- Guthrie (Sayre, PA)
- Position Summary: Responsible for non‐complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing secondary ... and tertiary claims reviews and analyzes claims for accuracy,...guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to… more
- Travelers Insurance Company (Hartford, CT)
- … insurance programs, including the administrative aspects of proper recordkeeping on insurance claims . + Reviews insurer risk control or engineering reports ... + Reporting and oversight of real estate investment property claims as well as monitoring or involvement on corporate...public speaking internally/externally. + Ten or more years of insurance industry experience. + Knowledge of the claim… more
- Sanford Health (SD)
- …missing information. Verify, create or update patient accounts for billing, prepare insurance claims forms or related documents, and verify completeness and ... ensure the completion of the claim . Accurately and completely follows claim through entire billing process. Ensures all claims consistently meet compliance… more
- University of Michigan (Ann Arbor, MI)
- …Leadership, Office of Patient Experience, Office of Clinical Affairs and the Insurance and Claims Administration Office. The CCRO provides functional supervision ... and innovative approaches to Clinical Risk in partnership with the Insurance and Claims Administration Office investigation, processing, presentation and… more
- MAPFRE Insurance (Webster, MA)
- … and policy data. With the graph analytics, the relationship among the claim , the insured, their policy, previous fraudulent claims , are detected. Later, ... Claims team finally makes the decision about the claim . 2. A Policy Life Expectancy model, which predicts...Worcester **Job Segment:** Summer Internship, Entry Level Actuarial, SQL, Claims , Database, Entry Level, Insurance , Technology Apply… more
- Amentum (Washington, DC)
- …+ Experience with claim review lifecycles and the ability to triage claims based on established guidelines. + Highly skilled in coordinating across teams and ... concerns. + Assist Project Manager in all aspects of Claims Review team management. + Assist in the daily...of priorities to team members. This involves monitoring various claim statuses or queues. + Determine individual team member… more
- AIG (Wilton, CT)
- …Head of Reinsurance Claims and Collections. The individual should have solid claim and ceded reinsurance experience for all insurance lines. The candidate ... and claim related audits. Required Skills: + 5+ years of reinsurance/ insurance experience in Ceded Reinsurance collections and claims . + Proven leadership… more
- AON (Fort Washington, PA)
- …processes for the Affinity Life & Health program, including preparing account data for claim handling and remitting 1st reports of claims in a timely and ... insurance license - preferred + Proven record of claims reporting and carrier interface on claims ...Life & Health program, including preparing account data for claim handling and remitting 1st reports of claims… more
- Cedars-Sinai (CA)
- …include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection Insurance Follow-up WQs to ensure ... clean claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include trending issues to… more
- Johns Hopkins University (Middle River, MD)
- …Communicates with payers to resolve issues and facilitate prompt payment of claims . Follow-up with insurance companies to collect outstanding accounts for ... or by paper. Recognize and resolve incorrect demographic and insurance registration based on an understanding of the outpatient...third-party payers. + Appeals reflected claims and claims with low reimbursement. + Performs claim … more