- Sedgwick (Columbus, OH)
- …and monitor successful return to work of claimants within appropriate disability duration guidelines; to determine specific physical tolerances and vocational skills ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Haleon (Warren, NJ)
- …responsible for driving growth through medical and scientific affairs innovation, claims development, and setting direction to unlock next generation capabilities. ... _** + Lead early strategic analysis, innovative design guidance and execution of claims innovation across NA (US and CA) portfolio guided by deep scientific… more
- Sedgwick (West Hills, CA)
- …& Insurance LTD Case Specialist (Hourly) **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to ... and collect overpayments. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes assigned claims and determines benefits due. + Informs claimants of documentation… more
- Lithia & Driveway (Phoenix, AZ)
- …each repair order against the vehicles' service history to avoid processing duplicate claims or submitting claims forshop comebacks. + Review and process all ... returned/rejected/adjusted warranty claims , track each claim until its final resolution. +...+ Paid Holidays & PTO + Short and Long-Term Disability + Paid Life Insurance + 401(k) Retirement Plan… more
- Cognizant (Dover, DE)
- **Healthcare Accounts Receivables - Claims Denials (remote)** Cognizant is one of the world's leading professional services companies, we help our clients modernize ... degree preferred. + **Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. + **Accounts Receivables** : AR follow up on a physician's… more
- Robert Half Accountemps (Baltimore, MD)
- …programs. The ideal candidate will bring a strong background in medical billing, claims processing, and revenue cycle management, along with a keen eye for detail ... and excellent organizational skills. Responsibilities: * Process and submit claims accurately to patients, ensuring compliance with billing guidelines. * Investigate… more
- R1 RCM (Detroit, MI)
- …As our Denials & AR Analyst I, you will help R1 clients by analyzing claims information so that they can resolve complex accounts. Every day, you will conduct root ... problem-solving capabilities. Prior Denials or AR experience in Hospital or Physician claims and experience working in a production-based environment is required. We… more
- University of Utah Health (Murray, UT)
- …responsible for updating and maintaining eligibility information and coordinating insurance claims . Corporate Overview: University of Utah Health is an integrated ... and maintains manual and electronic enrollment information. + Researches eligibility and claims and updates system with correct information. + Maintains and updates… more
- New York State Civil Service (Albany, NY)
- …Labor Standards, for workers that have worked in NYS. The PIU staff review incoming claims and accept, reject, or recommend that claims be referred to another ... are used wisely, our customers are provided timely communication regarding their claims , valid claims are developed for further investigation, and those… more
- Robert Half Technology (Clearwater, FL)
- …collaborate with stakeholders to deliver effective business solutions, focusing on claims systems and processes. Your work will involve gathering requirements, ... Responsibilities: * Gather and document detailed business requirements to support claims administration systems. * Create and maintain comprehensive documentation on… more