- University of Rochester (Rochester, NY)
- …to insurance companies to determine reason for claim denial, or reason for unpaid claim . Address unpaid claims , and solicit a payment date from the payer. + ... Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim ...supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor… more
- University of Rochester (Rochester, NY)
- …meetings / work at RTP are required. Remote location must be within 2 hours of RTP and within New York State. **Position Summary:** With considerable latitude for ... independent judgment, the Claim Resolution Rep IV is responsible for the follow...of peers and lesser-grade staff, as directed by the Supervisor . Independent judgment is necessary in escalating collection activities… more
- Crawford & Company (VA)
- …In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents ... and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority. Responsibilities + Conducts investigations of claims… more
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 10 **Position:** Supervisor Claims PFS **Union Code:** 00 - Non Union ... similar required. **Status:** Full Time **Shift:** Days **Scheduled Work Hours :** 8a-5p **Salary Range:** $49,861-$76,359 annually *Wage will be...**Bi-Weekly Hours :** 75 **Weekend/ Holiday Requirement:** No Weekends or Holidays… more
- City of New York (New York, NY)
- …and centralized data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office ... of Liens & Trust (OLT) and Supplemental Nutrition Assistance Program - Claims & Recovery (SNAP-CR). Within Revenue, SNAP-CR is a revenue producing, federally… more
- State of Minnesota (St. Paul, MN)
- …Unit** : Commerce Dept / Commerce-MAPE + **Division/Unit** : Administration/ Unclaimed Property Claims + **Work Shift/Work Hours ** : Day Shift + **Days of ... **Working Title: Claims Analyst** **Job Class: State Program Administrator, Intermediate**...Analyst is responsible for the review and analysis of claim submissions for the Unclaimed Property Program Minn. Stat.… more
- Trinity Health (Farmington Hills, MI)
- …problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Trinity Health (Farmington Hills, MI)
- …and non-government accounts. The position reports directly to the Supervisor Billing and Follow-up. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Allied Universal (Tallulah, LA)
- …Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more
- USAA (Phoenix, AZ)
- …6 months time in role. **What sets you apart:** + Current experience as a Claims Manager/ Supervisor + 2+ years experience handling Auto total loss claims ... what makes us so special! **The Opportunity** We are seeking a dedicated Manager, Claims Operations to lead a team of Auto Adjusters. This team will handle complex… more
- Universal Health Services (Riverside, CA)
- …materials and necessary documentation to claims examiners, and provide backup to the Claims Supervisor . 5. Assist the Claims Supervisor with ... informally, either verbally or in writing). 1. Audit the Claim Examiners' batches daily, to ensure all claims...weekly Friday provider check run deadline. Follow-up with the Claims Supervisor as necessary when batches are… more
- Billings Clinic (Billings, MT)
- …benefits package to all permanent full-time employees (minimum of 24 hours /week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, ... prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I (Full-time/Billings) PATIENT FINANCIAL SERVICES (ROCKY MOUNTAIN… more
- Sharp HealthCare (San Diego, CA)
- …Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** ** Hours ** **:** **Shift Start Time:** **Shift End Time:** **AWS Hours ... business practices. **What You Will Do** Minimal data entry from non-scanned claims into GE according to established procedures. **Required Qualifications** + 1 Year… more
- Kelly Services (Mason, OH)
- …your lifestyle isn't always easy.** That's where Kelly(R) comes in. We're seeking a ** Claims Processor** to work a global leader in risk management in Mason, OH. ... per hour **Why you should apply to be a** ** Claims Processor** **:** + Competitive pay rate with potential...with a reputable company. + Convenient shift timing: Work Hours : 8-5 (1 hr lunch) or 8-4:30 (1/2 lunch)… more
- Marriott (Costa Mesa, CA)
- …Associate in Risk Management or related field is desirable + California Experienced Claims Adjuster Designation and current on education hours . + California ... Number** 24069181 **Job Category** Finance & Accounting **Location** Western Casualty Claims Office, 3100 Bristol Street Suite 425, Costa Mesa, California, United… 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 ... and/or licensing in field; continuing education courses when required. For Claims trainers, a professional designation is preferred (AIC, ARM, CPCU, SCLA… more
- Social Security Administration (Tampa, FL)
- …by SSA; and use state of-the-art technology to access and update claims information. Requirements Conditions of Employment Qualifications Applicants must have 52 ... health benefits and/or social service programs; developing, processing, or authorizing claims ; explaining benefit related programs to the general public and… more
- Social Security Administration (Durham, NC)
- …by SSA; and use state of-the-art technology to access and update claims information. Requirements Conditions of Employment Qualifications Applicants must have 52 ... health benefits and/or social service programs; developing, processing, or authorizing claims ; explaining benefit related programs to the general public and… more
- Intermountain Health (Broomfield, CO)
- …the ability to resolve complex issues in a timely and accurate manner. Details: As a Claims and EDI Patient Account Rep I you need to know how to: Monitor assigned ... outstanding patient account claims . Document and file in the computer system all...Office **Work City:** Broomfield **Work State:** Colorado **Scheduled Weekly Hours :** 40 The hourly range for this position is… more
- Social Security Administration (Havre, MT)
- …by SSA; and use state of-the-art technology to access and update claims information. Requirements Conditions of Employment Qualifications Applicants must have 52 ... in establishing their entitlement to receive benefits; adjudicating or investigating claims ; or evaluating benefit programs to assess the integrity and quality… more