- State of Colorado (Denver, CO)
- …Workers' Compensation Division, state agencies, and the State's third party- claims administrator, regarding workers' compensation law, liability exposure, ... from inception through hearings and appeals, including fully contested claims , challenges to specific disability and medical benefits, penalty allegations,… more
- MTA (New York, NY)
- …Associate of Risk Management, Construction Risk Insurance Management, and Management Liability Insurance Specialist . + Familiarity with the MTA's policies ... reduce the MTA's cost of risk through risk analysis and transfer, claims management practices, captive financial planning, insurance program placement, and other… more
- Adecco US, Inc. (Louisville, CO)
- …only **Application Deadline:** August 24, 2025 Are you an experienced **Medical Billing Specialist ** ready to play a vital role in the healthcare revenue cycle? ... The **Medical Billing Admin** investigates outstanding and incorrectly adjudicated insurance claims and takes appropriate action to ensure proper and timely… more
- Baystate Health (Springfield, MA)
- …The Sr Director of Clinical Safety and Risk Management also collaborates with the Claims Managers in the operations of the system-wide claims program of the ... clinical personnel, management personnel, and attorneys on matters related to potential claims , claims or lawsuits and recommends appropriate actions to minimize… more
- Sumitomo Pharma (Portland, OR)
- …Oncology (Portland, OR).** In this field-based role, the Prostate Cancer Sales Specialist will focus on achieving sales goals within the prostate cancer therapeutic ... energetic and thrive in a nimble, start-up organization. The Prostate Cancer Sales Specialist will demonstrate a sense of urgency to prepare and successfully execute… more
- Travelers Insurance Company (Las Vegas, NV)
- …intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews ... + Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability to coordinate...to work. + Value Determination: Basic ability to determine liability and assigns a dollar value based on damages… more
- CDM Smith (Rancho Cucamonga, CA)
- …of human resources management includes construction representatives and construction specialist jobs. Manages and controls all construction management activities, ... including critical path method (CPM), scheduling and claims administration. Interprets plans and specifications for clients, contractors, and the company's field… more
- Hackensack Meridian Health (Edison, NJ)
- …management with a tool to provide education, increase the overall number of clean claims , and decrease the rework necessary to generate clean claims . Performs ... is not available or not entered by Patient Access Specialist at time of registration to again mitigate loss...blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected… more
- Adecco US, Inc. (Irving, TX)
- …access and reimbursement barriers. + Manage benefit investigations, prior authorizations, claims escalations, and appeals. + Deliver payer insights and education on ... insurance, and specialty pharmacy. + Experience with prior authorizations, claims processing, and appeals. + Strong communication, presentation, and organizational… more
- Adecco US, Inc. (Columbus, OH)
- …coverage. + Support providers with Benefit Investigations, Prior Authorizations, Claims Assistance, and Appeals. + Deliver reimbursement support, account management, ... billing/coding updates, claims submissions, and assistance with co-pay/patient support programs. +...with 80% travel) + Weekly paycheck + Dedicated Onboarding Specialist & Recruiter + Access to Adecco's Aspire Academy… more