... Specialist performs a variety of complex operations related to the eligibility, claim preparation, claim submission, suspense resolution, claim follow… more
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