- APTIM (Santa Fe, NM)
- **Summary:** The Mid-Level Claims Reviewer supports the claims process by reviewing, evaluating, and documenting claims for disaster-related losses. This ... navigating documentation requirements, and contributes to a customer-focused, efficient claims lifecycle. Mid-level reviewers also identify when site inspections or… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... guidelines, performs random medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits in assigned audit… more
- ICW Group (San Diego, CA)
- …pertinent regulations. This job investigates, reserves, and assesses Workers' Compensation claims within the Company standards and best practices guidelines. This ... + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, medical specialists,… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions and established guidelines +… more
- ICW Group (Pleasanton, CA)
- …purpose of this job is to oversee administrative processes within the Claims department. This position exists to alleviate the administrative responsibilities of the ... claims staff and to ensure that department inquiries are...Office environment - no specific or unusual physical or environmental demands and employees are regularly required to sit,… more
- AECOM (Fresno, CA)
- …world. Join us. **Job Description** **AECOM** is seeking a **Senior Scheduler - Forensic Claims ** for one of our offices in **Sacramento, CA** . **JOB SUMMARY** This ... Rail project by performing forensic delay analyses, schedule evaluations, and claims assessments. Working within the Risk Management Office, this role helps… more
- Blue KC (Workman, MN)
- …areas of clinical, functional, financial, support system, psychosocial and cognitive and environmental realms. + Monitors effectiveness of plan of care by gathering ... network. + Ensures proper payment of pre-transplant, transplant, and post-transplant claims . Sets up transplant pre-pay review for each individual claim. Reviews… more
- Capgemini (El Paso, TX)
- …Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the ... Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the… more
- Capgemini (El Paso, TX)
- …Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the ... Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the… more
- Capgemini (El Paso, TX)
- …Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the ... manner in which this position traditionally is performed. Whenever necessary to provide individuals with disabilities an equal employment opportunity, Capgemini will consider reasonable accommodations that might involve varying job requirements and/or changing… more