- Mille Lacs Health System (Onamia, MN)
- …* Bachelor's degree in Social Work or related field required; Master's degree preferred . * Licensed Social Worker (LSW) in Minnesota required. * Experience ... provides high-quality patient care across outpatient service lines. The Social Worker demonstrates strong patient and family assessment skills, plans and implements… more
- Sedgwick (Tallahassee, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Worker Compensation (REMOTE- Southeast State exp needed) ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans.... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … more
- Travelers Insurance Company (Downers Grove, IL)
- …appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of ... paid out. With close to moderate supervision, may handle claims of greater complexity where Injured worker ...Our Ideal Candidate Have?** + 2 years Workers Compensation claim handling experience preferred . + Analytical Thinking:… more
- CenterLight Health System (NY)
- …required. Experience: + 1-3 years of healthcare experience, managed care setting is strongly preferred . + Experience in claims appeals and/or claims audit ... JOB PURPOSE: The Claim Appeals and Audit Specialist will play a...Medicare). + Claims adjudication and understanding of claims PPS is strongly preferred . + Knowledge… more
- NJM Insurance (Trenton, NJ)
- …the claim , and outlining and recommending an action plan to manage the claim . The WC Claims Specialist will work with and communicate to all internal ... guidance and collaborative engagement during the life of a claim . The WC Claims Department takes pride...a high level of customer service that promotes injured worker advocacy-based principles to improve outcomes for all parties… more
- FlexStaff (Bronx, NY)
- …years of insurance experience within a healthcare or managed care setting ( preferred ) - Claims adjudication experience - Knowledge of MLTC/ Medicaid/Medicaid ... **Req Number** 158358 FlexStaff is seeking a Temp to Perm Claims Specialist for our client, a non-profit healthcare organization providing home and community-based… more
- Zurich NA (Schaumburg, IL)
- … operations and drive strong outcomes. In this position you will manage Worker 's Compensation multi-party commercial line claims of moderate to high exposure ... claims data/information in compliance with best practices for worker 's compensation claims of moderate to high...working for an insurance carrier(s) + Experience handling commercial claims + Highly preferred Jurisdictions in the… more
- CenterLight Health System (NY)
- …in data analytics, ie SAS, SQL. + Claims adjudication and understanding of claims PPS is strongly preferred . + Knowledge of Medicaid and Medicare benefits, ... JOB PURPOSE: The Claim Analyst will play a pivotal role in...role in enhancing the efficiency and effectiveness of the claims department by evaluating and refining processes, conducting comprehensive… more
- HUB International (Brentwood, TN)
- …refer files to Subrogation Representative for evaluation and pursuit of potential subrogation claim . * **Required Experience:** * 10+ years claims experience or ... that investigate, coordinate, evaluate, and negotiate complex Non-Subscriber/Occupational Accident claims presented by insured's or claimants. This includes, but is… more
- Prime Therapeutics (San Diego, CA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims Auditor is ... responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting downstream claim … more
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