- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Senior Claims Research and Resolution Professional reports to the Claims ... objectives, including their applications to assignments. The Senior Claims Research and Resolution Professional follows general guidance and processes… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Senior Claims Resolution Specialist** **Starting at $18.50.00/hr but flexible for experienced candidates** Do you enjoy puzzles and ... research ? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within Select Medical! Our dynamic… more
- Marriott (Bethesda, MD)
- …toward achieving identified objectives. * Extensive experience in negotiation and claims resolution , utilizing strong mediation and problem-solving skills to ... Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** The Senior Manager, Specialty Claims is primarily responsible for overseeing and… more
- Blue KC (Kansas City, MO)
- …adoption financial assistance** **Employee discount program** **Job Description Summary:** The Senior Workers' Compensation Claims Adjuster is responsible for ... and claims processes, reporting and regulatory requirements. + Excellent research and investigative skills. Ability to clearly express and synthesize case facts,… more
- Molina Healthcare (Milwaukee, WI)
- **Job Description** **Job Summary** Responsible for work load assignment to the provider Claims adjudicators and senior provider claims adjudicators. Train ... as well and customer services, problem solving, critical thinking skills and research and resolution skills. Strong attention to detail Strong analytical… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative II is ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II will review, analyze and evaluate disputed … more
- MTA (Brooklyn, NY)
- …$67,257) Summary This position involves all aspects of investigation, assessment, and resolution of personal injury and/or property damage claims . The incumbent ... four years of full-time experience investigating and settling liability claims ; or Senior Claim Examiner One (1)...volume of work. + General computer proficiency. + Computer research proficiency using internet and other computer resources. +… more
- Ascension Health (Austin, TX)
- …outside agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes. + ... Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state...to state Medicaid guidelines. + Responsible for the comprehensive research and resolution of claim appeals from… more
- AdventHealth (Maitland, FL)
- …Location** : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, ... language, state and federal regulations, and payor practices to facilitate resolution of contract non-compliance. This person demonstrates attention to detail and… more
- Mount Sinai Health System (New York, NY)
- …issues that need to be escalated to insurance providers or legal entities for resolution . * Review hospital and professional claims processes to identify gaps ... with a strong reputation for quality of care and research . We have over 38,000 employees working together to...across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily… more