- The Cigna Group (Denver, CO)
- …savings from the proposed changes. This role will also be data mining historical claims data to develop algorithms and design tools to track medical cost expense and ... key drivers of medical trend and anomalous/outlier patterns in claims billing activity. + Use innovative technology and tools...health programs. We also offer 401(k), company paid life insurance , tuition reimbursement, a minimum of 18 days of… more
- Guidehouse (El Segundo, CA)
- …Leverage extensive experience with healthcare hospital billing systems including electronic claims and authorizations, to maximize revenue and cash flows. + Leverage ... + Extensive experience with healthcare hospital billing systems including electronic claims and authorizations, to maximize revenue and cash flows. + Comprehensive… more
- Aston Carter (Kansas City, MO)
- …payer follow-up activities. The role involves analyzing unpaid, underpaid, and denied claims to identify root causes and take necessary actions. Responsibilities + ... payer follow-up activities. + Analyze unpaid, underpaid, and denied claims to identify root cause and required action. +...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- The Hartford (Irvine, CA)
- …- LM08AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... timely communications, information, legal advice and other services to clients and claims on legal and factual issues. Communicate with the court, witnesses,… more
- Walmart (Shrewsbury, MO)
- …facility level training and execution of asset protection safety functions and claims and receiving procedures by reviewing the application of policies procedures ... training needs and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Elevance Health (Seven Hills, OH)
- …DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . Primary duties may include, but are not limited to: + Analyzes and ... audits claims by integrating medical chart coding principles, clinical guidelines,...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
- Sedgwick (Indianapolis, IN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SIU Team Lead **PRIMARY PURPOSE** : To supervise a team of investigators and ... with quality standards and client protocol. + Maintains contact with the claims team. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as… more
- Pacific Seafood (Warrenton, OR)
- …Pacific Seafood's EHS Programs. This includes managing on-the-job injury claims and documentation, facilitating orientations and training, conducting facility ... Management and Emergency Response: + Perform on-site workers' compensation claims management, including investigation and medical follow-up. + Maintain regular… more
- Elevance Health (Richmond, VA)
- …of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How you ... potential fraud and over-utilization by performing medical reviews via prepayment claims review and post payment auditing + Correlates review findings with… more
- The Hartford (Morristown, NJ)
- …- LM07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... business environment where you will have direct interaction with Claims Partners and your clients, we want to speak...team of legal assistants and paralegals.- Partner with our Claims Partners to achieve the best results for our… more