- NJM Insurance (NJ)
- …with various aspects of claims handling and/or process including advanced knowledge of medical terminology and WC regulations for PA, MD and/or DE claims . + ... NJM's WC Claims Department is seeking an experienced Claims...parties + Determine compensability and coverage issues by gathering medical and factual evidence + Administer the delivery of… more
- Baylor Scott & White Health (Dallas, TX)
- …Manager the Claims Adjuster is responsible for the review, analysis and processing of assigned claims within their authority limits and consistent with ... lost wages for payroll and for all approvals of medical bills per claim file.Pay and process claims... medical bills per claim file.Pay and process claims within designated authority levelPerforms other position appropriate duties… more
- Sedgwick (Phoenix, AZ)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner - Auto & GL Are you looking for an opportunity to join a ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Auto NF, PIP, MP | Remote Are you looking for an opportunity ... professional needs. **ARE YOU AN IDEAL CANDIDATE?** As a Claims Examiner, you will primarily handle auto-related liability ...Liability, No Fault (NF), Personal Injury Protection (PIP), and Medical Payments (MP). No two days are the same… more
- Sedgwick (Lansing, MI)
- …to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor | Professional Liability | Remote This person will analyze professional… more
- LA Care Health Plan (Los Angeles, CA)
- …of the PPGs, capitated hospitals, and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates. Provides timely and ... Experience Required: At least 4 years of experience performing claims audits or claims processing ...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
- Texas Veterans Commission (Victoria, TX)
- …of Veteran Affairs. . Knowledge of laws, rules, and regulations applicable to the processing of veterans' claims ; and of assessment techniques. . Fluent in ... rights, entitlements, and other supportive services. . Consults with medical and legal staff in the development of pertinent...to interpret laws, rules, and regulations applicable to the processing of veterans' claims . . Ability to… more
- Philadelphia Insurance Companies (Harrisburg, PA)
- …and technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking ... A++ by AM Best. We are looking for a Claims Supervisor II - General Liability to join our...related studies. Experience with Windows operating system. Basic Word processing skills. EEO Statement: Tokio Marine Group of Companies… more
- Philadelphia Insurance Companies (West Linn, OR)
- …and technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking ... A++ by AM Best. We are looking for a Claims Supervisor II - Commercial Auto - BI to...+ Experience with Windows operating system. + Basic Word processing skills. National Range : $112,165.00 - $125,360.00 Ultimate… more
- Molina Healthcare (UT)
- …overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing , including CPT/HCPCS, ICD, and ... requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role… more