- Providence (Mission Hills, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative… more
- AIG (Atlanta, GA)
- Claims , Quality Assurance Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and ... experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice...+ Organize and execute Benchmark reviews as a Team Lead , including risk assessment, scheduling, sampling, GQA review team… more
- Zurich NA (Springfield, IL)
- RCIS Crop Claims Specialist 127491 Zurich is looking...with claims that may require subrogation and/or claims that may lead to litigation + ... for an RCIS Crop Claims Specialist to work out of Illinois state. This incumbent will work from a home-based office. This position is scheduled to work 40 hours… more
- Axis (Chicago, IL)
- …candidates taking part in the selection process. **Job Description** AXIS is seeking a Claims Specialist , Excess Casualty to join our North America Claims ... maintaining relationships with internal and external partners as their lead contact within the claims department for assigned claims + Escalating coverage… more
- Prysmian (Highland Heights, KY)
- …around us._ **Team Overview and Job responsibilities** This role will oversee and lead members of the Accounts Receivable team in collaboration with the team ... manager. This role is located in our Highland Heights corporate location. + Supervises the day-to-day activities of staff that comprise the accounting function to ensure accounts payable activities. + Supervises activities that might include invoice receive,… more
- AnMed Health (Anderson, SC)
- …career or looking to grow in a new direction, you'll find opportunities to thrive, lead , and make a meaningful impact here. Acts as the primary contact for patients ... to account information. Prepares and files electronically or hard copy claims . Stays current of all Government/State/HIPPA, etc., rules and regulations pertaining… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 168166 Claims Management Specialist Are you a seasoned medical insurance professional with a passion for leadership and operational excellence? ... FlexStaff is seeking a dynamic Claims Management Specialist for our client to...lead a dedicated group of insurance specialists, ensuring claims are processed accurately and efficiently while maintaining full… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst-Technical Lead (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly accomplished ... direction of the management team and Senior staff, the Systems Analyst - Specialist requires a high degree of experienced analytical and solid project management… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ...work experience will be considered. + Certified Medical Reimbursement Specialist (CMRS), or similar certification is preferred. + CPC… more
- State of Colorado (Denver, CO)
- Nutrition Claims and Finance Consultant Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5083346) Apply Nutrition Claims and Finance ... program workplans. + Provide technical assistance to sponsors about their claims for reimbursement. + Provides subject matter expertise and oversight for… more