- Sedgwick (Glendale, CA)
- …properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period medical claims which include state and ... claims ' action plans to resolution, return-to-work efforts, and approves claim payments. + Approves and processes assigned claims , determines benefits… more
- Sedgwick (Orange, CA)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... claims ' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. + Approves and processes assigned claims , determines… more
- Sedgwick (Charlotte, NC)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... claims ' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. + Approves and processes assigned claims , determines… more
- Sedgwick (Wausau, WI)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... claims ' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. + Approves and processes assigned claims , determines… more
- Sedgwick (San Francisco, CA)
- …properly documented, and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... claims ' action plans to resolution, coordinates return-to-work efforts and approves claim payments. + Approves and processes assigned claims , determines… more
- Sedgwick (Grand Rapids, MI)
- …properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period medical claims which include state and ... claims ' action plans to resolution, return-to-work efforts, and approves claim payments. + Approves and processes assigned claims , determines benefits… more
- HUB International (San Diego, CA)
- …Manage workers' compensation claims for clients from various stages of the claim 's lifecycle + Follow select claims from inception through closure, ensuring ... carrier and TPA concerns, advocating aggressively for client interests + Monitor claim reserves, settlement negotiations, and medical management decisions +… more
- TEKsystems (Phoenix, AZ)
- …2 years of experience in a call center environment, within the health insurance/ medical claims industry. + Knowledge: Strong understanding of health insurance ... Provide call center callers with timely, accurate, and customer-focused claim information, solicit information needed to perfect the ... system, work with the Supplemental Health and Limited Medical Benefit products, and perform well in a call… more
- Providence (CA)
- **Description** **Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers are ... empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate,...for each matter:** + Develop and document for each claim or lawsuit a plan of action for resolution… more
- Lincoln Financial (Denver, CO)
- …and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... experience. + Effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims … more