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Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims. Are you passionate about you...

A Pivotal Leadership Opportunity in a High-Growth Organization! Join a rapidly expanding organization with a mission to empower every child to reach their fullest potential. As the Director of Revenue Cycle, you’ll be at the heart of this growth, leading a team that fuels our operations and kee...

Role and Responsibilities The Billing Coordinator will gather data, calculate charges and fees, and create invoices for billing purposes. - Prepares insurance claims with required documents and submits medical and dental insurance claims within OMSVision. - Serves as liaison between insurance pro...

Complete both paper and electronic claims, in a timely manner. * Effectively use computer systems ... Medical Insurance * Vision & Dental insurance * Life Insurance * 401K * Commuter Benefits

Research property history, maintenance records, and past incidents to support claims. * Draft and ... Manage discovery, including gathering and organizing medical records, maintenance logs, and other ...

To handle claims associated with GNY Custom book and other select accounts from inception to ... medical records, property damage scopes, etc. * Setting proper reserves timely; making a fair and ...

Forensic Construction Claims Manager New York, New York This role is Hybrid. Interested in the ... Comprehensive medical insurance * Competitive market salary with performance bonus * Continuing ...

Day-to-day management of a business unit that is responsible for working and collecting unpaid professional medical claims (government and all thirdparty payers). * Organizes and supervises staff to ...

Candidate will effectively manage assigned claims and provide claims services and appropriate ... Health: medical and prescription coverage, behavioral health, dental, vision, health savings ...

Two or more insurance designations or four additional years of related experience adjudicating medical only claims beyond the minimum experience required above may be substituted in lieu of a degree

Receive claims to process as delegated by the CA Team Supervisors and Attorneys * Be the main point ... Familiarity with medical documentation is a plus * Personal accountability and adherence to ...

Adjudicate subrogation auto and workers' compensation claims of higher technical complexity ... Medical, Dental, 401(k), Life Insurance. * Work alongside a collaborative and innovative legal team ...

The candidate will be an integral part of a team of claims attorneys who manage medical malpractice claims filed against the largest municipal health care system in the country. Responsibilities may ...

Senior General Liability Claims Examiner Property & Casualty Insurance Industry NYC Examine, adjust ... Secure copies of medical records and other documentation of damages alleged from claimants or their ...

In this role, the Claims Management & Coverage Counsel will provide expert guidance in claims ... plan, medical, dental, vision, disability, and life insurance. Details of participation in these ...

Healthy Claims Medical Management is looking for a Business Development Representative to join our team. The Business Development Representative is responsible for prospecting sales and qualifying ...

... Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing/Coding Benefits * 401k retirement plan * Weekly pay

Evaluates full pending of claims in connection with the posting and maintaining of accurate ... On top of this, we offer a comprehensive and competitive benefits package which includes medical ...

Work with cargo claims team to ensure specific tasks are completed on daily basis to prevent claims * Communicate with customers, operations and vendors as necessary to resolve issues around ...

Support marketing claims data development * Support KOL development / key accounts * Trade show ... Comprehensive medical coverage (PPO, dental, vision)

As a Medical Economics Manager, your primary responsibilities may include: * Healthcare Cost ... Evaluate claims, encounter data, and utilization reports to support client objectives and deliver ...

Overview Selective Insurance is looking for a Regional Claims Agency Manager to support our West Region. This is a remote position, and the preferred locations are AZ, CO, ID, NM, NV, OR, UT or WA

Coordinating with claims professionals in connection with litigation managed within the Litigation ... Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible ...

Responsibilities: * To assist with managing our Consumer Claims Testing Program - approx. 25 ... We pride ourselves on offering medical, dental, 401(k), direct deposit and commuter benefits to our ...