PACE Claims Examiner/Data Specialist

Job SummaryWe are seeking a skilled Workers Compensation Claims Examiner to join our team at Sedgwick Claims Management Services.Key Responsibilities:Analyze mid- and higher-level workers compensation claims to determine benefits due.Ensure ongoing adjudication of claims within company standards and industry best practices.Identify subrogation of claims and...

Senior Claims Examiner - Claims Specialist Richmond, VA, USA * Virtual Req #127 Wednesday, August 7, 2024 Come grow with James River Insurance! James River Insurance is an excess and surplus lines segment of James River Group Holdings, Ltd. and operates on an approved non-admitted basis in 50 states and Washington, DC. Since 2003,...

Claims Examiner II: needed for a contract opportunity with Yoh's client located in Redding, CA!Top Skills You Should Possess:High school diploma or equivalent; minimum one (1) year in Medi-Cal billing and/or claims examining experience in an automated environment.What You'll Be Doing:Reviews, researches, and resolves pended claims for Medi-Cal types:...

Job Summary:This position is open to Hybrid candidates in the greater Long Beach/Los Angeles area. We are seeking a skilled Medical Claims Examiner to join our team at Ultimate Staffing.Responsibilities:• Audit claims processing quality and develop standard reports• Assist the Claims Supervisor/Director in reviewing quality auditing tracking/reporting...

Responsibilities:Parameters of the provider's contract obligations.Audit claims processing quality, develops, maintains and runs standard reportsAssist the Claims Supervisor/Director in reviewing the quality auditing tracking/reporting (financial and procedural)Coordinating with various departments to resolve disputes or issuesMaintain the Claims department...

Job Title: Posting Payment SpecialistQuick Med Claims is a nationally recognized leader in emergency medical transportation billing and reimbursement. We are seeking a skilled Posting Payment Specialist to join our team.Job Summary:The Posting Payment Specialist will oversee the intake of payments by accepting and processing billing statements and conducting...

Our client, is in need of a Temporary Workers' Compensation Claims Examiner for their Irvine Office to work on a hybrid basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Any additional information you require for this job can be found in the below text Make sure to read thoroughly, then apply.Required...

Job Title: Claims Examiner/AdjusterCompany Overview:DB Insurance Co Ltd (US Branch) is a leading insurance company seeking a full-time Claims Examiner/Adjuster to handle Commercial General Liability/Auto BI Liability claims.About DB Insurance:DB Insurance Co., Ltd. is one of the largest non-life insurance companies based in South Korea. DB Insurance Co.,...

Job SummaryThe Senior Disability Claims Examiner is responsible for evaluating and authorizing associate short-term and long-term disability claims, Family Medical Leaves, and other Kohler Co. Paid Leaves. This role requires strong analytical and communication skills to ensure compliance with both the Summary Plan Descriptions and local leave law...

About USAAUSAA is a leading provider of financial services to the U.S. military community. Our mission is to facilitate the financial security of millions of military members and their families.The OpportunityWe are seeking a skilled Injury Claims Examiner to join our team. As a dedicated professional, you will be responsible for adjusting complex bodily...

At ICM Claims, we look for the best and brightest talent to join our team of professionals. We're united by a common purpose of delivering exceptional claim handling.Reasons you should consider a career with ICM Claims:Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and...

Examination Role for Nurse PractitionerWe are seeking a skilled Nurse Practitioner to conduct medical examinations related to Veteran’s disability claims in Denton, TX. This is a full-time position requiring a male candidate.Key Responsibilities:Reviewing medical histories and conducting abstracted reviewsProviding examinations to support timely receipt of...

The Claims & Chargebacks Specialist will be responsible for claims and chargeback administration for suppliers, carriers, and vendors. This will include data gathering, analysis, report generation, and negotiation on claims and chargebacks. This role will be a member of the Accounting team and work directly with Customer Experience, Operations, and...

TITLE: Workers Compensation Claims Examiner IIITERM: Contract/possible Contract-to-Hire LOCATION: Las Vegas, NV | Salt Lake, UT OR Denver, CO (REMOTE)HOURS: Mon - Fri- 8:00 AM-5:00 PMHOURLY RATE: $33.65-36.06 (depending on experience)SummaryThe caseload will be between 130 worker comp files - It claims and administers benefits for medical treatment and...

Our client, one of the Leading Workers' Compensation Claims Organizations, is seeking to add a remote Senior Workers' Compensation Claims Specialist to their Nevada team. This person would be responsible for handling lost time workers' compensation claims from inception to close.If you are considering sending an application, make sure to hit the apply button...

Job SummaryWe are seeking a highly skilled Risk Data Specialist to join our team at Loma Linda University Medical Center. As a key member of our team, you will be responsible for ensuring the accuracy and completeness of clinical documentation related to Risk Adjustment Data Validation (RADV) timelines.Key ResponsibilitiesConduct concurrent, prospective, and...

Job Summary:As a Data Visualization Specialist at Loma Linda University Medical Center, you will play a critical role in advising data stewards and department leads on reporting methodologies to enhance operating efficiency. Your expertise will be essential in reviewing operating processes, defining functional requirements, and providing architectural...

Job Title: Sr. Analyst, Config Info MgmtJob Summary:As a Sr. Analyst, Config Info Mgmt, you will be responsible for ensuring the accuracy and timeliness of critical information on claims databases. You will maintain critical information on claims databases, synchronize data among operational and claims systems, and apply business rules as they apply to each...

Job SummaryAt Loma Linda University Medical Center, we are seeking a highly skilled Data Visualization Specialist to join our Enterprise Data Intelligence Services team. As a key member of our team, you will be responsible for advising data stewards and department leads on reporting methodologies to improve operating efficiency.Key ResponsibilitiesReview...

Job Title: Electronic Data Interchange (EDI) Claims Filing SpecialistLocation: Onsite, Brentwood, TNShift: Monday to Friday, 7:00 AM - 4:00 PMJob Type: Full-TimeWork Type: Contract with possibility of extensionJob Summary:We are seeking an organized and detail-oriented Electronic Data Interchange (EDI) Claims Filing Specialist to join our team located in...