- ASM Global (New York, NY)
- …brokers and underwriters specializing in entertainment and live events. + Review event contracts, vendor agreements, and talent deals for appropriate ... indemnification, hold harmless, and insurance provisions. 4. Claims Oversight and Coordination + Lead the organization's claims management process by… more
- Polk County Public Schools (Bartow, FL)
- …respective third party administrators (TPAs) including periodic administrative meetings to review loss information. Reviews litigation management of claims and ... respective third party administrators (TPAs) including periodic administrative meetings to review loss information. Reviews litigation management of claims and… more
- NJM Insurance (Trenton, NJ)
- …including pre-work such as audit program development and file selection, assuring the review process is proper and timely. + Conduct WC Claim audits to ensure ... process improvements, data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans that detail… more
- Caris Life Sciences (Irving, TX)
- …The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role ... and submitting required documentation to payors. **Job Responsibilities** + Review insurance denials and take appropriate action. + Check... insurance denials and take appropriate action. + Check claims status via phone or poral. + Submit Medical… more
- CRC Insurance Services, Inc. (Charlotte, NC)
- …strategies. + Review and analyze moderately complex documents related to claims or litigation; use Relativity or other e-discovery tools for document review ... **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** The Assistant General Counsel,...Department by managing a broad range of litigation and claims matters, with a primary focus on insurance broker… more
- Highmark Health (Little Rock, AR)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- HNTB (Atlanta, GA)
- …issues, and potential changes to resolution. Oversees project staff in review of the contractor's activities, roles and responsibilities, communication protocols, ... Plans. On-site liaison to the client's legal department for resolution of claims , formal disputes and litigation. Capture lessons learned on policies, contractual… more
- PeaceHealth (Vancouver, WA)
- …Responsible for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors, and resolution of reimbursement ... **Essential Functions** + Resolves insurance claim rejections/denials, and non-payment of claims by payors. + Identifies trends in billing and follow-up, in… more
- Uniland Development Company (Amherst, NY)
- …responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and litigation ... pertaining to Uniland's business activities. + Facilitates administration of insurance claims , including builder's risk, liability, and property insurance and other… more
- Towne Park (Kansas City, MO)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... Maintains timely rhythms and transparency with Area/District Manager. Establishes rhythms to review compliance to standards for their account. - 10% Ensures that the… more