Job Description A bit about this role: We’re seeking a Claims & Payments Director SME to serve as a critical... individual contributor and our lead expert on all claims-related policy matters. This role is a unique blend of deep, hands...
of business. This role is responsible for ensuring accurate claims payment, identifying and recovering inappropriate payments...Job Category: Leadership Administration Job Description: HealthPartners is hiring a Director of Payment Integrity...
of business. This role is responsible for ensuring accurate claims payment, identifying and recovering inappropriate payments...Job Category: Leadership Administration Job Description: HealthPartners is hiring a Director of Payment Integrity...
of business. This role is responsible for ensuring accurate claims payment, identifying and recovering inappropriate payments...Job Category: Leadership Administration Job Description: HealthPartners is hiring a Director of Payment Integrity...
. Growing together. Work at home! The Senior Medical Director for UnitedHealthcare’s Payment Integrity (UHC PI) Organization... groups, laboratories, and UHC PI vendors. The Senior Medical Director oversees a clinical and coding team, ensuring accurate...
. Growing together. Work at home! The Senior Medical Director for UnitedHealthcare’s Payment Integrity (UHC PI) Organization... groups, laboratories, and UHC PI vendors. The Senior Medical Director oversees a clinical and coding team, ensuring accurate...
latitude for independent judgment and decision-making, the Director of Human Services Payments will report to the Executive... Director within the Division of Accounts Payable (DAP) and oversee the operations of the Human Services Payments Unit...
in various claims payment methodologies; to include capitation, fee-for-service, DRG, percent-of-charge Demonstrated ability...
and within the broadest authority limits, to manage the most complex, high exposure Specialty claims. Responsibilities include the... D&O and E&O claims arising out of policies issued to public companies as well as financial institutions including investment advisers...
Litigation Unit Complex Claims Consulting Director. This is an individual contributor role responsible for the direct handling... range for the Complex Claims Consulting Director is $144,500 to $205,000. Salary determinations are based on various factors...
) Admin Staff Analyst NM III to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage... assistance paid to participants who then receive supplemental security income (SSI) payments, and evaluate & develop...
by ensuring claims are paid accurately and on time with transparent policies. Our Payment Integrity Department is at the forefront... of this effort, ensuring provider claims are paid correctly, free of errors, and aligned with contractual terms...
and participate in workgroups/committee meetings and process improvement solutions as required. - Coordinate corrections with claims... payment of claims. - Communicate and coordinate reviews with physician office staff and distribute correspondence related...
performance, and ensure compliance with contractual agreements. Reporting to the Director of Revenue Integrity, this leader...-oriented operations. Preferred: Knowledge of Epic, contract modeling software, or claims adjudication systems...
others, and join Team Unum today! General Summary: The incumbent will oversee Voluntary Benefits Claims with responsibilities to include... Dental and Vision Claims (including Group products across are Group Benefits Portfolio and Individual products in the...
such as Underwriting, to share claim insights that aid in good underwriting decisions. Our Healthcare Claims team is seeking a Complex... Claims Consultant to support our Aging Services segment. This individual contributor role is responsible for the overall...
best-in-class claim service. We are seeking a dynamic self-starter to join our team as a Complex Claims Consultant handling claims... for law firms with less than 35 attorneys. At CNA, Claim Professionals use their specialized expertise to handle claims...
Position Overview Now Hiring! Temp Insurance Claims Specialist Job type: Hourly Schedule: Full Time (Nov-Feb...) Reports to: Director of IAP Primary Job Responsibilities: Process insurance-related documentation accurately and timely...
Position Overview Now Hiring! Insurance Claims Specialist Status: Non-Exempt Schedule: Full Time Reports... to: Director of IAP Primary Job Responsibilities: Process insurance-related documentation accurately and timely and consistent...
motorist bodily injury, and medical payments claims. The training class will run approximately 4-6 weeks...We are Hiring for a Trainee to learn and handle Auto Bodily Injury Casualty Claims! Are you a high performing Auto...