- Nesco Resource (Brea, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.Manages claim recoveries, including but not… more
- Nesco Resource (Seatac, WA)
- … claims ' action plans to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims , determines benefits due, ... and administers action plan pursuant to the claim or client contract. Administers subrogation of ... claim or client contract. Administers subrogation of claims and negotiates settlements. Communicates claim action… more
- Nesco Resource (Long Beach, CA)
- …suggested by the claim status; and provides written resumes of specific claims as requested by client.Assures that direct reports are properly licensed in the ... to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …claims , which is dependent on either the facts of the case or the claim type; determines compensability of claims , manages the medical treatment program, and ... About the Role:Job SummaryPrimarily responsible for the investigation and management of workers' compensation claims . Conducts a 1 to 3-point contact on the managed … more
- MultiPlan (Atlanta, GA)
- …healthcare claims thoroughly to maximize savings opportunities on each claim within the established department production standards and individual goals by ... healthcare providers to discuss negotiations for a specific dollar range of eligible claims /bills prior to payment, in order to achieve maximum discounts and savings… more
- Mindlance (Columbia, SC)
- …according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct ... Job Title: Claims Customer Service Advocate Job Location: Columbia, SC...Customer Service . Inbound/outbound call . Data Entry . Claims processing Job Responsibilities Responsible for responding to customer… more
- US Tech Solutions, Inc. (Columbia, SC)
- …as necessary. Experience: Responsible for the accurate and timely processing of claims . Research and processes claim according to business regulation, internal ... Job Title: Claims Processor I Location: Columbia, SC 29229 Duration:...of procedure and diagnosis codes. Responsibilities: Research and processes claim according to business regulation, internal standards, and processing… more
- Chubb (Wilmington, DE)
- …marina operator legal liability, builder's risk and other transportation/warehousemen related claims . This position manages pending inventory and daily workflow of ... incoming first and third-party claims while ensuring high customer service levels and compliance...and extent of loss. Promptly and properly develop the claim file to provide accurate and timely investigations and… more
- CMJobPoster (Ontario, CA)
- Job Title: Claims Team Lead Location (On-site, Remote, or Hybrid?): Ontario, CA (hybrid) Contract Duration: Contract until 11/16/2024 Description: County of Los ... payments process according to procedure Review and approve new claim determinations and provide initial directions as to whether...inquiries and phone calls to assist our customers Review claims for supervisor direction every 90 days or sooner… more
- US Tech Solutions, Inc. (Hamilton Township, NJ)
- …on Medicaid rules and regulation established for final processing. * Resolves claims resolution and/or adjustments/voids. * Processes claim adjustments through ... Job Title: Claims Resolution Representative Location: Onsite at Hamilton Township,...of extension) Job Description: . Looking for candidates as Claims Resolution Representative who can resolve customer issues in… more
- Chubb (Wilmington, DE)
- …marine. This position manages pending inventory and daily workflow of incoming claims while ensuring high customer service levels and compliance with best practices ... are being met. The claim profiles range from recreational marine including mega yacht,...in any of the listed office locations. Responsibilities: Experienced claims professional responsible for overseeing the adjustment and resolution… more
- EY (Austin, TX)
- …working world for all.Location: Austin.The opportunityEY's Insurance and Federal Claims Services practice specializes in assisting policyholders to prepare, present, ... and resolve complex insurance claims resulting from events like fires, floods, hurricanes, tornadoes,...expertise. We have the experience and flexibility to devise claim approaches to handle the simplest to the most… more
- MultiPlan (Atlanta, GA)
- …and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES AND RESPONSIBILITIES: 1. ... to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to ensure medical...mining and coordination of benefits techniques to client paid claims data.3. Evaluate medical claims for coding… more
- Percepta (Melbourne, FL)
- Automotive Claims RepresentativeAt Percepta, we bring first-class service across each market we support. As a Automotive Claims Representative in Melbourne ... a unique culture.What You'll Be Doing * Ability to analyze repair shop claim information to determine contract coverage * Ability to speak confidently about extended… more
- Chubb (Glen Allen, VA)
- ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of ... ACE USA, provides claims , risk control & loss information systems to Fortune...1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select… more
- Cambia Health Solutions, Inc (Portland, OR)
- Claims Supervisor Remote within WA, OR, UT, IDOnsite/Hybrid can be an option if an office is available in the local area.Primary Job Purpose:This role supports ... workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to State, Federal and company… more
- Rose International (San Diego, CA)
- …Posted: 04/22/2024 Hiring Organization: Rose International Position Number: 462737 Job Title: Claims Analyst Job Location: San Diego, CA, USA, 92123 Work Model: ... 30.00 Max Hourly Rate ($): 36.23 Must Have Skills/Attributes: Case Management, Claims , Investigations, MS Excel, MS Office Job Description **Only those lawfully… more
- ICONMA (Los Angeles, CA)
- … handling, investigative techniques, legal requirements, and regulations. 5+ years' experience required handling Workers Compensation handling California Claims ... The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's responsibility for lost… more
- Fidelity TalentSource LLC (Westlake, TX)
- Claims Reconciliation Representative Fidelity TalentSource is your destination for discovering your next temporary role at Fidelity Investments. We are currently ... sourcing for a Claims Reconciliation Representative to work in Westlake, TX! The...Representative to work in Westlake, TX! The Role The Claims Reconciliations Representative will report to the Senior Manager… more
- Staffing Now (Boston, MA)
- Our Boston, MA healthcare client is seeking a temporary Medical Claims Processor to work M-F 8:30am-5:00pm in their Downtown Crossing office. Duties: Open and sort ... mail, check medical claims for accuracy and manually enter claims into an Excel spreadsheet. 1-2 years of medical claims experience. Must be proficient in MS… more
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