- UNC Health Care (Chapel Hill, NC)
- …performing a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim ... follow up, reconsideration and appeals, response to denials, and re-bills of insurance claims , and all aspects of insurance follow-up and collections… more
- The City-County of Butte-Silver Bow (Butte, MT)
- …analyzes risk exposures related to liability, property loss, workers' compensation, and insurance claims ; designs and administers programs and procedures to ... identifying, evaluating, controlling, and minimizing exposures that may result in litigation, insurance claims , or financial loss. This includes oversight of… more
- Sedgwick (Elgin, IL)
- …and/or the claims system regarding documentation required to process a claim , required time frames and claim status. + Communicates clearly and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Customer Service Associate- In Office **PRIMARY PURPOSE** **:** To expedite the… more
- St. Luke's University Health Network (Allentown, PA)
- …Receivable Specialist I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance with network ... policy. JOB DUTIES AND RESPONSIBILITIES: + Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a… more
- Rexel USA (Dallas, TX)
- …well as developing and implementing programs and processes to control the cost of insurance and claims . **What You'll Do:** + Provide best practices in workers ... Legal, Outside Counsel, and Finance + Participate in quarterly claim reviews and best practice audits with Third Party...compensation laws in all 50 states + Knowledge with claims handling and underwriting principles of other insurance… more
- Molina Healthcare (Rio Rancho, NM)
- …care. **ESSENTIAL JOB DUTIES:** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in ... JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring...made, to ensure medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims and… more
- Sedgwick (Irving, TX)
- …questions and issues in accordance with designed guidelines and policies. + Communicates claims status and current claim activity with client and appropriate ... medical contact; responds to inquiries about jurisdiction- and claim -specific issues. + Enters data into claims system(s) and ensures claim files are… more
- Westminster Management (New York, NY)
- …Serve as principal point of contact with various external partners including insurance brokers, carriers, underwriters, claims adjusters, attorneys and other ... well as external business and governmental agencies. + Demonstrated experience with insurance , finance, legal, loss control, claims management, and risk… more
- NJM Insurance (Hammonton, NJ)
- NJM's General Claims Legal department is seeking a PIP Appeal and Litigation (PAL) Adjuster who will be responsible for conducting a complete and thorough ... investigation on assigned claims and manage those claims through their...or any of the following is a plus: Guidewire Claim Center, Mitchell Decision Point, OnBase Unity Client, Agile… more
- Wellpath (Franklin, TN)
- …appeal. **Key Responsibilities** + Complete accurate and timely audits of out-of-facility claims , confirming eligibility, claim amounts, and related events. + ... free counseling and health coaching * Company paid life insurance * Tax free Health Spending Accounts (HSA) *...Control Specialist performs pre- and post-payment audits of external claims ; ensures that the company rigorously manages claims… more