Claims Representative (Iap) - Workers Compensation Training Program - Ontario, CA Sedgwick Claims Management Services, Inc.Claims Representative (Iap) - Workers Compensation Training Program - Ontario, CAOntario, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Claims Representative (IAP) - Workers Compensation Training Program, Long Beach, CA Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training Program, Long Beach, CALong Beach, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Claims Representative (IAP) - Workers Compensation Training Program | Pasadena, CA Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training Program | Pasadena, CAPasadena, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
NewClaims Examiner II Johnson Service GroupClaims Examiner IICARemote$24–$30 / hourIndependently review claims edits with varying degrees of complexity to determine the appropriate handling for each including paying, denying, pending, adjusting, referring or forwarding claims to be sent back to the provider. Under general supervision, the Claims Examiner reviews and resolves a caseload of claims with varying degrees of complexity within established timeframes and using appropriate program policies and procedures.
Claims Representative (Iap) - Workers Compensation Training Program | Riverside, CA Sedgwick Claims Management Services, Inc.Claims Representative (Iap) - Workers Compensation Training Program | Riverside, CAIowa, LAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
NewClaims Representative (Iap) - Workers Compensation Training Program (On-Site Orange, CA) Sedgwick Claims Management Services, Inc.Claims Representative (Iap) - Workers Compensation Training Program (On-Site Orange, CA)Orange, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
NewClaims Representative (IAP) -Workers Compensation Training Program Sedgwick Claims Management Services, Inc.Claims Representative (IAP) -Workers Compensation Training ProgramCAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Medical Claims Examiner Ultimate Staffing ServicesMedical Claims ExaminerPasadena, California$21–$29 / hourThis role ensures accurate and timely processing of claims while maintaining compliance with federal and state regulations and providing high‑quality service to providers and members. The Medical Claims Examiner is responsible for reviewing, analyzing, and adjudicating medical insurance claims in accordance with policy provisions, regulatory guidelines, and organizational procedures.
Casualty Claims Consultant Farm Bureau Financial ServicesCasualty Claims ConsultantWest Des Moines, IowaAttend mediations and/or trials on behalf of Farm Bureau Financial Services with State and Commercial Business Unit claims staff members when requested or when necessary. You will also: ·Assign litigated files to panel counsel and work with panel counsel to oversee litigation strategy, including any discovery, motion, and trial strategies.
NewTravel Nurse RN - Case Manager - $2,546 per week in Jeffersonville, IN Seven HealthcareTravel Nurse RN - Case Manager - $2,546 per week in Jeffersonville, INJeffersonville, IN$2,546Sitting along the banks of the Ohio River, Jeffersonville, IN, offers a charming small-town atmosphere with easy access to the metropolitan amenities of nearby Louisville, KY. Seven Healthcare is a trusted staffing agency with 5-star ratings on Google and Vivian and recognition as a Best Travel Nurse Company 2024 by BluePipes.
Casualty Claims Intake Representative I J.B. Hunt Transport Services IncCasualty Claims Intake Representative IAREnsure accurate, timely, and complete documentation of safety events with attention to the direct effects on business units' financial performance, the company's overall DOT safety rating, driver coaching, establishment of training programs, analysis of trends, and resolution or defense of litigated matters Leverage strong verbal and written communication skills to coordinate effectively with claimants, internal and external stakeholders, law enforcement and legal representatives. Utilize independent knowledge to assess all collected information, as well as identify missing, incorrect, or updated claim information, to determine appropriate course of action, support timely mitigation of financial exposure, and ensure compliance with company policy and local/state/federal laws; actions include, but are not limited to, providing information to the claimant, retaining independent field adjusters, determining the need for and coordinating drug test, and escalating complex issues to the appropriate internal parties.
Member Claims Associate (6-month Contract) Collective HealthMember Claims Associate (6-month Contract)Lehi, UTWhat you'll do: Execute the daily operations of a health plan, including processing medical claims, researching and responding to the members' most complicated questions, tracking your accuracy around core metrics, and troubleshooting the many operational challenges that affects the business. At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.
