- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …efforts and improve workplace safety. The department manages disputed claims , conducts hearings, reviews medical treatment disputes, and investigates fraud ... insurance carriers. OWCA does not process individual workers' compensation claims or issue benefit payments. They also do not...They also do not help injured workers with the claims management. The Program Compliance Officerserves a critical role… more
- MyFlorida (West Palm Beach, FL)
- …/ resume. + Three (3) years' employment experience as a Veterans Claims Examiner or comparable title / experience counseling and handling veterans' affairs. ... needed, interviewing veterans and family members, preparing and submitting claims for benefits to the US Department of Veterans...and obtain information in order to prepare and submit claims for any and all federal and state benefits… more
- The Hartford (Hartford, CT)
- Consultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... Consultant is a claim handling role within the Complex Claims Unit (CCU). CCU Construction is a highly specialized...for the management of construction defect and construction related claims involving bodily injury and property damage. Claims… more
- Zelis (St. Petersburg, FL)
- …Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding ... efficiently identify billing errors and adhere to policies and procedures for claims processing. This is a production-based role with production and quality metric… more
- Insight Global (Newtown Square, PA)
- …combines technical expertise with functional knowledge of healthcare data domains ( claims , eligibility, provider, member) to ensure data accuracy, completeness, and ... aligned with payer business processes. o Collaborate with business stakeholders ( Claims , Provider Network, Enrollment) to identify critical data elements and quality… more
- AIG (Charleston, WV)
- …your skills and 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, ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- CDPHP (Latham, NY)
- …performing a detailed mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with all New York ... service levels. Ownership is assumed for all aspects of claims examining and data entry on the FormWorks system,...interpreting Desk Levels to accurately examine and data enter claims via OCR, Key from Image, and Key Entry.… more
- Covenant Health Inc. (Knoxville, TN)
- …Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible ... coordinating daily workflow for accurate submission of insurance claims to payers to ensure timely reimbursement for services provided. Provides support and… more
- Pilot Company (Knoxville, TN)
- …encouraged to apply. **Job Description** An adjuster I will learn the claims handling process and develop skills to examine, investigate, and resolve liability ... claims . An adjuster I will primarily handle claims concerning customer property damage and Pilot property damage. The adjuster I will also examine and… more
- Sedgwick (Orlando, FL)
- …PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along with ... such as subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective relationship with internal and external… more