- Alight (IN)
- …an emphasis on returning medically able individuals back to work. + Consults on medical claims within their scope of licensure and clinical expertise. **You ... claim examiners as they manage short- and long-term disability claims . Using MDGuidelines, which is the gold standard in...as primary clinical resource on a team of claim examiner managing medical disability and accommodation cases.… more
- Alight (IN)
- …an emphasis on returning medically able individuals back to work. + Consults on medical claims within their scope of licensure and clinical expertise. **You ... claim examiners as they manage short- and long-term disability claims . Using MDGuidelines, which is the gold standard in...as primary clinical resource on a team of claim examiner managing medical disability and accommodation cases.… more
- Molina Healthcare (Cincinnati, OH)
- …fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of ... programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems + Understanding of datamining… more
- City of New York (New York, NY)
- …and advocacy through interactions with law enforcement, the criminal justice system, the medical examiner 's office, and others as necessary. The goal of this ... Homicide Detectives. - Assist homicide survivors in navigating the medical Examiner 's office. - Provide immediate emotional...with the completion of and filing of victim compensation claims with NYS OVS. - Prepare letters and forms… more
- City of Long Beach (Long Beach, CA)
- …and consultant contracts, including analyzing and negotiating contract changes, evaluating claims and reviewing and processing progress payments; and performs other ... Technologist Certification from the California Water Environment Association; Plans Examiner certification from the International Code Council (ICC), Certified… more
- General Dynamics Information Technology (Fairfax, VA)
- …Trusted Third Party activities. **Roles and Responsibilities** + Reviews and analyzes medical claims to determine accuracy, completeness and compliance with ... reimbursement criteria. + Verifies the accuracy of diagnosis and procedure codes in claims data, ensuring alignment with medical policies and industry coding… more
- Sedgwick (Baton Rouge, LA)
- …or GED required **Experience** One (1) year of general office experience required. Claims or medical records/billing industry experience preferred. Two (2) years ... + Documents activity in MCS; communicates MCS action with examiner via JURIS notes + Creates daily reports to...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- City of New York (New York, NY)
- …Compensation Division are responsible for all medically related issues for medical management of workers' compensation claims . Responsibilities include: Consult ... not related to the claimant's job related injury. Assist examiner and legal staff to determine compensability of treatment...relates to the claimant's work injury and assist with medical case management of claims . Review and… more
- UCLA Health (Los Angeles, CA)
- …progress, recommending medical treatment interventions to the third-party claims examiner , and ensuring compliance with applicable workers' compensation ... Compensation Analyst and department manager, you will manage workers' compensation claims by supporting employees who have experienced work-related injuries or… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …position must be willing and able to 1) review and process grantee monthly claims ; 2) pay approved invoices; 3) reconcile daily warrant or check registers; 4) update ... perform site visits; 9) process and pay victim compensation claims ; and 10) complete other duties as assigned by...includes the equivalent of twelve months as a Revenue Examiner 1 shall be considered as qualifying; OR employees… more