- University of Rochester (Rochester, NY)
- …+ Adjust account or process insurance refund credits. + Review and advise supervisor or manager of trends on incorrectly paid claims from specific payers. + Work ... independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain… more
- Sedgwick (Irving, TX)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims… more
- AIG (Chicago, IL)
- …has been recognized by numerous recent awards and accreditations. Make your mark in Casualty Claims As a Manager and Leader within the Casualty Coverage and Mass ... that transformation. You'll work with some of the best claims and underwriting minds in the industry addressing challenging...spent at work to offer benefits focused on your health , wellbeing and financial security-as well as your professional… more
- Elevance Health (Indianapolis, IN)
- …preferred. + Claims experience preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,...+ Schedules review with provider, analyzes data to select claims to be reviewed, conducts review using medical charts,… more
- Elevance Health (Norfolk, VA)
- …research findings. + Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...and initiatives that may impact more than one company health plan, line of business and/or state. + May… more
- Elevance Health (San Juan, PR)
- …Part of an Extraordinary Team** Carelon is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By ... + Copies incoming and outgoing correspondence. + Ensures rejected claims were denied correctly or determines if those ...use basic office equipment. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Elevance Health (Indianapolis, IN)
- A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, ... but are not limited to: + Researches and interprets claims issues while ensuring good, accurate and timely customer...Experience with Excel preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Elevance Health (Atlanta, GA)
- …issues, project change, and scope data, with a focus on payment accuracy, claims validation, and audit readiness. + Leads efforts to identify best practices. + ... that support business needs, including those unique to payment integrity and claims operations. + Designs methods for integrating functions and processes, especially… more
- Elevance Health (San Juan, PR)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment… more
- Elevance Health (Mendota Heights, MN)
- …information as needed. + Copies incoming and outgoing correspondence. + Ensures rejected claims were denied correctly or determines if those claims should be ... matched to a member. + Manually matches or denies claims that are halted in our system because of...$22.24/hr. Locations: Minnesota In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more