- Whitsons Culinary Group (Islandia, NY)
- …missing insurance provisions. Data Analytics & Reporting + Track and analyze claims data and insurance metrics to identify loss trends and evaluate program ... preferred. Experience + 7-10 years of progressive experience in risk management, insurance , or claims administration, ideally within a multi-state, multi-site… more
- Heritage Environmental Services, LLC (Indianapolis, IN)
- …management best practices Auto & Risk Management + Oversees the Company's insurance programs, including claims management associated with vehicle incidents, ... effective claims resolution, risk mitigation, and compliance + Leads insurance policy renewal and negotiations to secure favorable rates and coverage terms… more
- PruittHealth (Norcross, GA)
- …and ensuring that correct diagnosis, and procedure codes are utilized. 4. Submits Insurance claims , including the maintenance of bill holds and the correction ... and techniques related to compliant healthcare billing/collections * Familiarity with Insurance Claims management functions in non-acute settings * Knowledge… more
- 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
- 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
- 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
- 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