- Lowe's (Mooresville, NC)
- **Your Impact** The Sr Analyst-Workers Compensation Claims will provide insight and support to drive the operational excellence of the Workers Compensation Program. ... Will Do** + Evaluates monthly, quarterly, and annual performance of claims administrator and subcontracted vendors through analyses such as cost-benefit,… more
- Kemper (Dallas, TX)
- …Arbitration Specialist at Kemper plays a critical role in resolving claims and handling intercompany arbitration cases. This position involves reviewing subrogation ... demands, and moving claims to successful resolution. Additionally, the specialist will respond...: + Review subrogation demands based on liability and claim merits. + Ensure timely notifications and compliance with… more
- UTMB Health (Galveston, TX)
- …Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital ... claims . Identifies billing issues affecting hospital and/or physicians ...and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues… more
- CDPHP (Latham, NY)
- …the timely and accurate facilitation and handling of all incoming paper claim and correspondence documents. All tasks are performed on-site. This includes performing ... a detailed mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with all New York State… more
- US Tech Solutions (Myrtle Beach, SC)
- …according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct ... + Required Work Experience: 2 years of customer service experience including 1-year claims or appeals processing OR Bachelor's Degree in lieu of work experience. C2… more
- Alphabroder (Middleboro, MA)
- …+ Process customer returns by sorting/inspecting/identifying product and updating items/quantities on claims in IRMS. Determine if claim is complete. Close/post ... update customer returns in FDM4. Determine if a new claim must be entered or if it is necessary...transfers). + Putaway product that has been processed through claims . + Adhere to established safety regulations and company… more
- CVS Health (Olympia, WA)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... Explain provider's rights and responsibilities in accordance with contract. + Process claim referrals, new claim handoffs, nurse reviews, provider complaints,… more
- City of New York (New York, NY)
- …medical records requests from MCO to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in ... perform health insurance billing activities and support functions including claim review, claim submission, follow up and...denials in a timely manner. - Prepare and batch claims out to third party payers for reimbursements. -… more
- The Whole Person (Kansas City, MO)
- GENERAL DESCRIPTION This position will primarily handle insurance claim submissions, payment posting, and researching claim rejects/denials. This position must ... other types of insurance billing guidelines. ESSENTIAL JOB FUNCTIONS + Submits claims to government and commercial payers according to timely filing requirements. +… more
- Michigan State University (East Lansing, MI)
- …collaborating with the Office of the General Counsel in litigated claim matters, managing the administration of self-insurance structures including a captive ... the University. + Create and manage department budget; regularly monitor all claim payments and associated costs. + Analyze loss experience across various exposure… more