- Aerotek (Hanover, MD)
- …and schedule. + Ensures that Claim Management team and adjudicates claims according to insurance industry standards, TPA's best practices and state ... will preserve company assets via management of Workers' Compensation claims , as well as develop design and implementation of...+ Provides reporting on TPA efficiency benchmarks + Coordinates claim reviews and claim audits + Supports… more
- Sedgwick (Dubuque, IA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative **Disability Representative** **Our teams connect! We collaborate ... **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on medical documentation and the applicable disability… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …+ Manage and Identify Claims Portfolio: + Review and evaluate insurance claims to determine the extent of the insurer's liability, adhering ... and ensure compliance with policy terms. + Resolve Rejected Claims : + Calculate benefit payments and approve claim...Policy Interpretation and Compliance: + Interpret and apply complex insurance policy language to diverse claim scenarios.… more
- HCA Healthcare (Nashville, TN)
- …payer acceptance/rejection logs on imaging storage system Analyzes daily service center clean claim rates ( claims submitted to billing system without errors) to ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …investigates claim and eligibility issues employees have with medical insurance carrier. Investigates claims status and provides additional information as ... applicant to gain general knowledge of medical dental and life insurance and benefit claims . OR SUBSTITUTION OF EDUCATION FOR EXPERIENCE: One year of academic… more
- Sedgwick (Southfield, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigation Manager | Staff Attorney | Public Entity Pooling Are you looking for ... + Reviews member contracts submitted to pool administration, prepares presentations on claims and issues of interest for meetings and/or strategic planning. +… more
- Travelers Insurance Company (Carson City, NV)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment… more
- Sedgwick (Blue Ash, OH)
- …to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Service Center Representative | Cincinnati, OH (In-Office) 3pm-11pm shift with… more
- Sedgwick (Cincinnati, OH)
- …to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Service Center Representative- Blue Ash| Cincinnati, OH (In-Office ) 12pm -8pm or… more
- WestCare Foundation (Dandridge, TN)
- …a plus. + Knowledge: Strong understanding of medical billing and coding procedures, insurance claim submission, and payer requirements. + Attention to Detail: ... Claim Preparation & Submission: Prepare and submit accurate and timely medical claims to insurance companies, government programs, and other payers. + Charge… more