- Walmart (Woodland, WA)
- …facility level training and execution of asset protection safety functions and claims and receiving procedures by reviewing the application of policies procedures ... training needs and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Allied Universal (Oakland, CA)
- …and services for all leased or owned University properties. + Conduct claims evaluations, accident inquiries, and evaluate risk management claims information ... broker, insurance carrier, and employee to monitor and resolve claims . + Works alongside selected broker within the Risk...within the Risk Management Program to ensure that all claims are entered and accurate in the system. +… more
- Zurich NA (Austin, TX)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …journey framework spanning: enrollment, provider search, care access, treatment navigation, claims resolution, health improvement, and renewal + Design and implement ... journey optimization covering: onboarding, network management, utilization management interaction, claims processing, quality reporting, and value-based care participation +… more
- Immigration and Customs Enforcement (Washington, DC)
- …administration; Litigate bid protests before the Government Accountability Office and claims before the Civilian Board of Contract Appeals; Assist Department of ... Justice counsel in all aspects of bid protest and claims litigation before the US Court of Federal ...claims litigation before the US Court of Federal Claims ; and Provide legal counsel and representation in a… more
- Sedgwick (Cedar Rapids, IA)
- …for data accuracy. + Maintain and verify client parameters in the claims management system; research and resolve issues. + Communicate process and procedural ... combination of education and experience required. Experience in multi-line claims management processes and system requirements strongly preferred. **Skills &… more
- TEKsystems (Woods Cross, UT)
- …ensure accurate and timely claim submissions. Key Responsibilities + Submit approved claims and ensure proper acceptance. + Research, resolve, and resubmit denied ... claims ; interpret EOBs from insurance carriers. + Investigate and...collections issues, including claim rejections. + Compile and re-submit claims based on office and clinical data. + Validate… more
- Elevance Health (Los Angeles, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Travelers Insurance Company (Hunt Valley, MD)
- …Compensation Claim Professional Trainee, you will handle all aspects of a workers compensation claims . In this role, you will learn how to help our customers and ... needed for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim… more
- HCA Healthcare (Nashville, TN)
- …local/divisional Case Management leadership and HCA's legal team to assess the validity of claims and assist in the pursuit of payment on unpaid and underpaid ... claims . Additionally, the Nurse Subject Matter Advisor will serve...Responsibilities: + Conducts comprehensive clinical record reviews and detailed claims analyses. + Identifies and synthesizes key medical and… more
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