Claims And Benefits Adjudication Auditor

Job Description: Pay Range $44hr - $49hr To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation. To ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements;...

Our client is looking for a temporary Workers Compensation Claims Assistant to work out of their Long Beach office.Required Qualifications:1+ years of Workers Compensation Claims Assistant experienceMaintain active file diaries to ensure delegated tasks are completedDevelop an understanding of jurisdictional benefit rates and payment deadlines to ensure...

We are hiring a Claims Customer Service Advocate I. In this role, you will be responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates Customer Service, Claims, Advocate, Processing, Service, Retail, Healthcare

Job DescriptionJob DescriptionSalary: 19.90Accelerated Claims is currently seeking a full-time Patient Insurance Counselor. It is a position that requires insurance verification and follow up with adjusters for claim completion or payment.Our Patient Insurance Counselors have a wide range of responsibilities from interviewing patients to completing...

Job DescriptionJob DescriptionSalary: 19.90Accelerated Claims is currently seeking a full-time Patient Insurance Counselor. It is a position that requires insurance verification and follow up with adjusters for claim completion or payment.Our Patient Insurance Counselors have a wide range of responsibilities from interviewing patients to completing...

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...

**JOB DESCRIPTION** **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...

Our client is looking for a temporary Workers Compensation Claims Assistant to work out of their Long Beach office.Required Qualifications:1+ years of Workers Compensation Claims Assistant experienceMaintain active file diaries to ensure delegated tasks are completedDevelop an understanding of jurisdictional benefit rates and payment deadlines to ensure...

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 DescriptionJob Description The focus of this position will be research and root cause analysis of claims / config issues with direct provider interaction and collaboration with our provider relations team. Additionally, the role will help with overpayment recovery, claims payment and adjustment projects, and reviewing proposed SAI concepts from PI and...

Your Role The Delegation Oversight (DO) team, under the purview of the Delegation Oversight Committee (DOC) which is a sub-committee of the Quality Oversight Committee (QOC), is responsible for oversight of contracted delegated entities. This includes auditing, corrective actions follow-up and monitoring activities. The DO team will coordinate with other...

Job DescriptionJob Description This position is located in Cypress, CA The Need: We are seeking a Claims Supervisor to join our growing team. In this role, you will be responsible for providing leadership and oversight to the Claims team. Accountable for ensuring the team adheres to standard work and meets department key performance indicators. ESSENTIAL...

Job DescriptionJob Description This position is located in Cypress, CA The Need: We are seeking a Claims Supervisor to join our growing team. In this role, you will be responsible for providing leadership and oversight to the Claims team. Accountable for ensuring the team adheres to standard work and meets department key performance indicators. ESSENTIAL...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.SummaryCoordinates the activities for processing referrals received by IMPAXX/Bridge Pointe and works closely with Analysts as well as with customers to fulfill responsibilities. Manages audit/exception assignments and...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.SummaryCoordinates the activities for processing referrals received by IMPAXX/Bridge Pointe and works closely with Analysts as well as with customers to fulfill responsibilities. Manages audit/exception assignments and...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers and thrives in a team environment.Brown & Brown is seeking an experienced Producer...

What Makes a McKibbon Hotel Front Desk Night Auditor? The hotel front desk night auditor is the main person to interact with guests during the overnight hours, typically 11pm -7am. As the face of the property, the night auditor has a relatable personality and a great desire to work with people. You are responsible for communicating in a welcoming and...

Ocean Front Resort is looking for a Night Auditor. Applicant must have hotel experience. Guestmate experience preferred, but not required. Applicants must be honest, dependable, have excellent customer service skills, and maintain a positive and professional attitude. Strong computer skills and the ability to multitask are a must. Full position with benefits...

Ocean Front Resort is looking for a Night Auditor. Applicant must have hotel experience. Guestmate experience preferred, but not required. Applicants must be honest, dependable, have excellent customer service skills, and maintain a positive and professional attitude. Strong computer skills and the ability to multitask are a must. Full position with benefits...

Job DescriptionJob DescriptionJob DescriptionUS Claims is a leading provider of advances to personal injury victims and their families. US Claims’ mission is to provide much needed liquidity to an underserved market; providing financial means for victims to pursue a fair settlement. We have built an organization driven by excellence and we are looking for...