- Towne Park (Media, PA)
- …or program terms. **SUMMARY** The Senior Account Manager directly oversees one Tier 3 or 4 assigned account and the organizational chart therein, responsible for ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls… more
- Alameda Health System (Oakland, CA)
- …Employee Relations Consultants, offering guidance re specific complex and escalated issues. 3 . Acts as AHS management representative in contacts with union ... business objectives and overall strategic plan. Acts as AHS management representative in contacts with union representatives and/or departments on meet and… more
- Sedgwick (Sun Prairie, WI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...adjusting licenses as required for the position. **Experience** Three ( 3 ) years of personal line or commercial line property… more
- Dragonfly Health (Mesa, AZ)
- …accuracy of patient profiles, involving authorization status and relatedness indicators. 3 . Evaluate and process compound medication claims , ensuring accuracy ... supervisor or manager._ 1. Assist pharmacies with real-time and retrospective claims adjudication. Adjust and correct authorizations in dispensing and PBM systems… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Patient Account ... Representative (PAR)** is expected to perform specific billing processes,...follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Insurance ... Patient Account Representative ** is an extension of a client's business office...three days from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance… more
- State of Massachusetts (Boston, MA)
- …Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II will review , analyze and evaluate disputed claims to ... *Lead Claims Examiner/Job Service Representative II| Department...Entrance Requirements: Applicants must have (A) at least three ( 3 ) years of full time, or equivalent part-time professional… more
- State of Massachusetts (Boston, MA)
- …within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review claims escalated by the Contact Center ... * Claims Examiner/Job Service Representative I| Department...generated by the agency and/or agency partners computer systems. 3 . Identify discrepancies or issues and escalate or remand… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Manager | Public Entity | Hybrid in Sacramento Are you looking for ... 2 days in the Sacramento, CA Sedgwick office, and 3 days' work at home. The role will require...8+ years of experience collaborating with outside counsel and claims examiners to oversee litigated claims ? Have… more
- CRC Insurance Services, Inc. (NY)
- …Three years of Claims handling experience and commercial and multi-line knowledge 3 . Ability to critically review a claim file for relevant information, ... **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between… more
