- State of Colorado (Denver, CO)
- …of consumer protection and state antitrust laws, prosecution of criminal appeals and certain complex white-collar crimes, training and certification of peace ... in tort cases, including negotiation and all stages of litigation through appeals . + Work with and assist District Attorneys, managing settlement funds, directing… more
- GuideOne Insurance (Nashville, TN)
- …depositions. + Prepares and drafts pre-trial motions. + Files or defends motion appeals . + Tries lawsuits. + Prepares and drafts post-trial motions. + Manages legal ... liability, property and appraisals, coverage, commercial auto, bad faith, jury trials, and appeals . + Experience in state and federal court. + Two (2) years of… more
- NJM Insurance (Hammonton, NJ)
- …life cycle. Job Responsibilities: + Review, evaluate and process incoming Pre-Litigation Appeals in accordance with the PIP Internal Appeal Procedures. + Review, ... appropriate. + Collaborate and communicate cross-departmentally regarding claims and appeals handling related to pending litigation. Required Skills &… more
- Henry Ford Health System (Detroit, MI)
- …throughout the care journey. * Claims Authorization Support: Efficiently validate insurance coverage and determine when medication prior authorization is required, ... ensuring accuracy and compliance with insurance guidelines to support timely and appropriate reimbursement. *...solutions to resolve any issues. * Claims Management and Appeals : Support audits by reviewing billing and reimbursement activities,… more
- MyFlorida (Marianna, FL)
- …ARE APPLICABLE TO FULL-TIME OPS POSITION As a full-time OPS employee, your employee insurance rate will be significantly low due to the contribution of the State of ... Participate in Deferred Compensation (voluntary) + Participation in group insurance (Only available for employees who work an average...as directed by the Director of Pro Bono and Appeals or the Circuit Director. + Responsible for developing… more
- Houston Methodist (Houston, TX)
- …responsible for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities ... on simple and complex denials and on outstanding insurance balances in the professional fee environment. This role is also responsible for providing information… more
- Sanford Health (SD)
- …remote **Job Summary** Responsible for performing advanced level work related to appeals and denials by conducting a comprehensive review of clinical documentation, ... clinical documentation, and interpreting medical policies. The As a lead position, lead appeals and denial specialist this role will additional support the leads the… more
- MyFlorida (Crestview, FL)
- …coming from the benefits that the State offers. As a full-time employee, your insurance rate will be significantly low due to the contribution of the State of ... While the rates are higher for halftime employees, health insurance options are still available if you are in...as directed by the Director of Pro Bono and Appeals or the Circuit Director. + Responsible for developing… more
- Mendocino County Sheriff's Office (Ukiah, CA)
- …medical, and legal records. + Prepares, submits, and monitors claims and appeals through appropriate federal, state, and local channels, ensuring compliance with all ... and other agencies in the preparation and presentation of claims and appeals , including cases involving denied benefits. + Monitors, interprets, and applies federal,… more
- Idaho Division of Human Resources (Twin Falls, ID)
- …defense through all stages of proceedings. + Prepare and present legal arguments in appeals to the district court, ensuring the legal rights of clients are protected ... hearings, child protective act cases, specialty court proceedings in magistrate court, and appeals to the district court and does related work as required. This… more
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