- Cedars-Sinai (Los Angeles, CA)
- …of 14,000+ remarkable employees! What you will be doing in this role: The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor ... review and assignment, handling complex coding edits that necessitate research and resolution , and validating key data elements like the billing physician and date… more
- USAA (Springfield, MA)
- …liability. Partners with vendors and internal business partners to facilitate complex claims resolution . May also involve external regulatory coordination to ... us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate,… more
- Travelers Insurance Company (Melville, NY)
- …claimants or their legal representatives. Recognizes and implements alternate means of resolution . Manages litigated claims . Develops litigation plan with staff ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Deloitte (Philadelphia, PA)
- …environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist , you will have the ability to share new ideas and collaborate ... Conduct Epic Hospital Billing application build, testing, refinement, and issue resolution , as well as coordination with operational stakeholders to ensure… more
- Sedgwick (Harrisburg, PA)
- …to Work Fortune Best Workplaces in Financial Services & Insurance Unemployment Specialist PRIMARY PURPOSE : To analyze complex or technically difficult unemployment ... claims to determine benefits due; and to ensure ongoing...through well-developed action plans to an appropriate and timely resolution . Works to move claim towards appropriate claim closure… more
- Molina Healthcare (Sterling Heights, MI)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution ... Saturday a month Essential Job Duties Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members,… more
- DriveTime (Fort Worth, TX)
- …exhibiting critical thinking to problem solve and identify root cause of alleged claims to ensure satisfactory resolution withing SLAs Work within our servicing ... addition, this is a customer facing role where the specialist serves as a liaison between the customer and...resolution and/or loss mitigation; accounts payable, insurance or claims experience preferred Associate degree or bachelor's degree in… more
- Sedgwick (Knoxville, TN)
- …Workplaces in Financial Services & Insurance Remote Customer Service Specialist - Remote SCHEDULE: Sun/Mon/Tues/Wed/Fri 9:30am-6:30pm EST PRIMARY PURPOSE: To provide ... resolve issues and answer questions. Accurately and efficiently enters new housing claims into the system. Monitors inbound email for claim questions, approvals, and… more
- Fairview Health Services (Minneapolis, MN)
- …Ensure accurate and timely billing, collections, appeal of home infusion claims . Perform collection tasks to obtain payments. Analyze accounts for documentation, ... to established procedures to support day-to-day operations Process home infusion claims accurately and timely. Review accounts for all needed information and… more
- Molina Healthcare (Caldwell, ID)
- …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... and Medicaid KNOWLEDGE/SKILLS/ABILITIES Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from Molina… more
