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Claims Specialist Training Director Jobs

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Claims Specialist I (Claims Advocate) Full-time MT-Kalispell Operations and Tech Services Group Aon Is Looking For A Claims Advocate(Claims Spec. l). As part of an industry-leading team,you will help empower results for our clients by delivering innovative andeffective solutions as part of our National Flood Services Claims group withinAon Affinity in our Kalispell, MT office JOB OVERVIEW Th...
The Claims Resolution Specialist is responsible for the timely and accurate processing of provider invoices. This position will work closely with providers, answering their questions and providing requested information on claim status and appeals. This position will provide a high level of customer service in all interactions. POSITION RESPONSIBILITIES: 1. Compares invoices to what has been ente...
Property &Casualty Insurance positions: Medium-Large Account/Multiline P&C Underwriter, Casualty Risk Management Account Underwriter, Executive Large Account P&C Underwriter, Senior Ocean Cargo Underwriter, Corporate P&C Underwriter, Leader of HPR Property Underwriting, Multiline Package Production Underwriter, National Claims Services Manager, Sr. Workers’ Compensation Claims Specialist, Fleet Au...
To coordinate the compliance and policy activities in relation to Operations, Configuration and Appeals & Grievances necessary to meet the regulatory requirements established by the Centers for Medicare and Medicaid Services (CMS), the Louisiana Department of Insurance (DOl) and other regulatory organizations. Responsible for researching, monitoring and coordinating the implementation of regulator...
CLAIMS SPECIALIST, Worker’s Compensation, Auto and General Liability PURPOSE The Claims Administrator assists the Claims Manager in all claims, including reporting & compliance, settlement & reserving, payments, and reviews. Performs complex, diverse and confidential duties requiring experience in handling aspects of Worker’s Compensation, Auto and General Liability claims. KEY RESPONSIBILITIES...
Description: Advance your Claims career at Liberty Mutual Insurance- A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available . As a member of the Claims team, you will help people resolve problems and live...
Job Title: Claims Recovery Specialist POSITION SUMMARY: Primary responsibilities are to monitor, analyze, correct, and resubmit to healthcare payors, all claims that have been denied by payors preventing successful adjudication of these claims. Responsibilities also include verification of clients’ healthcare benefits and eligibility to determine the correct payor waterfall sequence for claim...
Requisition Number 15-0558 Post Date 2/2/2016 Title Claims Recovery Specialist Type of Program Administrative Hours Per Week 37.5 City Pasadena State Ca Description Job Title:Claims Recovery Specialist POSITION SUMMARY: Primary responsibilities are tomonitor, analyze, correct, and resubmit to healthcare payors, all claims that have been denied by payors preventing successful adjudication...
This position will report to the Director for the Office of Risk Management and will investigate reports of losses or damage to university property and personnel, collect data to support claims, and submit claims to recover damages. Other duties will include maintaining control of all claims using the University Risk Management software/spreadsheets; maintaining claim files; maintaining listing of...
Accurate and timely processing of provider appeals and Health Plan compliance reporting. Ensure compliance with payment/denial timeliness and reporting. Resolves inquiries relative to the status of claims, member appeals, and provider disputes. Research and verify validity of inquiries, as necessary. Maintaining compliance by closely monitoring claims that are nearing non-compliance and distribu...
The senior environmental claim specialist manages processes and resolves claims assigned by the unit director/team manager. Evaluates coverage, liability, and loss value and resolves claims within prescribed authority. S/he communicates with policyholders/customers, witnesses, claimants, remediation experts, counsel and others to gather claim facts. Communications is generally via phone and email,...
THIS IS AN INDIVIDUAL CONTRIBUTOR ROLE " About Document Management Shared Service (DMSS): The DMSS department is a shared service for KP primarily focused on creating, archiving, and distributing personalized documents to KP’s members, employer group customers, and brokers This includes taking in data extracts from upstream systems such as our membership systems, composing PDFs of documents, ma...
Description: Optum Behavioral operates as one of the nation’s leading managed behavioral care organizations. With more than 130,000 clinicians and facilities, our tiered behavioral health network is one of the largest in the United States. Our clinical bench of more than 1,000 doctors and other clinicians — many of them specialists in behavioral health conditions — focus on what matters most. Th...
Description: Optum Behavioral operates as one of the nation’s leading managed behavioral care organizations. With more than 130,000 clinicians and facilities, our tiered behavioral health network is one of the largest in the United States. Our clinical bench of more than 1,000 doctors and other clinicians — many of them specialists in behavioral health conditions — focus on what matters most. Th...
As a current employee you know Amtrak connects businesses and communities across the country and we move America’s workforce toward the future. The safety of our passengers, our more than 20,000 colleagues, the public and our operating environment is our priority and the success of our railroad is the result of you. By living the Amtrak values and actively embracing and fostering diverse ideas, b...
Director of Outpatient Clinical Programs needed for a Direct-Hire opportunity with Yoh's client located in Orange, CA. Top Skills Should You Possess: - Current RN license. - Case Management or Disease Management Experience. - 5 years of high level management (Manager or Director) experience in Medical Group, Health Plan and IPA arenas to include Utilization management, Quality Improvement, Inp...
Department of Defense (DoD) DEFENSE MEDIA ACTIVITY IMPORTANT NOTICE TO VETERANS CLAIMING PREFERENCE: PLEASE REFER TO THE OTHER INFORMATION SECTION FOR UPDATED INFORMATION ON VETERANS PREFERENCE CRITERIA. Mission Statement This position is located in the Defense Media Activity (DMA), which is a Department of Defense (DoD) field activity reporting to the Assistant Secretary of Defense (Public Af...
Talascend is currently seeking a Director of Technical Services for a direct hire opportunity with our client located in Greenbelt, MD. OVERVIEW: Responsible for leading the Technical Services Department to maintain the highest possible standards; achieve planned goals and ensure good public relations with all stakeholders. PRIMARY RESPONSIBILITIES: Screen applicants for job vacancies to devel...
Posting #15107 - Clinical Practice Quality Director: POSITION SUMMARY: Full-time position available in Seattle. The Clinical Practice Quality Director provides education and consultation to providers and clinical care teams in regards to clinical performance measures. The Clinical Practice Quality Director serves as the clinical subject matter expert in the fieldfor HEDIS measures, appropriate me...
Description: Lead the best and brightest in technology to transform health care as we know it.Want a meaningful and impactful challenge? At Optum, we're helping to make the health care system work better for everyone. It takes visonary technical leaders, like you, to achieve such historic change. Here, a technology leadership career will allow you the opportunity to inspire large teams comprised ...