- Sedgwick (Eden Prairie, MN)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation **Our teams connect! We collaborate onsite and… more
- Sedgwick (Austin, TX)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims … more
- State of Arkansas (Little Rock, AR)
- …Program Supervisor / Expert position is responsible for managing the Claims Review Supervisor /Experts who supervise the Program Eligibility Specialists ... COMMERCE PROGRAM SUPERVISOR /EXPERT Date: Oct 13, 2025 Req ID: 53543...in a timely manner so that the staff follows state and federal regulations and agency policies. Success in… more
- CVS Health (Monroeville, PA)
- …Years of insurance billing or collections, accounts receivable experience, health plan claims adjudication experience, or other acceptable related experience in ... of insurance billing or collections, accounts receivable experience, health plan claims processing or adjudication experience, or other acceptable related… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …to the Insurance Specialist Team to ensure optimal management filing insurance claims , denial management and adjudication according to LBJI contracts. Essential ... served the orthopedic needs of northwest Indiana since 1968. With state -of-the-art facilities, we are dedicated to delivering the exceptional, compassionate care… more
- Omaha Children's Hospital (Omaha, NE)
- …regulations and medical terminology. This includes all aspects of payer relations, claims adjudication , contractual claims process and general reimbursement ... child through exceptional care, advocacy, research and education. As the state 's only full-service pediatric healthcare center, we provide comprehensive, holistic… more
- Sedgwick (Harrisburg, PA)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Insurance General & Product Liability Complex Claim Examiner - Multi- State Preferred - Hybrid - Sedgwick Office **ARE YOU...: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high… more
- University of Rochester (Rochester, NY)
- …+ Review and advise supervisor or manager of trends on incorrectly paid claims from specific payers. + Work with supervisor /manager on communication to payer ... as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...to ensure that the process conforms to federal and state regulations bringing concerns to the attention of billing… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …to: Determining method of payment for authorized and unauthorized ambulance claims submitted for consideration; Receives invoices for payment of transportation ... or selects appropriate letters explaining disposition of unauthorized travel claims ; Responsible for balancing, reconciling, and adjusting invoices for payment;… more
- Ardon (Portland, OR)
- …software system work queues. Must be able to understand and interpret claims adjudication issues with Pharmacy Benefit Management organizations, insurance plans, ... by the Oregonian in 2021, 2022, and 2023* Our specialty pharmacy Our state -of-the-art specialty pharmacy provides medications that are often used to treat complex or… more
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