- MTA (New York, NY)
- …department, which includes the Benefits Processing, Customer Resolution & Support, Death Claims /COBRA/ & Leave Management, and Billing/ Claims units. The position ... will be tasked with independently working with internal clients, functional departmental partners, and external stakeholders such as benefit vendors to ensure effective service delivery and that key performance indicators (KPIs) are consistently met with a… more
- Elevance Health (Atlanta, GA)
- …in order to recover corporate and client funds paid on fraudulent Medicaid claims . **How You Will Make an Impact:** + Responsible for identifying and developing ... data and claim systems for review of facility, professional and pharmacy claims + Effectively establish rapport and on-going working relationship with law… more
- Travelers Insurance Company (Milpitas, CA)
- …on all accounts. Under close supervision, performs risk evaluations and claims investigations on less complex accounts as assigned. Participates in individual ... equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements of the… more
- The County of Los Angeles (Los Angeles, CA)
- …from being filtered as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late… more
- Philadelphia Insurance Companies (Chicago, IL)
- …control technical support to Tokio Marine departments such as underwriting, claims and coordination. Coordinate loss control activities on select accounts ensuring ... and completed, responding to customer requests and needs and supporting underwriting and claims at renewal and during the policy period. Essential Job Functions +… more
- Guidehouse (Atlanta, GA)
- …Lead quantitative analysis and modeling of real-world data, including CMS, commercial claims , and clinical health data, to generate actionable insights for federal ... data science and epidemiology, including deep experience analyzing CMS or commercial claims data, clinical data, or other large health datasets to generate… more
- HCA Healthcare (Sarasota, FL)
- …or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + You will update the ... patient account record to identify actions taken + You will assign bad debt to the collection agency + You will act as a liaison accounts and administer contracts in collection of third party accounts (Medicare and Medicaid) + You will complete account… more
- BayCare Health System (Clearwater, FL)
- …+ Conducts clinical reviews needed to resolve and process clinical appeals and claims . + Assists with the intake/notification process of cases in the department. + ... + 2 years of experience with case management and/or clinical appeals or claims . + Registered Nurse **Facility:** BayCare Health System, Admin - Non Hospital… more
- Utilities Service, LLC (Nashville, TN)
- …orientation + Background checks + Safety Management Process + Monitors and review claims and participate in claims management process. + Inform and communicate ... with Corporate Safety contact on initiatives, activities, questions, concerns, problem areas. + Assists Manager in the establishment and implementation of regional safety goals. + Advises Manager on health and safety related trends within the region + Keeps… more
- State of Montana (Helena, MT)
- …email, and in person, including handling communications from parties involved in claims or third parties about cases, retrieving and processing records, and managing ... information related to HRB claims . * *Written and Verbal Communication:*Share information clearly in emails, notes, and conversations, and explain simple technical… more