Medical Claims Coordinator

OBJECTIVE: Medical Claims Coordinator Objective To provide technical support and act as a contact point for the Medical Claims Unit/Assigned Claim Unit, resulting in proper disposition of claims. RESPONSIBILITIES: Medical Claims Coordinator Resonsibilities Work with computer systems keying functions, including but not limited to letter composition, log...

OBJECTIVE: Manager, Claims Operations Objective To develop and manage strategic initiatives that will ensure quality, consistency, efficiency, innovation, and compliance across all aspects of Claims Operations. To drive successful organizational performance and improvements by analyzing business processes and workflows, helping to create effective business...

Overview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...

Summary: Position will be hybrid, with travel to all system locations   The Claims Specialist supports the organization's professional liability claims management and risk reduction strategies through an integrated approach to assess, monitor and manage claims with the goal of reducing claims while aligning with MyMichigan Health's strategic...

OBJECTIVE: Manager, Claims Operations Objective To develop and manage strategic initiatives that will ensure quality, consistency, efficiency, innovation, and compliance across all aspects of Claims Operations. To drive successful organizational performance and improvements by analyzing business processes and workflows, helping to create effective business...

OBJECTIVE: Senior Digital Property Claims Representative Objective To help our insureds recover after a property loss of varied size and complexity. To deliver an exceptional customer and agent experience to aid in the retention of business while consistently adhering to established claims handling guidelines and best practices. To effectively investigate,...

OBJECTIVECasualty Claims Representative Objective To provide efficient adjustment, processing, and settlement of casualty claims consistent in accordance with established adjusting procedures while providing a WOW! customer experience and also controlling loss and loss adjustment expenses. RESPONSIBILITIESCasualty Claims Representative Responsibilities...

**JOB DESCRIPTION****Job 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 to...

Overview:   Brighton Healthy Smiles is looking for a Dental Insurance Coordinator to join our front desk team. In this role you will focus on insurance coordination, claims, and collections. You will also interact with patients, help manage phone calls, and entering treatment plans. We place great emphasis on collaborative efforts within our team. If you...

Position Details: Position has a Vaccination requirement , Flu, TDAP, Varicella, MMR   This is an on-site position and cannot be performed remotely   We are currently looking for a contingent Office Coordinator with experience in office management to join our team. The role involves efficiently managing paperwork and data, ensuring accurate...

OBJECTIVE: Commercial Underwriter Objective To underwrite designated commercial lines of insurance. To implement company philosophy and underwriting guidelines in the acceptance and rejection of risks, pricing, classification, hazard recognition, and providing service to policyholders, Farm Bureau Insurance agents and their...

PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. ESSENTIAL FUNCTIONS: 35% Performs member or provider related administrative support, which may include benefit verification,...

Overview: First National Bank of America has an opening for an Appraisal Coordinator. The appraisal team works directly with evaluators, appraisers and coordinates the ordering of both commercial and residential appraisals and evaluations on behalf of the bank’s production groups. Primary responsibilities for the Appraisal Coordinator include providing...

Overview: First National Bank of America has an opening for an Appraisal Coordinator. The appraisal team works directly with evaluators, appraisers and coordinates the ordering of both commercial and residential appraisals and evaluations on behalf of the bank’s production groups. Primary responsibilities for the Appraisal Coordinator include providing...

Job DescriptionREMOTE opportunity with required travel to the Lansing, MI office, as needed. The Medical Vendor Oversight Specialist will provide day to day monitoring of relationships and partnerships to ensure the effectiveness of the programs or services offered by the medical vendors. This position will have a wide variety of specialized functions in...

Looking to reconnect and extend your personal and professional world? Just pick up the phone to get all the details of this assignment.BC requiredWeekdays, WeekendsDEA neededCompetitive compensationPre-paid travel and housingPaid AAA-rated claims made malpracticeLicensing assistance and cost reimbursementMember of NALTO

To get this new adventure started, pick up the phone and call us today.BC requiredCall, Weekend call, 24-hour shiftsDEA neededCompetitive compensationPre-paid travel and housingPaid AAA-rated claims made malpracticeLicensing assistance and cost reimbursementMember of NALTO

Job Description REMOTE opportunity with required travel to the Lansing, MI office, as needed. The Medical Vendor Oversight Specialist will provide day to day monitoring of relationships and partnerships to ensure the effectiveness of the programs or services offered by the medical vendors. This position will have a wide variety of specialized functions in...

Description Position at MacAllister Rentals Objective Position duties include but are not limited to: assisting with processing work orders and customer damage claims for the Rental Services Division. Responsibilities Individual serves as Service Department's main point of customer contact; promptly attending to customers needs either by phone or face...

To get this new adventure started, pick up the phone and call us today.BC requiredDays, Call, Weekend callClinic, hospital and call6 - 8 patients per dayRadiologic exam interpretation (unofficial) , EEG, brain death exam, thrombolytic therapy etcDEA neededCompetitive compensationPre-paid travel and housingPaid AAA-rated claims made malpracticeLicensing...