- 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
- UnityPoint Health (Urbandale, IA)
- …verify benefits and obtain authorization for specialty medications. + Processes test claims of health system's specialty pharmacy prescriptions through pharmacy ... for specialty medications. Understands pharmacy benefit and medical benefit claims submission process for reimbursement of prescription medications. Communicates… more
- ChenMed (Miami, FL)
- …expanding and we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and ... **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Analyzes and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and solve business… more
- The Institute for Family Health (New Paltz, NY)
- REVENUE CYCLE SPECIALIST I Job Details Job Location New Paltz Family Health Center - New Paltz, NY Position Type Full Time Education Level None Salary Range $19.00 - ... + Provides clerical support to senior representatives such as mailing paper claims , preparing spreadsheets for appeals, or maintaining data spreadsheets as directed… more
- Beth Israel Lahey Health (Wakefield, MA)
- …making a difference in people's lives.** Under the general supervision of the Manager , Clinical Analytics, the Health Care Analyst is responsible for providing ... demonstrated ability in using Power BI or Tableau. + Knowledge of claims -based health care data, including medical terminology and standard coding systems (ICD9,… more
- Sedgwick (Cincinnati, OH)
- …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 ... professional needs. **PRIMARY PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims … more