- Travelers Insurance Company (Franklin, TN)
- …collaboration. Imagine loving what you do and where you do it. **Job Category** Claim , Nurse - Medical Case Manager **Compensation Overview** The annual base ... early intervention, return to work planning, coordination of quality medical care on claims involving disability and...and medical treatment as well as in-house medical reviews as applicable to claim handling… more
- Tractor Supply Company (Brentwood, TN)
- …mitigate claims expense including, but not limited to consistent medical care, minimizes overutilization, litigation costs and all other vendors are effectively ... + Develops and implements Workers Compensation and Non Subscriber claim management strategy in coordination with Return-to-Work Program for...a clear plan of action to closure on claims ensuring TPA is employing proper techniques to… more
- Dollar Tree (Chesapeake, VA)
- …with internal and external legal counsel, insurance representatives, third party claims administrator and other stakeholders regarding claim issues. **Principal ... regulatory environment. + Special projects assigned by Director of Claims & Litigation. + Manage and mentor claim...handling multiple tasks and meeting deadlines. + Knowledge of medical terminology, medical treatment protocols, and legal… more
- MyFlorida (Miami, FL)
- …Conducts the initial file review upon receipt of claim . Reviews disability claim to determine completeness of file. Reviews medical disability and associated ... OPS MEDICAL DISABILITY CASE RECORD SPEC - 64858448 Date:...activities relating to Social Security and Medically Needy disability claims . This includes receipt from the Social Security field… more
- Zelis (St. Petersburg, FL)
- …members achieve more favorable financial outcomes. What you will do: + Analyze medical claims submitted by members along with their Explanation of Benefits ... claim processing and provider billing issues. Additionally, the Medical Bill Navigator also supports efforts to negotiate reduced...to Zelis: + Bachelor's Degree + 5+ years of medical claims & member benefit application experience… more
- Community Health Systems (Birmingham, AL)
- …contact for insurance companies, payers, and patients regarding billing inquiries and claim resolution. + Reviews and processes insurance claims , ensuring timely ... all policies and standards. **Qualifications** + 2-4 years of experience in medical billing, insurance claims processing, or revenue cycle management required… more
- Houston Methodist (Houston, TX)
- …includes, but is not limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and ... knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions. This role is also… more
- University of Rochester (Rochester, NY)
- …which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes ... necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department and… more
- Amentum (Washington, DC)
- …claim review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim ... permanently. More information about the VCF can be found at https://www.vcf.gov/ . The Claim Review Support Team works with VCF and claim review leadership to… more
- University of Michigan (Ann Arbor, MI)
- …. + In coordination with the Claims Manager, this position sets medical malpractice claim reserves, supervises the workflow of claims investigation ... for developing comprehensive clinical risk management programs and procedures to address medical malpractice claims arising from clinical care delivery. This… more