- Liberty Mutual Insurance (Butte, MT)
- …our office in Plano, TX. This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I or a ... manage an assigned caseload of routine to moderately complex claims from the investigation of the claim ...complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability,… more
- Merck & Co. (Rahway, NJ)
- …Quantitative Sciences team uses big data to analyze the safety and efficacy claims of our potential medical breakthroughs. We review the quality and reliability of ... clinical studies using deep scientific knowledge, statistical analysis and high-quality data to assist decision making in clinical trials.This position supports statistical programming activities for multiple and/or late stage drug clinical development… more
- AAOS (Rosemont, IL)
- …you, please read on Under the direction of the General Counsel, the Associate General Counsel provides corporate legal advice and review, research, and analysis on ... as back up for contract management system in the absence of the Legal Operations Associate . Assists with any pending litigation matters where AAOS is a party or in… more
- Element Care (Lynn, MA)
- The Payment Validation Analyst evaluates claim issues due to billing errors, coding edits, rejections, denials, and payment variances. This position is responsible ... performs data validation to ensure billing integrity.Performs data analysis on claim payments and troubleshoots discrepancies. Assists with the resolution of payment… more
- Mercy Health (Youngstown, OH)
- …of non-controlled prescriptions (ie Prescription transfers). Technician checking of associate technician work prior to dispensing.*Assisting in the education and ... to a patient or patient representative and assisting with insurance claim processing. Performing diagnostic laboratory testing as defined in state… more
- Insmed Incorporated (Bridgewater, NJ)
- …Best Workplaces in New York™, and Best Workplaces for Millennials™ lists.OverviewThe Associate Director, HEOR is a significant contributor to the development and ... communication of HEOR evidence to demonstrate the value of Insmed's product(s). The Associate Director will work closely with HEOR team members and others across the… more
- ChristianaCare (Wilmington, DE)
- …is required: Associates or Bachelor's degree in Nursing (active/unrestricted license) Associate or Bachelor's degree in Health Information Management (RHIA or RHIT) ... Equivalent experience of 5+ years' experience in provider auditing, claims auditing, compliance auditing, quality assurance, and/or recovery auditing Coding… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist. This is a full-time position and offers a hybrid schedule after ... policyholder's reporting practices + Prepare, attend, and participate in Claim Reviews as needed with the Claims ...(including NJ, MD, CT, DE, PA and/or NY) + Associate 's or Bachelor's degree + AIC/CPCU Designations Salary: +… more
- Travelers Insurance Company (Houston, TX)
- … Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and ... you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range...Follow operational policies to analyze, investigate, and resolve BSI claims of varying levels of severity with active supervision… more
- 2-10 Home Buyers Warranty (Aurora, CO)
- Associate Manager, New Home Claims Targeted compensation: $75,000 - $90,000 base + bonusCompensation commensurate with experience and skill set Who we are: ... Associate Manager to join our team. As an Associate Manager, New Home Claims you will...Loss Reports, URNs and other reports. + Perform detailed claim investigations, evaluate and settle new home workmanship, systems… more
- Axis (Princeton, NJ)
- …is available upon request for candidates taking part in the selection process. Claims Associate -Primary Casualty Triage * **Please note this is a hybrid ... * KEY DUTIES & RESPONSIBILITIES: o Handle General Liability claims for a wide variety of AXIS policyholders written...an established network of service providers; o Set accurate claim reserves and make referrals to senior members of… more
- Sedgwick (Newark, NJ)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Recovery ** Claims Associate ** Are you ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...on the claim . + Negotiating settlement of claims within designated authority. + Communicating claim … more
- Sedgwick (Dublin, OH)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Associate **PRIMARY PURPOSE** : To analyze reported lower-level ... with claimant, client and appropriate medical contact. + Ensures claim files are properly documented and claims ...Ensures claim files are properly documented and claims coding is correct. + May process routine payments… more
- 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 ...Planning PFS events or addressing employee issues **Qualifications:** Requires: Associate 's degree in Business Administration and 2 years of… more
- Concord Group Insurance (Auburn, ME)
- Claims Adjuster Trainees handle entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: ... investigation, evaluation and claim resolution. The purpose of this position is to...provide service to agents, insureds and others to ensure claims resolve accurately and timely. Claims Adjuster… more
- XPO, Inc. (North Richland Hills, TX)
- Associate Analyst, Claims - Hybrid Requisition Id: 372435 Business Unit: LTL Location: North Richland Hills, TX, US, 76180 **What you'll need to succeed as an ... Associate Analyst, Claims at XPO** Minimum qualifications:...skills + Able to communicate with management regarding the claim decision-making process + Excellent written and verbal communication… more
- University of Rochester (Rochester, NY)
- …York State. **Position Summary:** With considerable latitude for independent judgment, the Claim Resolution Rep IV is responsible for the follow up and collection ... point person for complex accounts. Serves as main point of contact in claim resolution process for Strong Memorial Hospital (SMH) clinical staff and outside agencies… more
- City of New York (New York, NY)
- …York employees serving in a permanent (not provisional) civil service title of Claim Specialist. Please clearly state your permanent civil service title on your ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...and damages, and preparing an objective evaluation of the claim ; - Preparing a claim abstract detailing… more
- Robert Half Office Team (Plantation, FL)
- …position is based in our Plantation, Florida office. The role involves entering claims information into our systems and requires proficiency in medical billing and ... insurance claims . Responsibilities: * Enter claims information into...insurance companies * Accurately input data from Health Insurance Claim Forms, also known as HCFA or 1500 forms… more
- Sedgwick (West Des Moines, IA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Recovery **PRIMARY PURPOSE** **:** To process payment ... to coordinate with collection agencies; and to support the Claims Recovery Team within company standards and industry best...copy of the police report to support the recovery claim . + Processes invoices for various vendors involved in… more
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