Claims Supervisor

Job Title: Claims Eligibility SpecialistZolon Tech Solutions, Inc. is seeking a skilled Claims Eligibility Specialist to join our team.Job Summary:The Claims Eligibility Specialist will be responsible for adjudicating and processing fee-for-service claims under the direction of the Billing Unit supervisor.Key Responsibilities:Adjudicate and process...

Zolon Tech Solutions, Inc. is seeking a skilled Claims Eligibility Specialist to join our team. The ideal candidate will have experience in adjudicating and processing fee for service claims under the direction of a supervisor. Key responsibilities include:**Job Summary**As a Claims Eligibility Specialist, you will be responsible for ensuring that claims are...

About UnitedHealth Group:UnitedHealth Group is a leading global organization dedicated to enhancing healthcare through innovative technology and services that empower individuals to lead healthier lives.Role Overview:As a Claims Coding Compliance Supervisor, you will play a crucial role in overseeing the daily operations of the claims review team. Your...

Job SummaryProactively investigate, confirm coverage, determine liability, evaluate damages, and negotiate settlement of Tier 3 auto physical damage and bodily injury claims with exposures that include but are not limited to $150,000 requiring in-depth investigation, analysis, evaluation, and negotiation skills. Maintain ownership of claim through resolution...

Claims ManagerCynet Systems is seeking a highly skilled Claims Manager to join our team. As a key member of our organization, you will be responsible for analyzing and processing complex workers' compensation claims. Your expertise will be essential in negotiating settlements, ensuring timely and cost-effective resolution, and maintaining professional...

Job Title: Workers Compensation Claims AdjusterJob Summary:Amtec Enterprise is seeking a highly skilled Workers Compensation Claims Adjuster to join our team. As a Workers Compensation Claims Adjuster, you will be responsible for processing a wide variety of worker's compensation claims, including complex or sensitive cases.Key Responsibilities:Claims...

Job OverviewPosition: Claims AdjusterSummary: This role reports directly to the Claims Supervisor and may require providing technical support in their absence. The Claims Adjuster is tasked with managing a portfolio of claims, which may include complex cases with unique challenges, in compliance with relevant laws and company policies.Key...

About the RoleMeaden & Moore is a leading accounting and consulting firm that has been helping clients navigate their financial landscapes for over 100 years. We are seeking a highly skilled and experienced Forensic Senior Manager to join our team.Key ResponsibilitiesMaintain a thorough understanding of property damage claims, complex business interruption...

Job OverviewPosition Summary: The Claims Management Specialist plays a crucial role in overseeing and resolving a portfolio of workers' compensation claims. This position reports directly to the Claims Supervisor and is responsible for managing complex cases while adhering to company policies and regulatory requirements.Key Responsibilities:Conduct thorough...

Job OverviewPosition: Claims AdjusterSummary: This role involves direct reporting to the unit Claims Supervisor and may require providing technical support in their absence. The primary responsibility is to effectively manage an assigned inventory of claim files, which may include complex cases or those with unique issues, in accordance with applicable...

Job SummaryWe are seeking a highly skilled Workers' Compensation Claims Adjuster to join our team at Amtec Inc. The ideal candidate will have a strong background in adjusting workers' compensation claims, including complex litigated cases.Key ResponsibilitiesReview and process workers' compensation claims, determining compensability and authorizing payment...

Job Title: Workers' Compensation Claims AdjusterWe are seeking a skilled Workers' Compensation Claims Adjuster to join our team at Amtec Inc. The ideal candidate will have a strong background in adjusting workers' compensation claims, including complex litigated claims.Key Responsibilities:Review and investigate workers' compensation claims to determine...

Job Summary:The Billing and Collections Representative plays a vital role in the revenue cycle of Rady Children's Hospital-San Diego. Under the direction of the Supervisor of Professional Billing & Coding, this individual is responsible for receiving and verifying charge batches, ensuring accurate and timely processing of claims. The ideal candidate will...

Job SummaryThe Claims Quality Assurance Auditor plays a critical role in ensuring the accuracy, consistency, and quality of claims processing at Santa Clara Family Health Plan. This position is responsible for conducting audits of claims processed against established Plan guidelines and protocols, both via manual and auto-adjudication.Key...

Job OverviewThe Vice President of Claims Operations will lead the execution of the strategic objectives and vision of CorVel Enterprise Comp, Inc. This position encompasses the oversight and development of personnel and revenue streams. A high degree of analytical, interpersonal, and organizational capabilities is essential for success in this role....

Job SummarySan Diego Gas and Electric is seeking a highly skilled Claims Associate to join our team. As a Claims Associate, you will provide technical and administrative support to our ECS claims staff in the administration of occupational and non-occupational cases.Key ResponsibilitiesClaims Administration: Administer occupational and non-occupational...

Job Summary:The Patient Billing and Collections Supervisor 2 plays a critical role in ensuring the maximum reimbursement for all services rendered by the physicians at UCSF Benioff Children's Hospital. This position provides oversight to the daily billing and collections for designated payers, ensuring timely and accurate processing of claims.Key...

Job Title: Supervisor of Revenue CycleJob Summary:The Supervisor of Revenue Cycle is a key leadership role responsible for overseeing the analysis of data, performing follow-ups, and implementing recommendations to ensure accurate and timely coding and billing of medical claims. This position requires a strong understanding of medical terminology, coding...

Position OverviewThe Human Resources Supervisor plays a crucial role in facilitating various functions that enhance the daily operations of the Human Resources department. This role necessitates expertise in multiple domains such as talent acquisition, remuneration, employee benefits, labor relations, workplace safety, workers' compensation, performance...

About the RoleWe are seeking a highly skilled Warranty Administrator to join our team at Sfbenz. As a Warranty Administrator, you will play a critical role in ensuring the smooth operation of our warranty program.Key ResponsibilitiesBook warranty repair orders and submit claims to manufacturers.Maintain accurate receivables schedules and service contract...