This role will evaluate end-to-end claims processes, from claims intake to preprocessing, adjudication and post-payment and presentment, to clearly assess process changes and solutions and identify impacts to the business, stakeholders and/or external customers. Knowledge of claims processes is high...
This role will evaluate end-to-end claims processes, from claims intake to preprocessing, adjudication and post-payment and presentment, to clearly assess process changes and solutions and identify impacts to the business, stakeholders and/or external customers. Knowledge of claims processes is high...
Worker’s Compensation Claims Coordinator. The Worker’s Compensation Claims Coordinator will perform the following:. Directly handle & manage all aspects of Worker’s Compensation claims & strategic planning within a large/shared multi-million-dollar Group Captive Insurance Program. Partner with the t...
Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims. Investigate, evaluate, and resolve complex commercial claims with litigation and serious/significant injury (MCU), applying you...
Accept, review, provide initial handling recommendations and distribute New Jersey First Party claims as they come into department. Provide guidance to staff on coverage, liability and damage analysis, especially on severe and complex claims. Manage clients in the areas of claims administration and ...
A growing healthcare company based in Pennsylvania that owns long term acute care, inpatient rehabilitation hospitals, occupational health, and physical therapy clinics is looking to add to their Patient Billing Team! In this role, you will be responsible for the daily billing process to ensure that...
About Our Opportunity As a Medical Claims Coordinator, you’ll be responsible for overseeing claims and billing processes for the KISx Card program. You’ll also establish relationships with healthcare providers, align processes with the claims team, and proactively identify and reso...
Role specifics: - Jurisdictions: Accross the country - Licenses: TX, FL, NY - Location: This role is eligible for fully remote work How you'll make an impact Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and...
Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims. Investigate, evaluate, and resolve complex bodily injury and litigation claims, applying your claims experience and analytical ...
Our client is seeking to hire a remote Senior Claims Specialist to handle Construction Defect claims. The ideal candidate must have a minimum of 4 years experience handling Construction Defect claims and an active Resident license. Years of Construction Defect claims handling experience. ...
A growing healthcare company based in Pennsylvania that owns long term acute care, inpatient rehabilitation hospitals, occupational health, and physical therapy clinics is looking to add to their Patient Billing Team! In this role, you will be responsible for the daily billing process to ensure that...
About You Potential candidates should have the following: Claims Background: General liability, bodily injury & litigation experience Jurisdictional Experience: Any Active Adjusters' licenses: Any (Ideally NY) As a key member of our Claims Adjuster team, you will: Investigate, evaluate, and resolve ...
Business Analyst - Medicaid Claims. Utilize your Medicaid Claims experience to support new client business for the Pennsylvania PROMISe account. ...
About You Potential candidates should have the following: • Claims Background: commercial claims, serious/significant injury claims (MCU) & litigation experience • Jurisdictional Experience: Any • Active Adjusters' licenses: Any As a key member of our Claims Adjuster team, you will: • Investigate, e...
Business Analyst - Medicaid Claims. Utilize your Medicaid Claims experience to support new client business for the Pennsylvania PROMISe account. ...
Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims. Investigate, evaluate, and resolve complex general liability (non-auto), auto and litigation claims, applying your claims exper...
Auto Liability Bodily Injury Claims Examiner. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims...
Inpatient Central Business Office Trainer.We are committed to your growth and success:.Career advancement opportunities .Competitive pay, benefits and paid time off (PTO).Employee Assistance Program, including in-person or video counseling sessions.Professional On-Demand Learning Modules.Availabilit...
Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Investigate, evaluate, and resolve complex commercial liability claims with moderate supervision, engaging your analytical skills to make deci...
To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Performs coverage, liability, and damage ana...
Epic Hospitals Billing Claims - Hospital Billing Claims certification required; no on-call needs, senior experience needed, will be team of 1; infancy stage of development, no established processes set (this person will help in this area); stabilization phase. Epic Hospital Billings Claims Analyst. ...
Claims Representative - Auto Liability. To analyze and process low to mid-level auto and transportation claims. Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Perf...
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
Business Analyst - Medicaid Claims. Utilize your Medicaid Claims experience to support new client business for the Pennsylvania PROMISe account. ...