- NJM Insurance (Parsippany, NJ)
- …make a determination as to coverage and course of action. + Evaluate claims for fraud indicators and potential underwriting issues and process appropriate referrals. ... communication with involved parties during the course of the claim , via written and/or verbal communication, to provide relevant...Preferred Qualifications: + Bachelor's degree + 3-5 years of claims handling experience + 5-7 years of claims… more
- PruittHealth (Norcross, GA)
- …and verification of required third party documentation for all Medicare bad debt claims on an annual cost reporting basis. Calculation of allowable Medicare bad debt ... claims based on third party documentation in accordance with...paid, adjusted, and/or denied Medicare Part A coinsurance crossover claim on each remittance advice. 3. Adjust and/or correct… more
- Sedgwick (Orlando, FL)
- …under ADA, state, and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims or makes a recommendation ... and/or client-specific process provisions. + Determines accommodation options; makes timely claims referrals for appropriate disability or federal/state leave of… more
- Access Dubuque (Dubuque, IA)
- …under ADA, state, and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims or makes a recommendation ... and/or client-specific process provisions. + Determines accommodation options; makes timely claims referrals for appropriate disability or federal/state leave of… more
- UNC Health Care (Chapel Hill, NC)
- …outstanding insurance claims follow up for no response from payors, and/or claim denials. + Works physician claims ("professional billing"). + Maintains A/R ... at acceptable aging levels by prompt follow-up of unpaid claims and denied claims . + Performs all...color, religion, sex, sexual orientation, gender identity, national origin, disability , or status as a protected veteran. UNC Health… more
- Rexel USA (Dallas, TX)
- …and implementing programs and processes to control the cost of insurance and claims . What You'll Do + Provide best practices in workers compensation management ... + Daily Management of third-party administrator for all RHUSA workers compensation claims + Liaise with National Safety Manager on Workers Compensation claims… more
- The County of Los Angeles (Los Angeles, CA)
- …applicant's responsibility to take steps to view correspondence, and we will not consider claims of missing notices to be a valid reason for re-scheduling an exam ... color; ethnicity; religious creed; protected family or medical leave status; disability ; marital status; medical condition; genetic information; military and veteran… more
- AIG (Chicago, IL)
- …coverage, loss, or other issues + Support departmental initiatives focusing on improved claim processes, claims results and financial results + Lead training and ... play your part in that transformation. You'll work with some of the best claims and underwriting minds in the industry addressing challenging claims and… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... cycle management, with a strong understanding of both hospital and professional claims processes. ? Previous experience in a role that involved analyzing contracts,… more
- Wounded Warrior Project (Colorado Springs, CO)
- …and assists the WWP National Service Officers in the development of warriors' claims . DUTIES & RESPONSIBILITIES + Educate and assist warriors and family support ... in the development of well-established Department of Defense/Veteran's Administration (DoD/VA) claims for benefits and all potential benefits. + Develop high-quality… more