- Zurich NA (Boston, MA)
- …of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 5 or more years of ... the Underwriting or Market Facing areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and...and 12 or more years of experience in the Claims or Underwriting Support area Preferred Qualifications: + Bachelors… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- …Translate patient information and alphanumeric medical code entries. Electronic "clean" claims submissions to Insurance Carriers. Collect, post, and manage ... Billing and Coding Specialist to join our Central Billing Office . In this position, you will be responsible for...claims for denial reasons and provide resolution. Investigate insurance fraud and report if found. Collect information regarding… more
- Zurich NA (Philadelphia, PA)
- …experience in the Claims or Underwriting Support area OR + Zurich Certified Insurance Apprentice including an Associate Degree and 5 or more years of ... Underwriting or Market Facing area OR + Zurich Certified Insurance Apprentice including an Associate Degree and...and 12 or more years of experience in the Claims or Underwriting Support area AND + Experience with… more
- Zurich NA (Los Angeles, CA)
- …experience in the Claims or Underwriting Support area OR + Zurich Certified Insurance Apprentice including an associate degree and 5 or more years of ... This position will be based in our Los Angeles Office . The National Accounts Casualty Underwriting Manager will be...Claims or Underwriting Support area within the Commercial Insurance industry AND + Experience in Large Casualty Lines… more
- University of Rochester (Rochester, NY)
- … to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization ... that prevent patients from receiving their medications. Duties will include insurance coverage determination, patient out of pocket determination, determination of… more
- CareFirst (Baltimore, MD)
- …contract development and negotiations with smaller provider practices based on claims and market analysis. + Supports negotiations, development of strategy, market ... for institutional, ancillary and professional providers, including implementation oversight. Uses claims and code data to draft and negotiate fixed-price and cost… more
- City of New York (New York, NY)
- Job Description YOU MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE The Department of Social Services Accountability Office ... Homeless Services (DHS). AO maintains the operation of the Office of Audit Services (OAS) and Office ...from the State Wage Reporting, Department of Corrections, Unemployment Insurance and child support greater than cash assistance grant… more
- Humana (Frankfort, KY)
- …client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Investigates and settles ... claims and customer service issues. Understands department, segment, and...must be performed onsite at Public Education Employees Health Insurance Plan in Frankfort, Ky. This is not a… more
- New Jersey Resources (Rockaway, NJ)
- …and loss + Lead investigations involving regulatory inspectors (eg, OSHA) and insurance carriers; conduct thorough injury investigations and report findings + Ensure ... timely resolution of identified safety deficiencies + Perform root cause analyses on claims ; maintain detailed claims data and reporting logs + Manage fleet and… more
- Humana (Charleston, WV)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more