Casualty Claims Intake Representative I J.B. HuntCasualty Claims Intake Representative ILowell, ArkansasUtilize independent knowledge to assess all collected information, as well as identify missing, incorrect, or updated claim information, to determine appropriate course of action, support timely mitigation of financial exposure, and ensure compliance with company policy and local/state/federal laws; actions include, but are not limited to, providing information to the claimant, retaining independent field adjusters, determining the need for and coordinating drug test, and escalating complex issues to the appropriate internal parties. Key Responsibilities: Utilize experience and established procedure to field and process all incoming calls, email, and other various notification methods related to safety events to create an accurate record of the event and assess initial financial exposure to the company; maintain an organized workflow, coordinate initial claim assessments, and prioritize cases based on urgency and severity.
Supervisor | Professional Billing Claims CentraCare Health SystemSupervisor | Professional Billing ClaimsSaint Cloud, MN$57,824–$86,736 / yearAssists with recruiting, interviews, coordinates orientation, and leads employees using a performance management and development process that provides an overall context and framework to encourage employee contribution and includes goal setting, feedback, and performance development planning for assigned staff. Tracks issues with payers and departments to be resolved and identify common themes and communicate clearly and in a coordinated fashion to the Manager to collaborate with contracting team to assist with contract negotiations.
Claims Manager Medicare Advantage Plan Flexible-Hybrid UCLA Health SystemClaims Manager Medicare Advantage Plan Flexible-HybridLos Angeles, CA$95,400–$208,300 / yearThe Claims Manager of the Medicare Advantage Plan will: Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to automate business processes and maximize the accuracy of claims payments. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.n.
Sr. Workers' Compensation Claims Specialist, Supervisor (REMOTE) Holmes MurphySr. Workers' Compensation Claims Specialist, Supervisor (REMOTE)IowaRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Skills: Extensive knowledge of General and Auto Liability or Workers Compensation coverages and application in job duties, proficient in claims processing procedures, knowledge or ability to learn multiple state insurance regulations; pass state licensing exams.
NewCasualty Senior Claims Manager - Casualty Specialized Claims Liberty Mutual Holding Company IncCasualty Senior Claims Manager - Casualty Specialized ClaimsWestborough, MACasualty Senior Claims Manager - Casualty Specialized Claims - Liberty Mutual Holding Company Inc.
Litigation and Claims Associate, Residential The RMR Group IncLitigation and Claims Associate, ResidentialAtlanta, GARMR has been recognized by The Boston Globe as a "Top Place to Work", by the Environmental Protection Agency (EPA) as an "ENERGY STAR Partner of the Year" and ranked by the Building Owners and Managers Association (BOMA) as having one of the highest number of BOMA 360 designated properties in its portfolio. RMR's vertical integration is strengthened by nearly 900 real estate professionals in more than 30 offices nationwide who manage approximately $40 billion in assets under management and leverage more than 35 years of institutional experience in buying, selling, financing and operating CRE.
Claims Reimbursement Rep (BHS) Beacon Health SystemClaims Reimbursement Rep (BHS)Granger, INThe position holds the primary responsibility for following up on appealed claims including collection efforts with third-party payors appeal processing and reimbursement issues for Beacon Health System Reviews accounts and applies billing knowledge required for all insurance payors to insure maximum reimbursement is received. Performs a variety of duties related to Denial management efforts in coordination with multi-disciplines as assigned by working collaboratively with all members of the Revenue cycle and clinical team to reduce third-party payer denials.
Insurance Claims Representative Community Financial System, Inc.Insurance Claims RepresentativeOlean, New YorkFull timeCorrespond to and provide necessary documentation to third party companies including customers, physician offices, auto insurance companies, GAP insurance carriers, and dealership representatives to ensure all available monies or refunds are requested and paid in a timely manner. Continuously cross train on other functions as needed or requested Assist the Direct Lending Manager with tasks, reports, or projects Assist the Direct Operations Supervisor with tasks, reports, or project.