- Aston Carter (Cleveland, OH)
- Job Title: Benefits Administrator Job Description The Benefits Administrator will be responsible for managing benefits and leave administration, including system ... management, employee support, claims management, and compliance reporting. This role requires a...Plan - Pre-tax and Roth post-tax contributions available* Life Insurance (Voluntary Life & AD&D for the employee and… more
- Elevance Health (Grand Prairie, TX)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... duties may include, but are not limited to:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the… more
- Idaho Division of Human Resources (Boise, ID)
- …processing. + Analyze, audit expenditure transactions, including purchasing cards and travel claims . + One of the final reviewers of expenditures, purchasing cards ... and travel claims with a responsibility for ensuring compliance with statute,...and approved by Financial Executive Officer or the Administration Administrator . Auditing - + Review audit reports regarding receipts,… more
- Access Dubuque (Dubuque, IA)
- …Functions:** + Answer customer inquiries on benefits plans + Process Medical/Dental Claims + Ability to learn/retain large amounts of technical information + ... _Most benefits start day 1_ + Medical, Dental, Vision Insurance + Flex Spending or HSA + 401(k) with...SISCO was established in 1980 as a boutique third-party administrator dedicated to the administration of unique, complex plan… more
- ATI (Dallas, TX)
- …technology initiatives across the Law Department. Key Responsibilities: Litigation Support & Insurance Claims Management + Assign matters to outside counsel and ... Insurance & Risk Management + Handle tendering of claims to insurers and coordinate responses to insurer inquiries...and compliance matters as needed. + Serve as system administrator and primary point of contact for document management… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …+ Questions About this Job Office of Workers' Compensation Division: Fraud Claims Location: Baton Rouge, LA Office of Workers' Compensation The Louisiana Works ... efforts and improve workplace safety. The department manages disputed claims , conducts hearings, reviews medical treatment disputes, and investigates fraud… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively across multiple… more
- Elevance Health (Tampa, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Elevance Health (Seattle, WA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- MyFlorida (Tampa, FL)
- …immediate elimination from the selection process. OFFICE CONTACT: Nancy Brown, District Administrator Phone: ### JOB DESCRIPTION: This position serves as the Human ... and state office personnel and performs various duties to assist the District Administrator and Assistant District Administrator as needed. + Prepares and… more