- The County of Los Angeles (Los Angeles, CA)
- …choose among a variety of pre-tax and after-tax benefits that include Medical and Dental coverage, Group life insurance, Accidental Death and Dismemberment ... records, and other related areas, and prepares comprehensive reports on audit findings. CLASSIFICATION STANDARDS Positions allocable to this class are located… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …related to recovery and repayment of inappropriate payments discovered as a result of claims audit or investigation. + Maintains awareness of fraud, waste and ... protocols which align with Bon Secours Mercy Health's overall compliance audit and compliance responsibilities relative to hospital revenue cycle services performed… more
- Aerotek (Hanover, MD)
- …FUNCTIONS** + Provide ongoing training on workers' compensation process including investigation, claims management and follow-through + Perform monthly audit of ... Supervisor will preserve company assets via management of Workers' Compensation claims , as well as develop design and implementation of procedures, processes,… more
- Carleton College (Northfield, MN)
- …and compliance of insurance policies. * Manage and process insurance claims through to resolution, working with campus leadership, relevant departments and ... and the Human Resources Office. * Maintain insurance, premium, legal, loss, claims , and related risk management records. Risk Mitigation and Compliance: * Lead,… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …organization. This position will work with multiple other areas including High-Cost Claims , Payment Policy Strategy, Data Mining Audit , Facility Reimbursement, ... Auditor is responsible for post-pay review to verify the accuracy of claims reimbursement, clinical significance, coding, and billing in accordance with the Plans'… more
- Independent Health (Buffalo, NY)
- …statistics. + Perform validation of diagnosis and procedure coding by reviewing medical record documentation and/or provider claims data. Ensure coding ... will aid in training other team members, evaluating appeals, and share audit trends across the team. Expertise and proficiency demonstrated by long-standing,… more
- Ford Motor Company (Dearborn, MI)
- …investigation and litigation issues. + Supports handling the workers' compensation claims from initial report to resolution and investigates accidents involving ... provided to the claim adjusters. + Determines the need to report claims and maintains regular communication/review with claim adjusters to ensure excellent… more
- Insight Global (Irving, TX)
- …required reports (eg, OSHA logs, First Report of Injury, Public Self Insurers reports). Audit claims data and vendor performance to ensure accuracy and cost ... is responsible for managing the end-to-end lifecycle of workers' compensation claims -from initial incident reporting through resolution and closure. This role… more
- Sedgwick (Chicago, IL)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- Sedgwick (Irving, TX)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more