Managed Care Claims Validator

Job SummaryAllied Universal Compliance and Investigations is seeking a skilled Claims Investigator to validate insurance losses through scene investigations, claimant and witness interviews, document retrieval, and data analysis.Key ResponsibilitiesInvestigate insurance claims for various coverage types, including workers' compensation, general liability,...

Job DescriptionAdvance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services.We are seeking a Claims Investigator to join our team. As a Claims Investigator, you will be responsible for validating the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and...

Job SummaryWe are seeking a highly skilled Claims Specialist III to join our team at AIG. As a key member of our Claims team, you will be responsible for handling auto and general liability claims under general supervision and moderate to high exposure claims involving litigation.Key ResponsibilitiesAnalyze and process 3rd party property damage claims by...

About the Role: We are seeking a highly skilled Claims Legal Specialist to join our team at Sentry. As a Claims Legal Specialist, you will provide expert technical guidance on the requirements to properly resolve conditional demands and participate in the development of technical content and implementation of training programs to ensure understanding of...

About the RoleThe Claims Representative is a key member of the claims team reporting to the Claims Representative Casualty Manager. The primary goal of this position is to deliver exceptional service to our members and independent agency partners.This person will handle first and third-party claims in a quality manner and meet our high standards of accuracy,...

Job SummaryWe are seeking a full-time Licensed Practical Nurse to join our team at Southeast Correctional Center in Charleston, Missouri.The LPN will provide holistic nursing care to incarcerated patients under the direction of Registered Nurses and medical staff.ResponsibilitiesProvide nursing care to patients with physical and behavioral health needsWork...

Job SummaryWe are seeking a highly skilled Care Management Specialist II to join our team at BlueCross BlueShield of South Carolina. In this role, you will be responsible for providing active care management, assessing service needs, and developing and coordinating action plans in cooperation with members. You will also evaluate outcomes of plans,...

About Palmetto Primary Care PhysiciansPalmetto Primary Care Physicians (PPCP) is a leading multi-specialty group practice in South Carolina, dedicated to providing exceptional medical care to patients in over 40 offices. With a team of over 100 clinical providers and 500 staff members, PPCP offers a wide range of services, including urgent care, imaging,...

Palmetto Primary Care Physicians (PPCP) is a leading multi-specialty group practice in South Carolina, dedicated to delivering exceptional medical care to patients across the state.The organization boasts over 100 clinical providers with a wide range of expertise in primary and specialty care, including endocrinology, gastroenterology, neurology, psychiatry,...

About the Role:Palmetto Primary Care Physicians is seeking a skilled Transitional Care Management RN to join our team. As a key member of our multi-disciplinary team, you will play a vital role in ensuring seamless transitions for our patients.Key Responsibilities:Triage patients based on identified goals and perform comprehensive patient assessments.Develop...

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our clinical team, you will be responsible for reviewing and evaluating clinical information and documentation to ensure that our members receive the best possible care.Key Responsibilities:Review and evaluate clinical information and...

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our clinical decision-making team, you will play a critical role in reviewing and evaluating clinical information and documentation to ensure that our members receive the best possible care.Key Responsibilities:Review and evaluate clinical...

Job SummaryThe Medical Billing Specialist role at CommuniCare Family of Companies is responsible for processing and managing medical claims for our facilities. This position requires strong attention to detail and excellent communication skills to interact with insurance companies and resolve unpaid claims.Key ResponsibilitiesProcess and manage medical...

BAYADA Home Health Care is a leading provider of home health care services, and we are seeking a skilled Licensed Practical Nurse to join our team.Key Benefits:Flexible Scheduling: Work on your own terms with flexible scheduling options that fit your lifestyle.Competitive Pay: Earn a competitive hourly rate of $23 and up.Comprehensive Benefits: Enjoy...

Care Management Role OverviewCare Managers at IQVIA Holdings, Inc. are responsible for ensuring seamless communication with insurance companies to obtain accurate eligibility information, conducting thorough benefit investigations, and verifying copay assistance and prior authorization status.This remote position requires strong analytical and...

Unlock Your Potential:At Gallagher, we're passionate about empowering businesses to thrive in the dynamic world of risk management. As a Client Service Manager, you'll play a vital role in safeguarding our clients' interests and driving their success.We're seeking a talented individual who can deliver exceptional customer service, build strong relationships,...

Job DescriptionWe are seeking a compassionate and reliable Home Care Assistant to provide companionship and support to our clients in the Charleston area.Assist with daily living activities, including bathing, dressing, and grooming.Provide medication reminders and assistance with medication management.Prepare meals and snacks, and assist with light...

About the RoleWe are seeking a highly skilled and compassionate Primary Care Physician to join our team at CenterWell Senior Primary Care. As a key member of our care team, you will be responsible for providing high-quality, patient-centered care to our senior patients.ResponsibilitiesEvaluate and treat patients in accordance with standards of care.Follow...

Unlock Your Potential as a Nurse with BAYADA Home Health CareAre you a compassionate and dedicated nurse looking for a new challenge? Do you want to make a real difference in the lives of your patients? Look no further than BAYADA Home Health Care.We offer a unique opportunity for licensed practical nurses to provide one-on-one care to clients in the comfort...

BAYADA Home Health Care is seeking a dedicated and compassionate Nurse Care Specialist to join our team.We offer a unique opportunity for nurses to provide one-on-one care to clients in the comfort of their own homes. Our flexible scheduling allows you to choose the cases that best fit your preferences, ensuring a great work-life balance.Benefits...