- OhioHealth (Mansfield, OH)
- …Description Summary:** Given that the organization self-insures for professional liability claims , it is essential that the Sr Consultant Risk Management effectively ... patient outcomes that have the potential to progress to professional liability claims against the hospital; analyze, interpret, and generate reports regarding the… more
- ONEOK, Inc (Tulsa, OK)
- …responsible. Employee focused.** **JOB SUMMARY** Manages moderately complex and complex claims including first- and third-party claims , insured litigated ... matters, environmental claims , and large ONEOK property subrogation claims , as needed. Manages the entire process including investigation, evaluation,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules,… more
- City of College Station (College Station, TX)
- …city-wide risk management programs. Key responsibilities include contract and claims administration, loss prevention, insurance policy management, and offering ... + Investigate, process, and adjudicate general liability and property casualty claims , ensuring thorough and sufficient supporting evidence. + Maintain accurate and… more
- SERV Behavioral Health System (Hamilton, NJ)
- …Senior Accounts Receivable Specialist will be responsible for billing and submitting claims and handling escalated billing and collection issues. The Senior Accounts ... matter expert in complex accounts receivable processes including denied and aging claims and provides training and guidance to the Accounts Receivable staff and… more
- Lowe's (Mooresville, NC)
- **Your Impact** The Sr Analyst-Workers Compensation Claims will provide insight and support to drive the operational excellence of the Workers Compensation Program. ... performance while recommending innovative strategies or tactics to enhance the associate experience, mitigate risks and increase visibility into key drivers of… more
- Firefly Health (Watertown, MA)
- …mission, we would love to hear from you. The Role The Member Guide Associate serves as Firefly Health's frontline, playing a critical role in supporting members ... internal team and answers, and also investigating and resolving billing and claims inquiries all within established service level agreements (SLAs). This role… more
- University of Rochester (Albany, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the ... all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue… more
- City of New York (New York, NY)
- …Description APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE Family Independence Administration's provides temporary help ... specialized administrative work supervising the functions of the City-wide Claims Units and/or supervising the functions of the City-wide...work of more than moderate difficulty; or 2. An associate degree or 60 semester credits from an accredited… more
- City of Lakeland (Lakeland, FL)
- …the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and ... initiatives/clinic. Responsibilities include directly supervising Safety, Health Benefits, and Claims Team Leaders; Risk Management support staff and Wellness… more