- US Tech Solutions (Columbia, SC)
- …provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, ... collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines… more
- MyFlorida (Daytona Beach, FL)
- …information; makes necessary determinations as to correct insurance and processes all claims accordingly; Researches claims for Medicaid, Medicare and other ... third party insurance, contacting insurance carriers when necessary to re-evaluate claims for payment. Responsible for collaborating with other departments as… more
- Herbalife (Torrance, CA)
- …reports to support scientific substantiation of product safety and efficacy claims under minimum guidance. * Develops product efficacy and safety documentation ... * Stays abreast of scientific development and regulatory landscape pertaining to health claims and safety in NAM and MX, and shares information with relevant… more
- PNC (GA)
- …Dallas, Texas, Houston, Texas; Atlanta, Georgia. Experience working as an Adjuster, a Claims Handler, a Commercial Claims Adjuster, an Insurance Underwriter, a ... Commercial Underwriter or an Adjuster is a strong plus. Claims experience or underwriting experience from an insurance background working with policy claims , is… more
- Elevance Health (Tampa, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Robert Half Accountemps (Dayton, OH)
- …you will be responsible for ensuring accurate and efficient processing of claims related to pathology services. This position is a contract-to-permanent opportunity, ... to billing accuracy and compliance. Responsibilities: * Process and submit claims for pathology services, adhering to federal, state, and insurance guidelines.… more
- Commonwealth of Pennsylvania (PA)
- …Human Resource Analyst 1, you will be responsible for managing medical with lost time claims , modified duty, and indemnity claims for a specified period of time. ... Payroll to develop case strategies for returning employees to work or closing claims . Work also involves investigating and making adjustments to claims ,… more
- Insight Global (Dallas, TX)
- …client's team. Responsibilities will include managing complex workers' compensation claims , ensuring fair and efficient resolution while maintaining compliance with ... The ideal candidate will have extensive experience handling indemnity claims , negotiating settlements, and collaborating with medical and legal...in the claim - Support the goals of the Claims Department We are a company committed to creating… more
- Sedgwick (Memphis, TN)
- …OF THE ROLE:** To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting ... the claims process, and providing detailed claim notes on all...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- The City of Houston (Houston, TX)
- …with the following skillset(s): Previous experience adjusting workers' compensation claims and/or previous experience in Risk Management, including but not ... experience? + Yes + No 04 Do you have Previous experience adjusting workers' compensation claims and/or previous experience in Risk Management? + Yes + No 05 Do you… more