- American Water (Camden, NJ)
- …package including 401(k),Defined Contribution Plan, Employee Stock Purchase Plan, medical , prescription, dental and vision coverage, plus disability, paid time ... wastewater services to our communities. Effective, efficient, and intelligent insurance claims management, oversight, and forecasting are essential to this mission.… more
- Stanford Health Care (Palo Alto, CA)
- …for clarity and accuracy prior to submission to ensure high-quality presentation. + Audit Response: Ensuring the medical record documentation supports medical ... America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Specialty Health Plans Auditor III Claims is responsible for all aspects of planning, execution, reporting and corrective… more
- Robert Half Office Team (Ontario, CA)
- … claims processing team by ensuring accurate intake, sorting, and preparation of medical claims for further handling. The role is vital in maintaining ... and prepare mailing. + Reconcile processed batches within the audit database. + Create denial trailers and mail denial...+ 6 months to 1 year experience in a medical office or claims processing environment. +… more
- Sedgwick (Orange, CA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability Are you looking for...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. _As required… more
- Sedgwick (Troy, MI)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability - West Des Moines,...opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day 1 **QUALIFICATIONS &… more
- JB Hunt Transport (Lowell, AR)
- …matter management system for management review as well as internal and external audit processes. * Manage moderately complex claims involving alleged property ... **Job Title:** Casualty Claims Examiner I **Department:** Insurance **Country:** United States...and laws, and analysis of estimates of repair, analyzing medical reports * Handle all monetary aspects of assigned… more
- Conduent (Los Angeles, CA)
- … Auditor CPhT** **Do you have a CPhT certification?** **Would you like to audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a wide variety...and pharmacy practices. + Responding to pharmacy calls regarding audit results and dealing with clients periodically to report… more
- Lincoln Financial (Denver, CO)
- …experience. + Effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims ... multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You will analyze… more
- Axis (Short Hills, NJ)
- …taking part in the selection process. About the Team AXIS is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves ... managing primary claims for AXIS US Primary Casualty policies. How does...ability to document claim activities and decisions comprehensively for audit support. Role Factors This role requires you to… more