- Kemper (Henderson, NV)
- …promises._ **Position Summary:** Responsible for resolution of all activities on assigned claims identified as potential Total Losses. Review claim details, ... associated charges to confirm Total Loss Evaluation. Controls associated claims for Rental/Loss of Use as well as any...various states to facilitate legal transfer of title and claim resolution. **Position Qualifications:** + 2 years minimum of… more
- Sedgwick (San Diego, CA)
- …and review new claims and maintain data integrity in the claims system. + Conduct claim file activities including evaluations, investigations, litigation ... your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ Prepare settlement documents and requests payment for the claim and expenses. + Work with external vendors and… more
- Alaska Airlines (Seatac, WA)
- …considerable judgment to make decisions within the scope of complex claims management, compliance, and program strategy, and provides recommendations to address ... **Professional 2 - Intermediate Level.** + Manage workers' compensation claims and processes for assigned work group(s) with a...a primary focus on Care of the injured employee, claim filing & processing, return to work (modified duty),… more
- Sedgwick (West Hills, CA)
- …LTD Supervisor, LTD Manager, or Project Manager. + Negotiates settlement of appropriate claims within designated authority level. + Makes claim payments and ... & Insurance LTD Case Specialist (Hourly) **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to… more
- Johns Hopkins University (Middle River, MD)
- …III_** who will be responsible for the collection of unpaid third-party claims and independent resolution of complex appeals, using various JHM applications and ... Communicates with payers to resolve issues and facilitate prompt payment of claims . Communicates with providers regarding appeals and medical policy denials and… more
- City of New York (New York, NY)
- …Bureau of Law and Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York. BLA investigates and, when ... in the best interest of the city, settles pre-litigation claims for and against the City of New York....Based on the BLA's review and investigation of any claim , the City of New York may extend an… more
- Methodist Health System (Dallas, TX)
- …to resubmit claims promptly and accurately. - Investigate and address claim denials promptly. Utilize knowledge of payor policies, medical coding guidelines, and ... background in A/R follow up for family and specialty claims , able to identify, address, and resolve no response...Detail-oriented with a focus on accuracy and thoroughness in claim analysis, documentation, and reporting. - Ability to prioritize… more
- Sedgwick (Eden Prairie, MN)
- …LTD Supervisor, LTD Manager, or Project Manager. + Negotiates settlement of appropriate claims within designated authority level. + Makes claim payments and ... Services & Insurance LTD Case Specialist **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to… more
- Robert Half Accountemps (Barton, VT)
- …you will play a critical part in ensuring accurate billing and claim administration while maintaining confidentiality and compliance with regulations. This position ... strong understanding of medical billing processes and experience working with insurance claims . Responsibilities: * Process and submit medical claims to… more
- Commonwealth of Pennsylvania (PA)
- …process of Individual Support Plan development in HCSIS + Assisting providers with claims resolution or billing issues + Participating in the Office of Developmental ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....for an interview and need accommodations due to a disability , please discuss your request for accommodations with the… more