- NYU Rory Meyers College of Nursing (New York, NY)
- …Perform compliance and monitoring assessments to identify exceptions to establish claims adjudication requirements for pre-EOB and after posting of payments. Prepare ... administration.Required Experience:7+ years relevant professional level experience in a claims processing environment.Preferred Experience:Experience working in an Academic Dental… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft...strategical components of anticipating the market environment At Zurich, compensation for roles is influenced by a variety of… more
- Sedgwick (Sacramento, CA)
- …services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** ... required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Capgemini (New York, NY)
- …workflows The analyst will support optimization initiatives for policy servicing claims management and customer engagement platforms Key Responsibilities Collect and ... Tableau or Qlik Strong understanding of insurance workflows such as policy issuance claims processing and customer onboarding Ability to work with large datasets and… more
- Primary Health Care (Des Moines, IA)
- …timely and accurate submission, payment posting and follow up of medical and/or dental claims on behalf of PHC. Provides work direction and conducts the training and ... party payers, government agencies and fiscal intermediaries to effectively file claims , research and resolve rejections and denials. Completes daily and monthly… more
- Robert Half Finance & Accounting (Auburn Hills, MI)
- …renewals with brokers and carriers to secure optimal terms. * Oversee claims management, ensuring efficient resolution and maximizing recoveries. * Monitor changes ... with organizational goals. * Deliver detailed reports on costs, claims , and risk trends to senior management. * Strengthen...to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on… more
- Elevance Health (San Juan, PR)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment… more
- Sedgwick (Dublin, OH)
- …education and experience required to include two (2) years of workers' compensation claim experience. Risk control experience preferred. **Skills & Knowledge** + ... Knowledge of claims management processes and procedures + Knowledge of risk...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Robert Half Accountemps (French Camp, CA)
- …operations. Responsibilities: * Manage detailed billing processes, including coding, claims administration, and accounts receivable tasks to ensure timely ... information to managers, patients, and external agencies. * Process insurance claims , appeals, and treatment authorization forms while maintaining compliance with… more
- Robert Half Office Team (OK)
- …commitment to accuracy and timeliness. Responsibilities: * Prepare and set up new claims in the system, ensuring completeness and accuracy. * Generate detailed loss ... run reports to support claims management and analysis. * Input and update reserves...to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on… more