- AIG (Miami, FL)
- …of submission flow by distribution channels, effectiveness ratios, analysis of losses/ claims behaviors, among others + Collaborate in the development of business ... and distribution. + Interact with different areas of the Company such as Claims , Legal, Compliance, Actuarial, Finance, and Accounting among others for the proper… more
- BrightSpring Health Services (Littleton, CO)
- …Dental, Vision & Life Insurance *Company-Paid Short & Long-Term Disability *Flexible Schedules & Paid Time Off*Tuition Reimbursement *Employee Discount Program ... establish appropriate follow up. + Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500...mose efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions. +… more
- Centene Corporation (Carson City, NV)
- …Nye, Storey or surrounding areas_** **_._** **_Candidate with a strong claims background, experience in issue resolution or client interaction highly preferred. ... + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform… more
- US Tech Solutions (Columbia, SC)
- …provides health management program interventions. + Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to ... collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines… more
- AIG (New York, NY)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an ... best practices, analytical techniques and assessing the impact of loss trends and claims emergence. Also, they will be responsible for one direct report. + Work… more
- AIG (Miami, FL)
- …are established and maintained for the Energy division. + Work with Claims , Finance, Operational, Accounting, Legal, and Actuarial support teams to support portfolio ... to monitoring of submission flow by distribution channels and analysis of losses/ claims behaviors, among others. + Support in the preparation of presentations to… more
- UPMC (Pittsburgh, PA)
- …Risk Management, the role involves systematically managing potential and actual claims . Analyzing clinical data is crucial for identifying liability areas, with ... appropriate management and staff. Review and evaluate potential and current claims with relevant internal departments and make appropriate recommendations to Senior… more
- Dignity Health (Bakersfield, CA)
- …deep familiarity with the complexities of delegated services, including claims , utilization management, provider data, and network operations. Essential Functions ... Optimization: Identify high-impact manual processes across departments such as Claims , UM, Credentialing, and Provider Data. Facilitate automation readiness… more
- AIG (Parsippany, NJ)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an ... the trust of UW. They will also partner with claims staff to understand changes in claims ...religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is… more
- DiPasquale Moore (Kansas City, MO)
- …injury law firm. The successful candidate will be responsible for managing all claims related to health insurance and their liens, including Medicaid, Medicare, and ... * Manage the lien resolution process for Medicaid, Medicare, and ERISA claims . * Ensure timely and accurate submission of lien-related documentation to relevant… more