Claims Associate

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...

Date Posted: 05/09/2024 Hiring Organization: Rose International Position Number: 463794 Job Title: Claims Examiner Job Location: Long Beach, CA, USA, 90806 Work Model: Hybrid Employment Type: Temporary Estimated Duration (In months): 8 Min Hourly Rate ($): 60.00 Max Hourly Rate ($): 60.00 Must Have Skills/Attributes: Claims, Document...

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 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...

**Job Description** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards. ...

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...

Primary Position Objective:Under close supervision, RECEIVES telephone calls from customers requesting Water and Roadside Service. DISPATCHES appropriate towing assistance. SERVICES inquiries related to customer requests and SELLS acceptable towing services and BoatU.S. Memberships primarily via telephone and online. SERVICES licensed inquiries related to...

Claims And Benefits Adjudication Auditor Payment Integrity Full-time 1st shift Monday - Friday 8am - 5pm POSITION SUMMARY: This position is responsible for maintaining claims data quality through ongoing quality review and assessment of medical records to ensure appropriate procedures were received. Perform concurrent audits on accuracy of DRG, OPPS, PPS and...

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...

POSITION SUMMARY The Client Associate Assistant will be assigned to support the Client Service team. They will work in tandem with the Client Associates to prove a differentiated service experience. ESSENTIAL FUNCTIONS Reasonable Accommodations Statement To perform this job successfully, an individual must be able to perform each essential function...

We are a national consumer-advocacy law firm providing representation to clients who have fallen into financial difficulty. With our young and growing firm, we offer the opportunity to broaden and develop your legal career in a practice that is rich in variety and challenges. If you desire to work with other talented people who share your passion for...

We are a national consumer-advocacy law firm providing representation to clients who have fallen into financial difficulty. With our young and growing firm, we offer the opportunity to broaden and develop your legal career in a practice that is rich in variety and challenges. If you desire to work with other talented people who share your passion for...

We are a national consumer-advocacy law firm providing representation to clients who have fallen into financial difficulty. With our young and growing firm, we offer the opportunity to broaden and develop your legal career in a practice that is rich in variety and challenges. If you desire to work with other talented people who share your passion for...

Job DescriptionJOB DESCRIPTIONJob Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding...

The Retail Sales Associate delivers world-class customer service to all retail customers by receiving and processing packages for courier shipment and operating copiers, fax machines, binding equipment, laminating machines, and point-of-sale devices. This requires strong interpersonal skills, effective oral/written communication skills and the ability to...

Position Overview This position supports the Account Executive with responsibilities related to client management and retention. Primary Responsibilities Assist Account Executive in managing a book of Commercial Lines Property & Casualty Insurance business, ensuring all required tasks are completed accurately and on-time Growing client loyalty by...

Job DescriptionJob DescriptionSalary: $20/hrPosition: Field Claims Investigator Job Type: 1099 / Contracted Work Location 50% working from home. 50% working in the field Compensation: $20/hr and $.50/mile  COMPANY OVERVIEW Phoenix Loss Control (“Phoenix” or “PLC”) is a business services provider in the cable, telecom, and utilities...

Address: USA-VA-Virginia Beach-1615 General Booth Blvd Store Code: Store 02236 Pharmacy (2735043) Food Lion has been providing an easy, fresh and affordable shopping experience to the communities we serve since 1957. Today, our 82,000 associates serve more than 10 million customers a week across 10 Southeastern and Mid-Atlantic states.PRIMARY PURPOSEThe...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Summary Primary responsibility is performing the contractual and daily operational activities for the Medicare Set Aside Account and Medical Custodial Account Administration Services provided by Bridge...

Job DescriptionJob DescriptionWe require a highly motivated litigation associate in our Newport Beach office to handle insurance and ERISA litigation matters. Our associates are consistently challenged with sophisticated litigation matters and meaningful opportunities in and out of the courtroom.The scope of work will include:Client intakeClient...