- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules,… more
- Festival Foods (WI)
- …to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist. Prepares and delivers direct reports' ... Industrial Truck trainers roles and responsibilities + Workplace Safety and Claims Management Strategy:Leads strategy and resource allocation of a dynamic team,… more
- Access Dubuque (Dubuque, IA)
- …**_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now, ... the go-to guide for individuals navigating the challenges of disability claims . Your role blends technical expertise with human connection-you'll interpret medical… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... cycle management, with a strong understanding of both hospital and professional claims processes. ? Previous experience in a role that involved analyzing contracts,… more
- SERV Behavioral Health System (Hamilton, NJ)
- …Senior Accounts Receivable Specialist will be responsible for billing and submitting claims and handling escalated billing and collection issues. The Senior Accounts ... matter expert in complex accounts receivable processes including denied and aging claims and provides training and guidance to the Accounts Receivable staff and… more
- Aerotek (Hanover, MD)
- …Supervisor will preserve company assets via management of Workers' Compensation claims , as well as develop design and implementation of procedures, processes, ... and controls, required for managing Workers Compensation claims for Aerotek/Actalent/Aston Carter. Will oversee the daily activities of the Workers Compensation… more
- Sedgwick (Dubuque, IA)
- …making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims ... without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Makes claim… more
- Sedgwick (Portland, OR)
- …+ Apply your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... To provide clients with professional care handling losses or claims regionally unassisted, have the ability to address most...losses with the ability to manage smaller and non-complex claims . + To handle losses and claims … more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- AIG (Jersey City, NJ)
- …reimagining the way we help customers to manage risk. Join us as a Complex Claims Director - Management Liability to play your part in that transformation. It's an ... experience as a valued member of the team. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent… more