- Insight Global (South Jordan, UT)
- …is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are ... for valid claim identification and documentation (letter writing). Identifies potential claims outside of the concept where additional recoveries may be available.… more
- Cognizant (Portsmouth, NH)
- …Cloud HCM Journeys and Oracle Cloud HCM Security. Additionally experience in Auto Claims and Property & Casualty Insurance is essential. This hybrid role requires ... Cloud HCM functionalities. + Analyze and optimize business processes within the Auto Claims and Property & Casualty Insurance domains. + Contribute to the companys… more
- Danaher Corporation (New York, NY)
- …support global insurance placements, loss mitigation, contractual risk transfer, and claims management. This position reports to Danaher's Vice President, Insurance ... terms and conditions + Take a leadership role in property and casualty claims handling, which may include interaction with adjusters, internal and external counsel,… more
- Florida Crystals Corporation (Baltimore, MD)
- …appropriate, the Third Party Administrator (TPA), to review and monitor workers' compensation claims costs and develop plans to minimize active claims . WORK ... as relevant consensus standards (eg, ANSI, NFPA). + Workers' Compensation Claims Management Experience. + Return-To-Work Program Management Experience. + Behavioral… more
- Insight Global (Boise, ID)
- …hire a Pharmacy Benefits Specialist. This role will include processing pharmacy claims , triaging rejected claims , and verifying benefits. Prior Pharmacy benefits ... and expression, marital status, national origin, ancestry, genetic factors, age, disability , protected veteran status, military or uniformed service member status,… more
- Insight Global (San Antonio, TX)
- …Insight Global is looking for a Senior Data Scientist to join our P&C Claims team. This role demands expertise in statistical modeling, machine learning (ML), and ... optimization (WFO) techniques to develop and deploy advanced analytical solutions for claims operations. The ideal candidate will have a strong background in… more
- South Middlesex Opportunity Council (Framingham, MA)
- …year of employment. + Employer-paid Life Insurance & AD&D and Long-Term Disability for full-time employees. + Comprehensive Benefits Package including Medical Plans ... Insurance, Accident Insurance, Critical Illness, Hospital indemnity, and Short-Term Disability . + Flexible Spending Accounts, Dependent Care Accounts, Employee… more
- Robert Half Accountemps (Van Nuys, CA)
- …address billing discrepancies. + Communicate with insurance companies to expedite claims resolution and payment collections. + Ensure compliance with relevant laws, ... and company standards in all billing activities. + Prepare and submit accurate claims to insurance carriers. + Monitor and analyze accounts receivable and follow up… more
- Robert Half Accountemps (Encino, CA)
- …be responsible for managing insurance billing, resolving denials, and submitting accurate claims using UB04 forms to ensure timely payment and compliance. This role ... first-class patient experience. Primary Responsibilities: + Review, prepare, and submit claims using proper UB04 forms. + Analyze and resolve insurance denials… more
- Elevance Health (Des Moines, IA)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately… more