- Maloney Properties, Inc. (Wellesley, MA)
- …Management Insurance Manager oversees all property-related insurance, managing policies, renewals, claims , and risk reduction for a portfolio of buildings, ensuring ... minimize liabilities. Key duties include policy negotiation, risk assessment, claims handling, loss prevention, compliance audits, and reporting, requiring strong… more
- Rochester Regional Health (Rochester, NY)
- …Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims ... actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), denials… more
- State of Indiana (Indianapolis, IN)
- …within the Worker's Compensation system to facilitate the resolution of disputed claims . The case coordinator deals directly with unrepresented (pro-se) parties to ... these claims . The applicant will identify issues within cases and...the process. Ultimately, the case coordinator seeks to resolve claims prior to reaching the formal hearing process. However,… more
- Aston Carter (Mckinney, TX)
- …categorized by Independent Sales Representatives. This role involves resolving pricing claims and deductions by validating customer debit memos against system ... The position requires working with QC, Shipping, and Sales teams to address claims and arrange returns when necessary, and issuing credit/debit memos promptly upon… more
- The Hartford (Hartford, CT)
- Claims Representative - CH09CNAssociate Claim Representative - CH10DN We're determined to make a difference and are proud to be an insurance company that goes well ... help shape the future. As a General Liability Associate Claims Representative for all business lines, you're at the...update and move files to closure + Manage pending claims to meet company quality criteria + Ensure payments… more
- LA Care Health Plan (Los Angeles, CA)
- …multi-departmental (Member Services, Product Network Operations (PNO), Claims , Utilization Management (UM), Pharmacy, Medicare Enrollment/Disenrollment, Sales ... and Quality Management (QM)) processes to ensure identification of member's claims of gaps in coverage and resolution of cases for members' satisfaction and of… more
- Zurich NA (Sacramento, CA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 8 or more years of experience in the Claims or Underwriting Support areAND + Knowledge of Microsoft… more
- Community Health Systems (Birmingham, AL)
- …is responsible for managing complex billing functions, ensuring timely and accurate claims processing, and resolving issues related to insurance payments and account ... billing inquiries and claim resolution. + Reviews and processes insurance claims , ensuring timely submission and compliance with payer guidelines. + Identifies… more
- Robert Half Office Team (Hoffman Estates, IL)
- …needs. The ideal candidate is detail-oriented, customer-focused, and experienced in claims processing and member services. Key Details: Role: Member Service ... CSR/Admin within financial services, insurance, banking, risk, or even healthcare billing/ claims -NOT a call center position) Schedule: Mon-Fri, 8AM-4PM, 100% on-site… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …also evaluate appropriateness of code submission on facility and professional claims and complete unspecified code and modifier code reviews. Your Responsibilities ... * Applies clinical experience, health plan benefit structure and claims payment knowledge to pre- service and retrospective reviews by gathering relevant and… more