- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*RCM Representative Senior*to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely ... Knowledge of applicable federal and state regulations **Title:** *RCM Representative Senior, Third-Party Claims -HB&PB* **Location:** *MN-Minneapolis-Downtown Campus*… more
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative ** to join our team in **for a remote position** . This ... is a US based, W- 2 project. All candidates will be paid through NTT...compliance training of NTT Data/Client -Work independently to research, review and act on the claims -Prioritize… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …status of the issue. + Adjust claim(s) as warranted based on discussion and review of the provider's issue. + Deliver all information and questions in a positive, ... applicable state and federal regulations. Education and Experience : + HS Diploma + 2 years of college preferred About us: Centers Plan for Healthy Living (CPHL), is… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Manager | Staff Attorney | Public Entity Pooling | Hybrid Are you ... work, your location, and your career path. **Hybrid** setting 2 days in the Sacramento, CA Sedgwick office, and...8+ years of experience collaborating with outside counsel and claims examiners to oversee litigated claims ? Have… more
- CRC Insurance Services, Inc. (NY)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... 1. Bachelor's degree with a concentration in business or equivalent work experience 2 . Three years of Claims handling experience and commercial and multi-line… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …process ensuring proper documentation was created in the system and/or files. 7. Review claims and approve payments under the appropriate binding authorities. 8. ... **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Responsible for overseeing, managing...time. 1. Manage the supervision and coordination of the claims department and staff. 2 . Organize and… more
- Medtronic (Los Angeles, CA)
- …connected, compassionate world. **A Day in the Life** The Principal Insurance and Claims Management role is a newly created expert and highly specialized position ... at all levels to gather information for insurance placement, facilitates claims resolution between internal and external stakeholders, provides transparency and… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …English (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Process claims , which includes ... Specific activities may change from time to time. 1. Review policy to determine if loss is covered. If...then hire attorney for coverage counsel for coverage analysis. 2 . Settle claims within settlement authority, where… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …(Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** The incumbent is responsible for investigating, ... evaluating, negotiating, and resolving personal lines property claims . Responsible for adjusting major and complex losses in their entirety, but may also adjust… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...any deficiencies. + Prepare summaries for management of quality review results, including basic analysis of identified trends. +… more
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