- Lactalis American Group Inc. (Buffalo, NY)
- …will be for overall process management and end-to-end transacting of the freight claims work stream. The freight claims scope includes all inbound and ... Optimization Analyst would be responsible for the daily filing of claims , ongoing management of transactions throughout the reconciliation process and reporting… more
- Sacramento County (Sacramento, CA)
- …possess. + California Driver License, Class C or higher. + Self- Insurance Administrator's Certificate. + Workers' Compensation Claims Administration ... 1/29/26 (Final) Under direction, the Workers' Compensation Examiner performs specialized claims service in the administration of the County's self-insured Workers'… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …They register new patients in the system, including patient demographics, verifying insurance , eligibility and claim information is accurate. Incumbent will ... reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic … more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. + Submit claims to payers assuring ... claims meet the clean claim definition to assure timely and accurate payment. +...resource to clinical sites regarding these requirements. + Contact insurance companies to obtain preauthorization (in some departments), resolve… more
- Festival Foods (WI)
- …trends within claims to determine coverage and liability for new claims . + Property insurance + Facilitate property engineering visits through property ... to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist. Prepares and delivers direct reports'… more
- USAA (San Antonio, TX)
- …defined guidelines and framework, you are responsible to adjust moderately complex auto insurance claims presented by or against our members to include the ... knowledge of P&C insurance industry products, services, to include P&C insurance policy contracts, coverages and internal claims handling process and… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. ... and healthcare reimbursement models. ? Experience in working with insurance plans and understanding of claim adjudication...that may arise. * Liaise with external vendors or insurance carriers regarding claims that require third-party… more
- Highmark Health (Little Rock, AR)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... claim rejection and the proper action to complete the...effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of… more
- WellSense (NH)
- …an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works ... liaison between Provider Relations Consultants and internal Plan departments such as Claims , Benefits, Audit, Member and Provider Enrollment and Clinical Services to… more
- USAA (Chesapeake, VA)
- …. + Ability to exercise sound financial judgment and discretion in handling insurance claims . + Proficient knowledge of coverage evaluation, loss assessment, and ... responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability, investigating, evaluating,… more