- Allied Universal (Burlington, VT)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more
- State of Minnesota (St. Paul, MN)
- …response to associated legal proceedings, including medical malpractice, restitution, products liability /class action, and homeowners' claims . + Reviews and ... to investigate and file interventions in workers' compensation (WC) claims and independent claims in all other...federal law and recovery deadlines. + Assists the unit supervisor , section manager, staff attorney, and division director with… more
- Wayne State University (Detroit, MI)
- …Functions Administer, organize, and manage all Phases of Worker's Compensation Claims (from initial filing to claim closure). This entails the authorization ... MI Universities Self-Insurance Corporation (MUSIC) Casualty and Employer Legal Liability Insurance Programs. Processing and completing insurance applications in… more
- Trinity Health (Boise, ID)
- …hospital information system(EPIC), refer patients with questions regarding financial liability to the available resources, and provide estimates for out-of-pocket ... information system(s). + Refers patients with questions regarding financial liability to appropriate resource(s). + Accepts medical authorization or referral… more
- Ellis Medicine (Schenectady, NY)
- …Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider ... and payers are in agreement for appropriate claims reimbursed. + Monthly meetings with all payers to continuously improve communications between provider and payer… more
- Adecco US, Inc. (Fountain Valley, CA)
- …Incoming Communications, assist with scanning and processing incoming mail regarding legal claims for consumer warranty and product liability litigation practice ... and opening new cases for consumer warranty and product liability litigation practice groups in the department's legal matter.... Perform other tasks and duties as assigned by supervisor . . Work independently, innovatively, and efficiently in a… more
- United Site Services (Fresno, CA)
- …management, claims adjusters, injury counselors, etc. to ensure complete claims management for Worker's Compensation, Liability Insurance, and Auto Insurance ... to 75% of the time + Perform other duties as assigned ** SUPERVISOR RESPONSIBILITIES** This position has no direct supervisor responsibiliity. **Qualifications**… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …FTE1 FLSAExempt Scope of Job To develop and administer professional liability and clinical risk-management programs and clinical quality-assurance functions. To ... clinical issues, device and equipment compliance, incident management, and claims /lawsuits. + Provides liaison support for quality review processes including… more
- Hackensack Meridian Health (Neptune City, NJ)
- …are returned accurately and complete prior to due date to reduce held claims for billing. + Process all reauthorization requests to insurance payer with required ... + Review open AR in EMR system daily and process and work denied claims via appropriate method (appeal, corrected claim, etc.) for resolution as defined by payer… more
- MyFlorida (Tallahassee, FL)
- …and enforces cases under state and federal antitrust laws, Florida False Claims Act, Florida securities law, Civil Racketeering and as needed civil complex ... in the fields of economics and statistics in preparing expert testimony as to liability and/or damages. Prepare briefs and present oral argument before all levels of… more