Claims Operation Support

PRIMARY PURPOSE:To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the...

Job Summary Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. Job...

**Claims Administrative Support** **JOB DESCRIPTION** The New York Black Car Operators’ Injury Compensation Fund, Inc. or The Black Car Fund is a not-for-profit organization that provides workers’ compensation insurance, safety education, and a book of health and wellness benefits to drivers who operate in the state of New York and are affiliated with...

Job Description Job Summary Thorough knowledge of processing professional, outpatient facility, and inpatient facility claims for Medicare, Medicaid, and Marketplace plans. Assists Molina departments with reviewing and conducting analysis of claims to ensure regulatory requirements are appropriately applied. Clearly documents claims research results and...

claims team lead. long beach , california posted may 9, 2024 job details summary $55 - $60 per hour temporary bachelor degree category business and financial operations occupations referenceAB_4531701 job details Now Hiring: Claims Team Lead Apply today because openings are limited!! Overview To supervise the operation of multiple teams of...

claims team lead. long beach , california posted may 9, 2024 job details summary $55 - $60 per hour temporary bachelor degree category business and financial operations occupations referenceAB_4531701 job details Now Hiring: Claims Team Lead Apply today because openings are limited!! Overview To supervise the operation of multiple teams of...

PRIMARY PURPOSE: To provide support to the claims staff and to perform other office tasks as needs dictate for busy commercial auto claims office in Long Beach, NY. A hybrid work schedule is available. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Answers and initiates telephone calls and provide customer service as required - Index policies to determine if a...

Job Title: Claims Team Lead  Location: Los Angeles, CA Hybrid  Pay Range: $60hr  $60/Hr 6-Month Contract  PRIMARY PURPOSE: To supervise the operation of multiple teams of examiners and technical staff for workers' compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide...

The** Claims Assistant **is responsible for daily administrative duties to include assisting with data entry into the data management system and claims management.*** - Responsible for assisting in daily administration of the incoming incident reports; this includes creating the actual claim in the Origami system. - Create corresponding claim folders and...

Now Hiring: Claims Team Lead Apply today because openings are limited!! Overview To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner...

Now Hiring: Claims Team Lead Apply today because openings are limited Overview To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on...

Now Hiring: Claims Team Lead Apply today because openings are limited Overview To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on...

**Claims Examiner III** **Role Insights** **Primary Responsibilities** - Audit claims processing quality, develops, maintains and runs standard reports - Assist the Claims Supervisor/Director in reviewing the quality auditing tracking/reporting (financial and procedural) - Coordinating with various departments to resolve disputes or issues - Maintain the...

Job Description Job Summary Job Duties Uses analytical skills to conducts research and analysis for issues, requests, and inquiries of high priority claims projects Assists with reducing re-work by identifying and remediating claims processing issues Locate and interpret regulatory and contractual requirements Tailors existing reports or available data...

Job Description Job Summary Job Duties Uses analytical skills to conducts research and analysis for issues, requests, and inquiries of high priority claims projects Assists with reducing re-work by identifying and remediating claims processing issues Locate and interpret regulatory and contractual requirements Tailors existing reports or available data...

Efficiency. Innovation. Integrity. These are our 3 Pillars. At Curtin Maritime, these core values are the framework for safe performance and operational excellence; proof of these pillars is evident in our people and our fleet. For 25 years, Curtin Maritime has been an industry leader in quality maritime solutions. We are a dynamic Marine Construction and...

Job Summary Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards. KNOWLEDGE/SKILLS/ABILITIES Evaluates the adjudication of claims using standard principles and state specific policies...

Job Description Job Summary Thorough knowledge of processing professional, outpatient facility, and inpatient facility claims for Medicare, Medicaid, and Marketplace plans. Assists Molina departments with reviewing and conducting analysis of claims to ensure regulatory requirements are appropriately applied. Clearly documents claims research results and...

PRIMARY PURPOSE: To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the...

PRIMARY PURPOSE: To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the...