W Lone Cactus Dr., Phoenix, AZ 85027 POSITION SUMMARY The Claim Status & Rejection Specialist is responsible for resolving... issues and escalate those related to the billing system or workflows. Analyze clearinghouse and payer claim status messages...
, and overseeing workers’ compensation claims programs designed to identify loss trends, reduce claim frequency and severity, and drive... positive claim outcomes. This role provides oversight of the Third-Party Administrator (TPA) and partners cross-functionally...
workers’ compensation claims programs designed to identify loss trends, reduce claim frequency and severity, and drive... positive claim outcomes. This role provides oversight of the Third-Party Administrator (TPA) and partners cross-functionally...
appropriate case reserving, electronic claim notes, and plan of action; participating in in-person meetings and claims reviews... of CPT, HCPCs, revenue, and ICD-9/10 codes Knowledge of HCFA, UB, RX, and dental claim forms Thorough knowledge...
. We are seeking candidates in Phoenix, AZ and O'Fallon, MO. Overview: As a Claim Center Representative in Operations... client experience. The primary responsibilities include claim file maintenance, processing payments and financial...
agency. Communicates claim action/processing with claimant, client and appropriate medical contact. Ensures claim files... are properly documented and claims coding is correct. May process routine payments and prescriptions and status reports...
vehicles. Handle catastrophe losses as directed by claim management. Initiate the total loss handling process for conclusion... by the Claim Offices. Handle Additional Repair Orders (AROs) and special assignments for the Claim Offices. Assist...
: This position requires in-office presence. We are seeking candidates in Phoenix, AZ and O'Fallon, MO. Overview: As a Claim Center... and contributing to the delivery of an exceptional client experience. The primary responsibilities include claim file maintenance...
resolve claims. Interact extensively with various parties involved in the claim process to ensure effective communication... in accordance with statutory, regulatory, and ethics requirements. Document and communicate claim activity timely and efficiently...
proper course of action, and appropriately resolve claims. Interact extensively with various parties involved in the claim... and communicate claim activity timely and efficiently, supporting the outcome of the claim file. About You Claims Background...
resolve claims. Interact extensively with various parties involved in the claim process to ensure effective communication... in accordance with statutory, regulatory, and ethics requirements. Document and communicate claim activity timely and efficiently...
proper course of action, and appropriately resolve claims. Interact extensively with various parties involved in the claim... and communicate claim activity timely and efficiently, supporting the outcome of the claim file. About You Claims Background...
i nvestigations, establishing damages, determining liability, negotiating settlements, making claim payments, confirming policy... coverage, and explaining claim determination to parties incident to the claim. Works in electronic claim files to handle...
compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency. Communicates claim... action/processing with claimant, client and appropriate medical contact. Ensures claim files are properly documented...
, and technology to deliver exceptional claims experiences at every stage of the claim journey. Support the Vice President in ensuring... that the Casualty discipline meets or exceeds all claim service and quality standards, as well as annual financial...
updates on claim status. Collaboration: Work closely with internal teams, including legal, medical, and risk management... Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably...
include but are not limited to: Under limited supervision, receives assignments and reviews claim and policy information..., physicians, attorneys, police officers, etc. to secure necessary claim information. Depending on line of business, may inspect...
status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military... and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the...
origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information...
origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information...