- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for...Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills &… more
- Consolidated Electrical Distributors (Irving, TX)
- Summary Job title: Loss Control Claims Coordinator II Job ID: null Department: Loss Control Location: null-null Description Summary: Consolidated Electrical ... Inc. (CED), a large, nationwide wholesale electrical distribution company, is seeking a Claims Coordinator to join the Loss Control Department. The Claims … more
- HCA Healthcare (Nashville, TN)
- …under demanding performance standards for production and quality Technical competence with claims processing software Ability to understand and implement complex ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...HCFA requirements preferred **EXPERIENCE:** Two (2) years of experience processing claims , with at least one year… more
- Sedgwick (Harrisburg, PA)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
- Sedgwick (Roseville, CA)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
- Albany Medical Center (Albany, NY)
- …Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, ... billing codes and EDI requirements. + Knowledge of electronic claims processing and edits. + Excellent decision-making...timely manner. Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more
- US Tech Solutions (Myrtle Beach, SC)
- … and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non- medical appeals. Determines whether to return, deny or ... according to department guidelines. **Responsibilities:** + Examines and processes claims and/or non- medical appeals according to business/contract regulations,… more
- Sedgwick (New York, NY)
- …arrangement. **Marlton, NJ** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - General Liability and Auto | NY... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Sedgwick (Columbia, SC)
- …distance to office** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner | General Liability & Auto with BI... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Sedgwick (Rancho Cucamonga, CA)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more