- Sedgwick (West Hills, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance LTD Case Specialist **PRIMARY PURPOSE** **:** To analyze claims ... and determine benefits due ensuring compliance with plan provisions; to determine need for outside vendors, surveillance, and/or independent medical evaluations; to negotiate settlements and to make claim payments and revisions within designated authority… more
- Sedgwick (Houston, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL ... FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate… more
- Sedgwick (Raleigh, NC)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard ... clinical evaluations on claims that require additional review based on medical condition, client requirement, and/or complexity. Consults with providers and employees by providing case direction and ensures medical information substantiates the need for… more
- Sedgwick (Cedar Rapids, IA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform ... clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims;… more
- University of Southern California (Alhambra, CA)
- …Analyze, investigate, and resolve coding-related pre-bill edits from the Patient Financial Services (PFS) Dept. Researches, responds, and documents findings, ... including answering questions and providing guidance, as necessary. * Assists Patient Financial Services (PFS), Patient Access, and other departments in… more
- Aegon Asset Management (Denver, CO)
- …to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life ... 7 ,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide. *… more
- BronxCare Health System (Bronx, NY)
- …action plans to improve insurance identification and reporting. - Coordinates with Patient Financial Services (PFS) and Information Services to improve ... Bachelor's - Basic Computer knowledge Job LocationsUS-NY-Bronx ID2025-5103 Category Patient Financial Services Position Type Regular Full-Time Division BronxCare… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The Payment Application Specialist researches, audits, reconciles and applies all cash receipts to AR accounts. Is skilled at researching, auditing, and ... reconciling payments for the respective departments. Is able to interpret explanations of benefits (EOBs) and reconcile and apply payments, recoupments, and provider level adjustments (PLBs). Identifies external payments and non-patient payments, and takes… more
- UnityPoint Health (West Des Moines, IA)
- …Counseling + Shift: Day Shift Monday-Friday 8-4:30pm + Job ID: 174862 Overview Financial Assistance (Charity Care) Specialist This is primarily a remote ... + Area of Interest: Patient Services + FTE/Hours per pay period: 1.0 +...areas in Iowa are preferred. We're seeking a detail-oriented Financial Assistance (Charity Care) Specialist who enjoys… more
- The County of Los Angeles (Los Angeles, CA)
- …Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services Assistant I Financial Specialist I Human Resources Trainee ... County, CA Job Type Full time Job Number Y0888A-DOJ Department HEALTH SERVICES Opening Date 06/11/2025 + Description + Benefits + Questions Position/Program… more