- EFI Global (Los Angeles, CA)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system(s) and keeps management informed of developments that ... buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …2 years of experience in Utilization Management , Referral Management , Authorization/Denials, or Medical Claims Processing/Insurance Referral. Additionally, ... Team Ivyhill is currently seeking to hire Referral Management (Non-Nurse) Reviewers to support its contract with the Integrated Referral Management and… more
- Salt Lake County (Salt Lake City, UT)
- …office divisions, county departments, state agencies, law enforcement and others with Risk Management and Claims Adjusters as required. + Receives outside and ... defense attorneys' motions for discovery and reviews case file to determine which documents are to be provided and provides opposing counsel with same. + Answers inquiries on case status either by telephone or written correspondence. Provides citizens with… more
- Axis (Chicago, IL)
- …strategy, market conditions, and reinsurance structures. + Collaborate with Reserving, Risk Management , Finance, Claims , and Data & Analytics teams to ensure ... alignment of assumptions and insights. + Assist in the preparation of state rate filings for North American Programs and other admitted products. + Provide actuarial input on treaty placements and reinsurance impact in partnership with Ceded Re. + Present… more
- Cleveland Clinic (Cleveland, OH)
- …analysis by citing specific resources for coverage determinations. + Assist in the management of claims review by applying the appropriate CDM and/or CPT ... codes for potentially billable items and services as well as identifying items and services that are billable to the research sponsor. + Collaborate and communicate effectively with the Principal Investigator and research team, patient financial services,… more
- BrightSpring Health Services (Yuba City, CA)
- …and financial expenditures + Reports all service site injuries and assists with the management of claims in a timely manner + Monitors service site expenses ... relative to budgets + Trains staff on financial and administrative controls Qualifications + High school diploma/GED and equivalent work experience of three years; Bachelor's degree in Business, Health Care Administration, or a Social Science preferred + One… more
- Amrize (Nashville, TN)
- …bids, and organize project data for legal or litigation support. + Workflow Management : Monitor the Warranty Claims inbox, enter service orders into the ... between building owners, contractors, and our internal legal and claims teams. This is a dual-impact role where you...+ Analytical ability for problem-solving. + Customer / Account Management experience. + Adaptability to change; works well within… more
- Robert Half Accountemps (Houston, TX)
- …following experience, please apply today. + Previous experience in medical billing, claims processing, or healthcare revenue cycle management (required). + Deep ... cycle staff to prevent future denials. + Maintain detailed records of denied claims and actions taken. + Prepare and submit written appeals with supporting… more
- Robert Half Finance & Accounting (Fort Worth, TX)
- …to detail and excellent communication skills to ensure the accurate and timely management of insurance claims . The successful candidate will collaborate with ... * Resolve issues related to denied or underpaid insurance claims in a prompt and efficient manner. * Stay...to resolve disputes and address issues related to insurance claims . * Knowledge of compliance documentation and industry standards.… more
- LA Care Health Plan (Los Angeles, CA)
- …relevant coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management , Medical ... terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project leadership and management skills required;… more