- State of Minnesota (St. Paul, MN)
- **Working Title: Tort Lead / Special Projects Specialist ** **Job Class: Human Services Program Representative 1** **Agency: Human Services Dept** + **Job ID** : ... files interventions on behalf of the agency in workers' compensation (WC) claims and tort claims -including, no-fault, third-party auto, home-owners, and medical… more
- Molina Healthcare (Buffalo, NY)
- …experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, subrogation , and ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Molina Healthcare (Caldwell, ID)
- …experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, subrogation , and ... cases to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine Provider No Surprises… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role BHPS has a great opportunity for an Accounts Payable Specialist to join the Finance Team. Reporting to the Accounting Supervisor, the Accounts Payable ... reversed in the ledger and bank. + Own process of Credit Balance and Subrogation Recoveries ensuring all recoveries received are processed by claims department… more
- Festival Foods (WI)
- …and plans to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist . Prepares and delivers ... + Oversees, investigates, and approves reserves for high spend and complex claims . + Oversee investigations process related to subrogation potential +… more
- NDCP (Duluth, GA)
- …potential The Workers' Compensation Manager (WC) is responsible for all WC-related claims management, including proactive management of WC claims to accelerate ... has experience adjusting workers' compensation lost time and medical only claims in an insurance company, third party administrator (TPA), or… more
- M. C. Dean (Vienna, VA)
- …for potential GAPS in coverage; review the established reserve requirements, identified claims for subrogation and/or Special Investigations Unit as appropriate. ... Overview **Description** The Risk Management Specialist works within the department of Risk Management,...Drug program monitoring, and manage routine to moderately complex claims from the investigation of an event through resolution.… more