- Molina Healthcare (NE)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage amount and benefit interpretation within the audit process.… more
- Molina Healthcare (Long Beach, CA)
- …administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and ... controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in accordance with cost control standards.… more
- AIG (New York, NY)
- …your skills and experience as a valued member of the team. Make your mark in Claims Stewardship Our Claims teams are the proven problem solvers of choice for ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- The Institute for Family Health (New Paltz, NY)
- …ensure appropriate and timely management of the receivables + Prepare evaluations, counsel staff on performance, and execute disciplinary actions up to and including ... medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider...Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + May be responsible for… more
- NDCP (Duluth, GA)
- …potential The Workers' Compensation Manager (WC) is responsible for all WC-related claims management, including proactive management of WC claims to accelerate ... has experience adjusting workers' compensation lost time and medical only claims in an insurance company, third party administrator (TPA), or… more
- Ankura (New York, NY)
- …focuses on assisting healthcare and life science clients and their counsel in addressing the issues associated with complex disputes, investigations, regulatory ... centers, DME providers, home health agencies, hospice centers and their legal counsel to provide effective solutions for their most complex litigation and compliance… more
- FM (Johnston, RI)
- …subsidiaries (FM) with contracts, inclusive of non-disclosure agreements (excludes Claims and litigation based non-disclosure agreements). Responsibilities extend to ... Specialist II supports the Corporate Affairs Contracts Manager, Corporate Affairs Counsel , the Manager, Corporate Affairs, and other Law & Governmental Affairs… more
- Ankura (Chicago, IL)
- …focuses on assisting healthcare and life science clients and their counsel in addressing the issues associated with complex disputes, investigations, regulatory ... centers, DME providers, home health agencies, hospice centers and their legal counsel to provide effective solutions for their most complex litigation and compliance… more
- Carollo Engineers (Phoenix, AZ)
- …corporate business objectives. You will partner with in-house and external legal counsel teams and Human Resources on employee relations and compliance matters. The ... misconduct, and other policy violations + Partners with legal counsel (in-house and external) and Human Resources on investigation...for employees and managers + Support litigation and labor claims , as needed + Provide backup support to human… more
- State of Massachusetts (Boston, MA)
- …handling, marketing and sales, producer licensing, underwriting and rating and claims handling. Market conduct examinations are initiated consistent with internal ... of Market Conduct or the Deputy Commissioner and General Counsel as approved by the Commissioner of Insurance. *...of Market Conduct or the Deputy Commissioner and General Counsel , serve on Division selection committees assigned with evaluating… more