- Adecco US, Inc. (Syracuse, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries,...your local Branch. In order to be considered, please follow the steps included upon your application. If you… more
- Illumination Foundation (Santa Ana, CA)
- …+ Review any rejected or denied claims and conduct proper follow up procedures (Escalations/Appeals/ Claim corrections) + Monitor and maintain county aging ... specialist is also responsible for keeping account receivables for CalAIM current, claim follow -up and escalation, and must have knowledge of billing codes… more
- PSEG (Springfield, NJ)
- …or assigning is needed + Handles calls from internal clients and designs claim assignment to the appropriate Corporate Claims Consultant/Specialist + Handles the ... from day one, designed to support your total well-being: medical , dental, vision, parental leave and family leave programs,...claims related matters to the correct department for follow -up & resolution + Training of new hires **Job… more
- Allied Universal (Bronx, NY)
- …on the position and eligibility. **Job Description:** Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for ... **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- Guidehouse (San Marcos, CA)
- …to perform all areas of initial billing, secondary billing, and payer audit follow -up for government and non-government claims . Must work with other departments ... electronic and hardcopy claims + Submits Adjusted claims + Provides Follow -up Billing + Prepares... at a minimum daily. + Works all assigned claims daily by resolving edits, validating claim ,… 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, ... carrier and TPA concerns, advocating aggressively for client interests + Monitor claim reserves, settlement negotiations, and medical management decisions +… 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
- Kelly Services (Glastonbury, CT)
- **Job Title:** **Bilingual** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $24.00 + /hour (Depending on exp) **Schedule:** 11:30 AM ... We are currently seeking a detail-oriented, organized, and compassionate ** Medical Claims Processor / Medical ...outstanding items + Interpret Explanation of Benefits (EOBs) and medical terminology + Identify, research, and resolve claim… more
- Elevance Health (Louisville, KY)
- ** Medical Claims Data Integrity Consultant** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Chicago, IL; Louisville, KY (preferred). This role ... position is not eligible for current or future visa sponsorship._ The ** Medical Claims Data Integrity Consultant** (Business Information Developer Consultant… more
- FlexStaff (Chappaqua, NY)
- …Number** 168166 Claims Management Specialist Are you a seasoned medical insurance professional with a passion for leadership and operational excellence? ... - Monitor daily workflows to ensure timely and accurate claim submission, follow -up, and resolution. - Serve...Qualifications: - Minimum of 3-5 years of experience in medical insurance billing and claims management, with… more