- NJM Insurance (Trenton, NJ)
- Join NJM Insurance Group's Medical Claim Services (MCS) team as a Business Process Analyst, where you will play a key role in driving process improvement and ... expertise (SME) in Personal Injury Protection (PIP), Workers' Compensation, and/or General Claims . The ideal candidate will have a strong understanding of current… more
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $38,937.60 - $50,618.88 Entry level hospital billing and claims position. Qualifications: High school diploma or GED is required. AAS degree ... in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented,...timely manner. Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more
- State of Massachusetts (Boston, MA)
- * Claims Examiner/Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative I is ... responsible for supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service...Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review claims… more
- CVS Health (Annapolis, MD)
- …Relations, Configuration, Compliance, Finance, Appeals and Grievance. and Medical Management. **Key Responsibilities** + Manage dailyMarylandMedicaid claims ... and recurring provider submission issues. + Collaborate with Utilization Management/ Medical Management on authorization-related claims issues. + Coordinate… more
- MTA (Brooklyn, NY)
- …injury and/or property damage claims brought against MTA agencies. Review claims and relevant factual and medical records and varied technical information, ... Claims Manager Job ID: 11803 Business Unit: MABSTOA...adjusting industry is required. * Demonstrated ability to analyze medical records and varied technical information. * Proven ability… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed ... care service organization. This role involves auditing claims , identifying errors, and implementing corrective actions to improve overall claims accuracy and… more
- Marriott (Plano, TX)
- …**Pay Range:** $48,500 - $64,300 annually **Bonus Eligible:** Y **JOB SUMMARY** A Claims Adjuster I is responsible for the timely, good faith adjustment and ... disposition of self-administered claims . Responsibility extends to all aspects and phases of...timely WC payments/state filings Monitor and actively manage WC medical treatment with the goal of minimizing disability. Consult… more
- Ascension Health (Jacksonville, FL)
- …bills for reimbursement to individual and third party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third ... **Details** + **Department:** Claims Processing + **Schedule:** Full Time, Days +...Processing + **Schedule:** Full Time, Days + **Facility:** Ascension Medical Group + **Location:** Jacksonville, FL **Benefits** Paid time… more
- Guardian Life (Pittsfield, MA)
- …into the future. **In the role, you will** + Analyze policy language, medical , financial, and other claim documentation. + Apply critical thinking, ... and enrich your career and future as a Disability Claims Specialist. We believe in your aspirations for purpose,...a variety of audiences including customers, as well as medical , financial, legal resources, and other key stakeholders. +… more
- USAA (San Antonio, TX)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager- Auto** , you will be responsible for managing moderately ... liability and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison… more