- Beth Israel Lahey Health (Burlington, MA)
- …initiate corrected claims and appeals. Duties include hands-on coding, documentation review , and other coding needs for ICD-9, ICD-10. Works directly with the ... review of codes, at least annually or as introduced or required. 3 . Reviews and analyzes rejected claims and patient inquiries of professional services,… more
- Beth Israel Lahey Health (Burlington, MA)
- … review of codes, at least annually or as introduced or required. 3 . Reviews and analyzes rejected claims and patient inquiries of professional services, ... and appeals. Duties include hands on coding, documentation review and other coding needs for ICD-9, ICD-10. Works...that impacts the resolution of current or potential future claims . 3 . Establishes relationships and maintains open… more
- USAA (Waco, TX)
- …to ensure compliance with laws, regulations, and policy provisions. + Review claims /suppliers for fraud indicators and refers to Special ... inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves...maintenance of insurance adjuster license within 90 days and 3 attempts. **What sets you apart:** + US military… more
- Amentum (Washington, DC)
- …review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, ... created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm...VCF can be found at https://www.vcf.gov/ . The Claim Review Support Team works with VCF and claim … more
- ASM Global (New York, NY)
- …risks related to talent, staging, pyrotechnics, weather, and other operational hazards. 3 . Insurance & Contractual Risk + Design and manage global insurance programs ... brokers and underwriters specializing in entertainment and live events. + Review event contracts, vendor agreements, and talent deals for appropriate… more
- NJM Insurance (Trenton, NJ)
- …collaboratively in the development of meaningful action plans . This position is Hybrid requiring 3 days in the office and 2 days remote. There is flexibility to be ... as audit program development and file selection, assuring the review process is proper and timely. + Conduct WC...data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans… more
- Defense Logistics Agency (Fort Belvoir, VA)
- …of the Tucker Act, (eg, cases filed in the Court of Federal Claims (or erroneously filed in other courts)) and protests before the Government Accountability ... the Department of Justice. The CTA is DLA's lead representative before the ASBCA. The CTA represents DLA in...agency and before the GAO and Court of Federal Claims (COFC). As lead Agency Counsel, the CTA manages,… more
- USAA (Tampa, FL)
- …and coverages, common law, contract law, state statutes, evidence and damages. + Review and audit estimates and settles claims within prescribed limits of ... Effectively negotiate settlements with contractors, adjusters or any insured representative . + Recognize and documents subrogation, SIU, and salvage...to detail and accuracy. **What sets you apart:** + 3 or more years of auto claims … more
- CRC Insurance Services, Inc. (Raleigh, NC)
- …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...attorney for coverage counsel for coverage analysis. 2. Settle claims within settlement authority, where applicable. 3 .… more
- Walworth County (Elkhorn, WI)
- …reimbursement from State and other agencies for DHHS services, managing the claims process to maximize reimbursement. Timely prepares all monthly, quarterly and ... annual fiscal reports/ claims for HHS federal and state funding. Participates in...Works with DHHS managers on a quarterly basis to review and adjust allowance for uncollectible accounts according to… more
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