- Sedgwick (Syracuse, NY)
- …and files necessary documentation with state agency. + Communicates claim action/ processing with claimant, client and appropriate medical contact. + Ensures ... claim files are properly documented and claims coding is correct. + May process routine payments...routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical… more
- HCA Healthcare (Nashville, TN)
- …ability to independently problem solve and proactively manage and resolve claims . Job Responsibilities: Quality + Handle professional medical malpractice ... Have strong experience in coverage evaluation process and coverage issues pertinent to medical professional liability claims . + Have a strong understanding of… more
- Sedgwick (Cincinnati, OH)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- HCA Healthcare (Overland Park, KS)
- … Insurance Claims Follow-up Specialist, you will be responsible for processing insurance accounts to address claim issues and thereby affect payment ... **Description** **Introduction** This Work from Home position requires that you live and will...join an organization that invests in you as a Medical Insurance Claims Follow-up Specialist? At Parallon,… more
- Pacific Medical Centers (Seattle, WA)
- …large group practice setting. + Experience with areas of specialty claim processing (COB, Adjustments, Point of Service, Home Health and Encounters). + ... years in Managed Care operations. + 1 year of Claims processing experience, in a TPA, MSO,...equal opportunities for advancement. **Requsition ID:** 378470 **Company:** Pacific Medical Jobs **Job Category:** Claims **Job Function:**… more
- Sedgwick (Largo, MD)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... office** **2 days in-office & 3 days work from home ** **37.5 hour work week** **PRIMARY PURPOSE OF THE...and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to… more
- New York State Civil Service (New York, NY)
- …Representative 2, the incumbent will oversee all aspects of workers compensation claims processing from inception to closing; initially determine the ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 (Group 90 Lost...status; respond to requests for home modifications, home health care personnel, medication, and medical … more
- NTT DATA North America (MO)
- …methodology/ fee schedule/ **Required Skills for this role include:** + 2+ year(s) of Medical Claims experience + 2+ year(s) using a computer with Windows ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...this Role the candidate will be responsible for:** + Processing of Professional and Hospital claim forms… more
- Sedgwick (Baltimore, MD)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... MD** **Hybrid - 2 days in-office/3 days work from home ** **37.5 hours** **PRIMARY PURPOSE OF THE ROLE:** We...and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to… more
- Sedgwick (Marlton, NJ)
- …days from home !** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate and ... of claims within designated authority. + Communicating claim activity and processing with the claimant...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. _As required… more