- Mercy Health (Youngstown, OH)
- …Differentials with working on the WeekendReports to Title: Pharmacy Supervisor , Manager, or DirectorSummary of Primary Function/General Purpose of PositionUnder ... to a patient or patient representative and assisting with insurance claim processing. Performing diagnostic laboratory testing as defined in state… more
- Centria Autism (Tempe, AZ)
- …oversee performance standard metrics related to clinical services, including assessment denials, claims , and appeals. Escalate support needs as necessary to the Vice ... in acceptance with BACB guidelines Completion of 8-hour supervision course License/ Certification BCBA License/ Certification BCBA certification from the… more
- Centria Autism (Tempe, AZ)
- …oversee performance standard metrics related to clinical services, including assessment denials, claims , and appeals. Escalate support needs as necessary to the Vice ... with children and autism spectrum disorders in a clinical supervisor capacity -3 or more years of experience in...Must pass all qualifications for the Foundations of Care Certification mentorship within 9 months of hire, or enrollment… 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
- Sedgwick (Columbus, OH)
- … 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
- Sedgwick (Los Angeles, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors others.… more
- Sedgwick (Columbus, OH)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Columbus, OH)
- … 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
- Sedgwick (Long Beach, CA)
- … 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
- Sedgwick (Hunt Valley, MD)
- … 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
- Sedgwick (Long Beach, CA)
- … 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
- Sedgwick (Riverside, CA)
- …timely resolution by investigating and gathering information to determine the exposure on the claim . + Reporting claims to the excess carrier and responding to ... + Managing claim recoveries if applicable. + Negotiating settlement of claims within designated authority. + Referring cases as appropriate to supervisor … more
- Access Dubuque (Dubuque, IA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in… more
- Sedgwick (Orange, CA)
- …of education and experience required, and experience required to include 2 years claims supervisor experience. + High School Diploma or GED required. Bachelor's ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Team Lead | Orange, CA **OFFICE LOCATION** Orange, CA Are you… more
- Marriott (Costa Mesa, CA)
- …Number** 24069181 **Job Category** Finance & Accounting **Location** Western Casualty Claims Office, 3100 Bristol Street Suite 425, Costa Mesa, California, United ... **Located Remotely?** N **Relocation?** N **Position Type** Management **JOB SUMMARY** A Claims Adjuster II is responsible for the timely, good faith adjustment and… more
- Crawford & Company (Phoenix, AZ)
- …programs. + Previous experience providing services in branch operations and/or as a Supervisor or Branch Manager. + Flood positions: 4-5 years of experience as a ... NFIP Field Flood adjuster. + Maintenance of certification and/or licensing in field; continuing education courses when required. For Claims trainers, a… more
- State of Montana (Helena, MT)
- …position is with the Health Resources Division. This position is a Medicaid Claims Specialist and provides technical support primarily in the areas of disputed or ... pending claims resolution, pricing of specialized procedures, maintenance of data...considered on a case-by-case basis. Preferred * Medical coding certification * * *How to Apply To be considered… more
- HCA Healthcare (Denver, CO)
- …We care like family! Jump-start your career as a Medical Insurance Claims Representative today with HCA Healthcare. **_*This position is Full-time with required ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
- Social Security Administration (Bronx, NY)
- …II and/or Title XVI cases and on public fraud issues in specific claims and post-entitlement cases, provides lead role in technical training and mentoring other ... most effective use of software/systems to process specific complex claims and post-entitlement actions. Requirements Conditions of Employment Qualifications… more
- Social Security Administration (Queens, NY)
- …II and/or Title XVI cases and on public fraud issues in specific claims and post-entitlement cases, provides lead role in technical training and mentoring other ... most effective use of software/systems to process specific complex claims and post-entitlement actions. Requirements Conditions of Employment Qualifications… more
