- NJM Insurance (Trenton, NJ)
- …+ Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs to keep current on relevant ... needed. This position may manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be based in… more
- CVS Health (Columbus, OH)
- …daily operations for the adjudication of Medicare claims on the HRP system in accordance with claim processing guidelines. + Manage employee performance and ... vision aligned with company values and team goals. The claim Supervisor works with staff to align... positions in Medicare are not limited to Front-End Claims . These positions can support various Medicare workstreams as… more
- University of Rochester (Rochester, NY)
- …(Fidelis Medicaid Managed Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites. **Typical ... up on unpaid accounts + For unpaid accounts, check claim status on appropriate payer system or...supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor… more
- Travelers Insurance Company (Pittsburgh, PA)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...by adhering to quality standards. + Utilizes diary management system to ensure that all claims are… more
- University of Rochester (Rochester, NY)
- …(Fidelis Medicaid Managed Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites. **Typical ... staff on the use of the billing application, payer systems and clearinghouse system . Demonstrates how to...and phone conferences with third-party insurance representatives due to claim and systems issues requiring prompt attention… more
- Travelers Insurance Company (Indianapolis, IN)
- …and organized claim files. Develop and maintain proficiency with SRG claim systems and databases. Adhere to applicable requirements for data accuracy. ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- Travelers Insurance Company (Wyomissing, PA)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...quality standards and trend analysis. + Utilizes diary management system to ensure that all claims are… more
- Access Dubuque (Dubuque, IA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Travelers Insurance Company (Houston, TX)
- …Maintain well-documented and organized claim files. Maintain proficiency with SRG claim systems and databases. Adhere to applicable requirements for data ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- NJM Insurance (Trenton, NJ)
- …+ Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs to keep current on relevant ... NJM's Workers' Compensation Claims Team is seeking a Claim ...WC Law, medical terminology, and utilization of an automatic claims processing system . + Level II -… more
- Vontier (Columbus, OH)
- Leading the Claims team the Supervisor , Claims is responsible for managing a team of Service Account Managers, overseeing the relationships with service ... the efficient and effective management of service requests. The Supervisor , Claims will play a critical role...improvement built upon the foundation of the Vontier Business System and embraced by over 8,500 colleagues worldwide. Additional… more
- State of Montana (Helena, MT)
- …of candidates will take place on June 7, 2024. **Title:** *Disability Claims Examiner Supervisor (11083)* **Location:** *Helena* **Requisition ID:** *24141600* ... disability decisions for Montanans with disabilities. This position supervises Disability Claims Examiners and Disability Claims Technicians that carry out… more
- Robert Half Legal (Emeryville, CA)
- …and quarterly Risk Management status reports, ad hoc loss runs and other claim data analyses from the third-party administrator system , company information and ... and ensure appropriate follow up. + Track and update claim database with new notes, financials and claim...Report forms. + Develop dashboard and metric reporting of claims and benchmarks, proficiency with systems and… more
- BrightSpring Health Services (Taunton, MA)
- …apply today! Responsibilities * Works in conjunction with the 3rd Party Claims Manager to establish specific associate goals, department wide goals, performance ... communications and process changes as directed by 3rd Party Claims Manager, Director or Senior Management and insures compliance.*...in any special projects that may be assigned by Supervisor or Manager.* Manages staff attendance and time sheets… more
- Staples (Framingham, MA)
- …to efficiently reach a fair resolution of claims . + Draft and present claim reviews to supervisor that provide full evaluation of coverage, liability and ... handling of high exposure general liability, auto and property claims being handled by our Third Party Administrator -...work in a self-directed manner + RMIS or similar claim system /diary experience **What's needed- Basic Qualifications:**… more
- GAF (Parsippany, NJ)
- …material and workmanship concerns. The successful candidate will report to the Commercial Claims Supervisor . The Commercial Claims Examiner will be ... the day-to-day activities related to new and existing commercial claims ,whichincludesbutisnotlimitedtoresearchandinvestigation,assignmentof workorders,preparationofvariouscommunicationsthroughoutthelife-cycleofthe claim , and resolution. + Apply… more
- Trinity Health (Farmington Hills, MI)
- … claims billed, paid, settled, and follow-up in appropriate system (s). Identifies and escalates issues affecting accurate billing and follow-up activities. ... problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and… more
- City of New York (New York, NY)
- …Review, process, determine and/or establish cases assigned manually or via Automated SNAP Claim System (ASCS) cases for potential SNAP benefit overpayment. - ... and centralized data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office… more
- Trinity Health (Farmington Hills, MI)
- … claims billed, paid, settled, and follow-up in appropriate system (s). Identifies and escalates issues affecting accurate billing and follow-up activities. ... billing experience needed working with all payors** **Experience processing paper medical claims helpful** **Experience with the Epic billing system highly… more
- State of Minnesota (St. Paul, MN)
- …to prove ownership. + Maintain confidentially with the review of legal documents and systems pertinent to each claim . + Prepare and send accurate correspondence ... **Working Title: Claims Analyst** **Job Class: State Program Administrator, Intermediate**...Analyst is responsible for the review and analysis of claim submissions for the Unclaimed Property Program Minn. Stat.… more