- AssistRx (Orlando, FL)
- …and support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day operations and ... and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account minimum balances… more
- Trinity Health (Troy, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Claims Processing Tech II -** **Community Hospice** **- FT Days** **Narrative:** The ... and national) * Obtaining service authorizations * Reviewing and submitting electronic claims * Reviewing cash postings * Following up on denials and outstanding… more
- Sedgwick (Plano, TX)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead Assistant - Liability -...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
- Sedgwick (Newark, NJ)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | NJ, PA and... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Sedgwick (Troy, MI)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability - Troy, MI - Hybrid or Remote MI Are ... operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor… more
- Prime Therapeutics (Lincoln, NE)
- …fuels our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit ... and adjustments as required. + Implementation and maintenance of claims processing programs and procedures + Verify...and administrative duties as required by business need. + Lead and implement positive changes with a high level… more
- Dignity Health (Bakersfield, CA)
- …procedures. - Monitor and respond to regulatory changes that impact claims processing and research activities. - Schedule and lead meetings with all affected ... all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration,...the organization to ensure customer resolution is complete - Lead investigations into claims overpayments, underpayments, and… more
- Axis (Alpharetta, GA)
- …determine coverage, liability, and settlement value. + Leading initiatives to enhance claims processing efficiency and accuracy within the team. + Collaborating ... associations for knowledge enhancement. + Demonstrate the capability to lead process enhancement initiatives within a claims ...and directing the development of training materials relevant to claims processing . + Show a commitment to… more
- Axis (Alpharetta, GA)
- …Lines market in North America. As a direct report to the Head of Financial Lines Claims , the successful candidate will lead a sophisticated team of claims ... top talent and developing appropriate succession plans + Reviewing, processing , and assigning new D&O claims to...maintaining relationships with internal and external partners as their lead contact within the claims department for… more
- MVP Health Care (Schenectady, NY)
- …Minimum 3 years in health insurance or production-related environment. 2 years claims processing experience preferred. + Strong knowledge of Medicaid, Medicare, ... and Commercial claims processing . + Familiarity with ICD-10, CPT,...mentor a high-performing team to meet organizational goals. + Lead and manage claims teams across Medicaid,… more