- Sedgwick (Cedar Rapids, IA)
- …benefits due and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ... independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny … more
- Access Dubuque (Dubuque, IA)
- …benefits due and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ... independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny … more
- Sedgwick (Southfield, MI)
- …benefits due and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ... independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny … more
- Access Dubuque (Dubuque, IA)
- …benefits due and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ... Ave West Hills, CA 91304 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations...determinations, based on the information received, to approve complex disability claims or makes a recommendation to… more
- Johns Hopkins University (Middle River, MD)
- …as needed and submits to third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim edits as needed. + Confirm credit ... Cycle Specialist_** to be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing… more
- AIG (Atlanta, GA)
- Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our ... service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes… more
- Amentum (Washington, DC)
- …+ Experience with claim review lifecycles and the ability to triage claims based on established guidelines. + Highly skilled in coordinating across teams and ... concerns. + Assist Project Manager in all aspects of Claims Review team management. + Assist in the daily...of priorities to team members. This involves monitoring various claim statuses or queues. + Determine individual team member… more
- University of Rochester (Albany, NY)
- …pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + 5% Collaborates with ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- Cedars-Sinai (CA)
- …arise. **Department specific responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection ... clean claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include trending issues to… more
- Travelers Insurance Company (Las Vegas, NV)
- …early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house ... treatment plan. + Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate… more