- Travelers Insurance Company (San Diego, CA)
- …us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and ... guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating...role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level… more
- MTA (New York, NY)
- …assists clerical/administrative staff in handling subpoenas, service of process, claims handling/ processing , bankruptcy searches of toll violators, scheduling ... toll revenue, as well as oversees the intake and processing of legal papers served on the TBTA, reviewing...Insurance Management, and other MTA Departments and subsidiaries in claims /litigation by contractors and third parties. + Assists relevant… more
- ICW Group (TX)
- …injured workers. + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, ... and employers to get additional information. + Communicates claim activity and processing with the injured worker and insured. + Maintains professional client… more
- Robert Half Accountemps (Los Angeles, CA)
- …and manually, as needed, and uses all technology available to produce clean claims . * Interprets claims processing reports and applies information ... to produce clean claims . * Maintains current knowledge of regulatory billing requirements. * Makes changes to demographic information as necessary in order to produce a clean claim. * Meets or exceeds productivity standards in the completion of daily… more
- National Vision (Duluth, GA)
- …Optimization Process Excellence + Direct end-to-end revenue cycle operations, including claims processing , payment posting, collections, denial management, and ... and billing setup, application of insurance benefits in point-of-sale system, claims submission, payment posting, denial management, and payer operations. The ideal… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …employers and claimants in regards to claimants' workers' compensation cases. Provide claims processing for the Workers' Compensation and No Fault lines ... About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate care… more
- CareFirst (Baltimore, MD)
- …physicians and/or ancillary providers as well as knowledge about contracting and claims processing . + Knowledge and understanding of medical terminology to ... proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical...proactive training events or just in time on complex claims matters. Consults with various teams, including the Practice… more
- Prime Therapeutics (Trenton, NJ)
- …needs. + Provides clinical operations input and support of client specific claims processing programs, coordinates implementations of clinical projects and ... assurance of Service Level Agreement performance, assurance of accuracy of claims payment and administrative policies, rate maximization through ongoing benefit… more
- State of Montana (Helena, MT)
- …for this Career Opportunity ** * Knowledge of Medicaid rules, medical claims processing , medical terminology and coding principles and practices. * ... Healthy Montana Kids (HMK) programs. Key duties include analyzing medical claims data, evaluating provider billing practices, and ensuring compliance with applicable… more
- Port Authority of New York and New Jersey (New York, NY)
- …and or other data management tools. + Familiarity with Certificates of Insurance and claims processing + Experience with data analysis and reporting tools + ... and change-management initiatives, Certificates of Insurance review, data analysis, claims support, and risk-transfer activities. This role provides meaningful… more