- Sedgwick (Madison, WI)
- …General Adjuster - Midwest Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- CareFirst (Baltimore, MD)
- …client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Reviews and resolves complex ... + Maintains provider reimbursement objectives by monitoring daily operations; resolving claims that require manual review or technical support, provider payment… more
- Sedgwick (Irving, TX)
- …regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than ... To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not...of business, including but not limited to, expediting the claims process and providing detailed claim notes on all… more
- Molina Healthcare (Warren, MI)
- …work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience, ... Duties** + Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been… more
- Cedars-Sinai (Los Angeles, CA)
- …definition, applications development and maintenance and enhancements for finance, claims processing, revenue management, and billing systems. Primary duties ... to ensure alignment on revenue cycle initiatives. + Monitor and analyze claims data sent to the clearinghouse, including resolution of discrepancies in claim… more
- Wounded Warrior Project (Colorado Springs, CO)
- …and assists the WWP National Service Officers in the development of warriors' claims . DUTIES & RESPONSIBILITIES + Educate and assist warriors and family support ... in the development of well-established Department of Defense/Veteran's Administration (DoD/VA) claims for benefits and all potential benefits. + Develop high-quality… more
- HUB International (Chicago, IL)
- …of Pharmacy Benefit Managers (PBMs) to ensure contractual compliance, accurate claims processing, and proper financial management. This role involves in-depth data ... Audits: Plan, execute, and manage all aspects of PBM audits, including claims data analysis, financial reviews, and compliance checks against contract terms.… more
- AIG (Chicago, IL)
- …of your technical expertise. Make your mark as a Forensic Analyst As a claims professional, you are respected for your deep accounting expertise. You balance the ... the quantification and the measurement of commercial business insurance claims . + Work with a team and supervisors and...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **ESSENTIAL...you're looking for a career in higher education or health care, the University of Rochester may offer the… more
- Southland Holdings (Grapevine, TX)
- …strategic thinking, and problem-solving skills. The manager supports dispute resolution, claims , and contract compliance, serving as a trusted advisor to business ... responses. + Draft formal contract correspondence, including notices and claims , to protect company entitlements. + Collaborate with scheduling...* 401K & 401K Matching * Dental Insurance * Health Insurance * Life Insurance * Vision Insurance *… more