- 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
- Elevance Health (Louisville, KY)
- …of direction, training and guidance for less experienced staff. + Analyzes pertinent claims , medical records. + Strong us of analytical skills with the ability to ... for improvements. + Capability to apply industry coding guidelines to claims processes. + Demonstrated experience in reviewing, analyzing, and researching coding… more
- Elevance Health (Mason, OH)
- …with fraud and abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...Bachelors degree strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Elevance Health (Middletown, NY)
- …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health ... by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Elevance Health (Norfolk, VA)
- …medical policy, reimbursement and provider utilization patterns. + Coordinates prompt claims resolution through direct contact with providers, claims , pricing ... Capabilities, and Experiences:** + Provider facing experience strongly preferred. + Claims experience strongly preferred. + Maryland Medicaid experience preferred. +… more
- Travelers Insurance Company (Toledo, OH)
- …Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc. ... this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim… more
- Travelers Insurance Company (Walnut Creek, CA)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Delta Air Lines, Inc. (Atlanta, GA)
- …claims (except Work Comp) flow through the insurance team primarily to the aviation claims team. There is an attorney (General Manager level) that reports to ... are three insurance placement colleagues including the Director and seven aviation claims colleagues). The ideal candidate will have 15+ years of experience in… more