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Medical Stop Loss Claims Auditor
access_time Posted 2 months ago
account_balance Berkshire Hathaway Specialty Insurance
location_on Plymouth Meeting
... managed care and direct medical claims products. This position will work with our Third-Party ... Review and approve plan documents and plan amendments. * Initiate and further cost containment ...
Account Claims Representative
access_time Posted 8 days ago
account_balance Absolute Staffing & Consulting Solutions
location_on Philadelphia
... medical and disability management, litigation management, negotiation and disposition * Work ... during claims reviews, stewardship meetings and similar account-specific sessions * Authorize ...
Claims Assistant
access_time Posted 10 days ago
account_balance Argo Group
location_on Rockwood
... management of claims by entering stop/cancel/release of checks, processing cash receipts, work ... Review each claim for payment, documenting date issued and check number. Researching financials to ...
Property Claims Examiner
access_time Posted 1 month ago
account_balance K2 Claims Services, LLC
location_on Harrisburg
... medical, dental, and vision insurance with no waiting period; paid time-off in year of hire; and ... Review and negotiate emergency service estimates with vendors. * Evaluating and considering all ...
Safety/Work Comp/Liability/Accident Claims Coordinator
access_time Posted 24 days ago
account_balance Feeser's Food Distributors
location_on Harrisburg
... medical providers and employees regarding work restrictions, documentation, and ability to ... Manager & Chief Counsel · Organize and complete workers' compensation claim reviews and audits ...
Logistics Claims Administrator
access_time Posted 17 days ago
account_balance Evans Delivery
location_on Boyertown
Review invoices for payment of damages to containers, trailers, and chassis and reconcile insurance ... Medical, Dental, and Vision Insurance * Company Paid Life Insurance * Company Paid Short Term ...
SIU / Claims Investigator
access_time Posted 1 month ago
account_balance Allied Universal® Compliance and Investigations
location_on Pittsburgh
We offer medical, dental and vision coverage, life insurance, retirement plan, employee assistance ... Create and maintain detailed documentation for investigations, file reviews, audits, training tasks ...
Medical/Pharmacy Claims Analyst
access_time Posted 29 days ago
account_balance Free Market Health
location_on Pittsburgh
Reviewing and reconciling medical claims submitted through the medical claims clearinghouse daily to ensure successful receipt by the payers * Reviewing claims for payment accuracy based on ...
Transportation Claims Manager
access_time Posted 21 days ago
account_balance PGT Trucking, Inc.
location_on Aliquippa
We are seeking a skilled and detail-oriented Transportation Claims Manager to join our Risk ... Coverage Analysis: Review insurance policies to determine coverage limits, exclusions, and ...
Utilization Management Registered Nurse
access_time Posted 25 days ago
account_balance Wexford Health Sources Inc
location_on Pittsburgh
The Utilization Management Nurse (RN) ensures cost effective outcomes while maintaining a focus on ... claims payments. Review clinical information with appropriate Medical Director and Director of ...
Claims Manager - Property & Casualty Insurance - Remote in Florida
access_time Posted 8 days ago
account_balance McGriff
location_on North Philly
... claim reviews. 10. Document claim case studies and consultative interactions with clients. 11 ... casualty claims management 3. Insurance Adjuster's License, where required 4. Prior brokerage ...
Trucking Claims Manager
access_time Posted 1 month ago
account_balance We Guide, You Grow LLC.
location_on Pittsburgh
Review insurance policies to determine coverage limits, exclusions, and applicable deductibles for ... Stay updated on industry trends, regulatory changes, and best practices in claims management to ...
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