- Providence (Mission Hills, CA)
- …the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- TEKsystems (Glen Burnie, MD)
- Description The Claims Supervisor is responsible for managing the claims inventory, and resources through timely and accurate processing of higher level ... as needed. Other duties as assigned. Skills Medical Claims , Healthcare, Claims , claims processing , QNXT Top Skills Details Medical Claims ,Healthcare,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …best possible health and quality of life. Supervises daily operations and staff of claims processing and/or claims support area. Provides staff with the ... **_The Supervisor , Claims Services position is an...Skills and Knowledge:** . Strong knowledge of health insurance claims processing policies and procedures, benefit regulations… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND ... change from time to time. 1. Manage the supervision and coordination of the claims department and staff. 2. Organize and disseminate information that affects the … more
- Amentum (Washington, DC)
- The CRST Project Supervisor - specific duties and responsibilities include: + Assist Claim Review Support Team Project Manager in all aspects of Claim Review Support ... This involves monitoring various claim statuses or queues and identifying claims assignable within the Special Master's guidance. + Determine individual team… more
- The Cigna Group (Bloomfield, CT)
- …will ensure data integrity, data security and process optimization for eviCore claims processing . In addition, they will perform documentation and development ... complete tasks with guidance (as needed) from mentor and/or Claims Configuration Supervisor + Work from the...to confirm changes + Test configuration changes to validate claims are processing based on requirements +… more
- NJM Insurance (Trenton, NJ)
- …including strong knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a ... Claim Reviews; attend and participate as needed with the Claims Team and Supervisor + Participate in...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... with LA Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of...capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
- NJM Insurance (Hammonton, NJ)
- …accounts . Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor . Participate in training programs to keep current on relevant ... basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. . Level II - 3-5 years' experience as a Workers' Comp… more
- Sedgwick (San Diego, CA)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Adjuster - Workers Compensation (REMOTE - Needs Cali claims … more