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Medical Claim Specialist - Training Provided
access_time Posted 10 days ago
account_balance HEMIC
location_on Honolulu
Why our Medical Claim Specialist is Important: A company buys insurance for financial security ... Review First report (WC- 1) for accuracy and completion. * Complete 24-hour three-point contact ...
Behavioral Health Claims Review Nurse (BHJOB1435_32018)
access_time Posted 26 days ago
account_balance Astyra Corporation
location_on Houston
Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and ...
Claims Manager - Property & Casualty Insurance - Remote in Florida
access_time Posted yesterday
account_balance McGriff
location_on Houston
Act as a leader and coach for commercial claim organization in their efforts to manage and advise ... claim reviews. 10. Document claim case studies and consultative interactions with clients. 11
Claims Recovery Analyst
access_time Posted 5 days ago
account_balance Community Health Plan of Washington
location_on Seattle
About the Role Responsible for conducting focused claim reviews and identifying and facilitating claim adjustments based on results found through Community Health Plan of Washington claim reviews or ...
Commercial Clinical Nurse, Case and Disease Management
access_time Posted 3 days ago
account_balance Blue Cross and Blue Shield of Kansas City
location_on Wichita
Continuously reviews FACETS claim history to determine if claim has been paid or if adjudication problems are occurring. Follows up with member and transplant center during the global payment process ...
Automotive Insurance Advisor
access_time Posted 3 days ago
account_balance MeiGroup
location_on Arlington
Conduct investigations in order to determine if the policy will respond to the loss and investigate the legitimacy of the claim. Review information including, but not limited to, estimates, photos ...
Senior Account Manager: Property & Casualty
access_time Posted 12 days ago
account_balance CMR Risk & Insurance Services
location_on San Diego
Conduct claim reviews with clients (provide status, reason for status, action plan on claims) * Meet with clients to present Insurance Renewal * Train and oversee assigned support staff * Process ...
Commercial Liability Claims Manager
access_time Posted 1 month ago
account_balance Builders FirstSource
location_on Irving
Conducts regular claim audits and documents reviews in company RMIS system. Ensures RMIS claim files are kept current with routine claim reviews and uploading of supporting investigation & claim ...
Medical Claims Examiner
access_time Posted 11 days ago
account_balance Ironworker Employees' Benefit Corporation
location_on Los Angeles
Investigation/communication in order to obtain necessary information to complete claim. * Review and interpretation of contract benefits and edit/audit resolution. * Knowledgeable and have the ...
Document Specialist (Remote)
access_time Posted 21 days ago
account_balance Apixio
location_on San Diego
Perform incoming claim review by assigning appropriate statuses; reviewing, organizing, data hygiene; and routing completed files to appropriate auditors. * Perform incoming claim hygiene by ...
WC Claims Manager
access_time Posted 27 days ago
account_balance Vensure Employer Solutions
location_on Chandler
Identify claims, schedule and participate in quarterly claim reviews with the carrier/TPA. * Reviews more complex cases or initiates further action within approved authority limits. * Handle ...
Claims Specialist
access_time Posted 12 days ago
account_balance Sterling Infrastructure, Inc.
location_on The Woodlands
Actively participates in department claim reviews. * Performs other related duties as assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential ...
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