A company is looking for a Senior Claims Auditor specializing in facility-based claims. CCS, CPC-H)Minimum of 6 years of experience in medical coding, preferably in a facility settingExpertise in medical claims documentation and regulatory complianceAbility to obtain a Position of Public Trust and p...
You have a clear vision of where your career can go.And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.The Product Man...
The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients. Minimum of 2 years claims ...
A company is looking for a Claims Representative. ...
As the Claims Account manager, you will be the primary Claims contact for assigned large complex national, unbundled AIG Risk Management (AIGRM) accounts and be responsible for the day-to-day servicing issues for primary AIG-handled accounts, and responsible for complex service agreements, claims co...
Description: Reviews claims and makes payment and benefit determination. Conducts research as it relates to claims processing for medical appropriateness, and diagnosis, using ICD-9 codes and CPT codes as required. Essential Functions:- Reviews claims and makes payment determination with authorizati...
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry ...
Assigns claims duties to the Workers Compensation Claims Assistant. Worker's Compensation Claims Examiner. Worker's Compensation Claims Examiner. Performs varied and difficult professional and technical duties in adjusting, analyzing, investigating and resolving the City's workers' compensation clai...
We are seeking a skilled Workers Compensation Claims Adjuster II. The ideal candidate will have a strong background in handling complex workers' compensation claims, demonstrating expertise in investigation, evaluation, negotiation, and settlement. Assure that all assigned indemnity claims have an u...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
The Claims Examiner I is in daily contact with team members, clients and providers. This position reports to the Claims Supervisor. Processes claims accurately, efficiently and within quality/quantity requirements. Has the ability to access research tools for accurate claims entry. ...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Managing assigned claims across multiple jurisdictions, as well as setting the case strategy for these claims in partnership with Regional Practice Leaders and Claims management. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. A...
Personal Auto Liability and Bodily Injury claims. Proficiency in using claims management software and tools. Conduct thorough investigations to determine coverage, liability, and damages related to personal auto insurance claims. ...
A Manager within our Disputes, Claims & Investigations group is expected to have assignments in a variety of industries. ...
The Claims Department is a dynamic department that provides claims examination and adjudication for the organization’s multiple health plans and AHF grants and contracts. The Claims Investigator-Examiner contributes to AHF's mission by ensuring accurate and timely and payment of...
Process and maintain medical only claims and indemnity payments. ...
Manages/adjusts assigned claims while meeting company standards and quality, including conducting thorough investigations; determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses; inspecting claims sites as required, assigning external vendor...
The Claims Processing Supervisor will oversee the receipt, processing, calculation, payment and reporting of monthly claims submitted by providers in compliance with contractual requirements, regulations, and agency policies and procedures. The position will ensure that claims processing procedures ...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
As a member of our client's claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. Insurance Placement Solutions has an immediate opening for a Remote Workers Compensation Claims Adjust...
To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Workers Compensation Claims Examiner | Long Beach...
Claims Representative III - APD MPR. Position requires the handling of disputed material damage claims to a satisfactory conclusion. Ability to service claims of various complexities. ...
The Senior Claims Examiner administers health plan contracts by processing medical claims in an efficient, cost-effective, and timely manner meeting all required guidelines and performs adjustments as necessary. Minimum two (2) years medical claims processing experience. ...