- Mindlance (Columbia, SC)
- Job Title: Claims Customer Service Advocate Job Location: Columbia, SC Zip Code: 29201 Top 3/5 Skills: . Customer Service . Inbound/outbound call . Data Entry . ... Claims processing Job Responsibilities Responsible for responding to customer...research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny… 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
- MultiPlan (Atlanta, GA)
- …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 ... JOB ROLES AND RESPONSIBILITIES: 1. Manage a high volume of healthcare claims thoroughly to maximize savings opportunities on each claim within the established… more
- Nesco Resource (Seatac, WA)
- Job Title: Workers Compensation Claims Location: Remote Certification: WA or OR certificationYears of Experience: 1 Description:PRIMARY PURPOSE: To process low level ... workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to… more
- Nesco Resource (Brea, CA)
- PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving ... litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
- Nesco Resource (Long Beach, CA)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in ... teams including frequent diaries on complex or high exposure claims .ESSENTIAL FUNCTIONS and RESPONSIBILITIESSupervises multiple teams of examiners, multiple product… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Role:Job SummaryPrimarily responsible for the investigation and management of workers' compensation claims . Conducts a 1 to 3-point contact on the managed claims ... the facts of the case or the claim type; determines compensability of claims , manages the medical treatment program, and assists in the return-to-work process. This… more
- US Tech Solutions, Inc. (Hamilton Township, NJ)
- Job Title: Claims Resolution Representative Location: Onsite at Hamilton Township, NJ 08619 Duration: 12+ Months (Contract to Hire/possible of extension) Job ... Description: . Looking for candidates as Claims Resolution Representative who can resolve customer issues in...who can resolve customer issues in the areas of claims manually as required by Medicaid rules and system… 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
- US Tech Solutions, Inc. (Columbia, SC)
- Job Title: Claims Processor I Location: Columbia, SC 29229 Duration: 11 Months Contract Job Description: Responsible for the accurate and timely processing of ... claims . Research and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and… 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
- 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,...team offers a unique combination of accountants with prior claims experience, former insurance adjusters with engineering backgrounds, former… 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 ... sit in any of the listed office locations. Responsibilities: Experienced claims professional responsible for overseeing the adjustment and resolution of recreational… more
- MultiPlan (Atlanta, GA)
- …bright people come to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been ... benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES AND...mining and coordination of benefits techniques to client paid claims data.3. Evaluate medical claims for coding… 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 ... inquiries and phone calls to assist our customers Review claims for supervisor direction every 90 days or sooner...or sooner depending on need Maintain diary on all claims with emphasis on lost time claims /and… 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 with best practices are being met. The position requires the… 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
- AppleOne (Pittsburgh, PA)
- …about providing support and assistance to individuals navigating workers' compensation claims ? We're looking for a dedicated medical claims coordinator ... to a supportive team environment, we want to hear from you! Apply now to become our newest Claims Coordinator and embark on a fulfilling career journey with us. more
- Pyramid Consulting, Inc (Columbia, SC)
- Immediate need for a talented Claims Processor I . This is a 12+ Months contract opportunity with long-term potential and is located in Columbia South Carolina ... (Onsite) . Please review the job description below and contact me ASAP if you are interested. Job ID: 24-23827 Pay Range: $18/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick… more
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