accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The Claim Director... level of customer service and claim file quality. Identifying and evaluating coverage issues, preparing comprehensive...
Job Category: Claims Adjusting Job Description: This is a role focused on technical claim handling for Chubb... and implement effective defense, resolution and claim strategies. Provide superior customer service to insureds, agents...
, and a sense of urgency Job Description Position Summary: The EHS Culture starts with you. As our Business Unit EHS Director.... Overview: The Business Unit EHS Director provides leadership within the Central Business Unit locations and its functional...
, and a sense of urgency Job Description Position Summary: The EHS Culture starts with you. As our Business Unit EHS Director.... Overview: The Business Unit EHS Director provides leadership within the Central Business Unit locations and its functional...
Job Overview/Description The Director of Nursing (DON)/Supervising Nurse, appointed by the Administrator... on Pre claim review (PCR) performed and Axxess Care. RCD documentation and uploads (making sure all paperwork...
Description : Position Summary: We are seeking a strategic and accomplished Director of Customer Experience to lead... lifecycle, including claim validation, RMA processing, and root cause analysis. Collaborate with Engineering, Quality...
to academic freedom and open inquiry. About the Position: This role is an on-campus, in-person position. The Director... of Risk Management and Insurance leads the implementation of risk financing, insurance, and claim strategies in alignment...
Scott & White Health (BSWH). The Director-Assistant General Counsel (Dir-AGC) will represent BSWH system in legal...-litigation claim matters and other risk management issues. It is important for the Dir-AGC to be a credible and effective leader...
in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments... determinations and continue to next step in the claim’s lifecycle. Research new healthcare related questions as necessary to aid...
and/or director. You'll be rewarded and recognized for your performance in an environment that will challenge you and give...) Microsoft Excel (creating, editing, saving spreadsheets) Microsoft Outlook Experience with High Dollar claim handling...
in liaison with Director, Risk Management, Legal, Outside Counsel, and Finance Participate in quarterly claim reviews...
. This role reports to the Director, Field Reimbursement. What’s in it for you? Competitive compensation Excellent... claim submission, integration of HUB and patient assistance programs Maintains compliance with program business rules...
, and audit responses. Manage resolution of data discrepancies and claim loading issues in partnership with internal teams... or risks to compliance and escalate appropriately to the Director when required or necessary. Maintain detailed documentation...
, and audit responses. Manage resolution of data discrepancies and claim loading issues in partnership with internal teams... or risks to compliance and escalate appropriately to the Director when required or necessary. Maintain detailed documentation...
, and audit responses. Manage resolution of data discrepancies and claim loading issues in partnership with internal teams... or risks to compliance and escalate appropriately to the Director when required or necessary. Maintain detailed documentation...
Resources to troubleshoot claims issues Assist in settlement negotiations on all claims in liaison with Director, Risk... Management, Legal, Outside Counsel, and Finance Participate in quarterly claim reviews and best practice audits with Third Party...
directly with business partners (complex claim reconsiderations, notifications, appeal considerations) Adjudicates complex... including, Medical Director, CM / DM Nurses in resolving member concerns and engaging appropriate clinical programs...
: Staff Training Coordinator/Secretary Reports To: Executive Director Classification: Full-Time FLSA Status: Non-Exempt... Administrative Office and assists the Executive Director and/or Administrative Assistant in administering the Human Resource...
: Staff Training Coordinator/Secretary Reports To: Executive Director Classification: Full-Time FLSA Status: Non-Exempt... Administrative Office and assists the Executive Director and/or Administrative Assistant in administering the Human Resource...
posting Communicate claim rejection patterns to Director of Revenue Cycle Management Exhibit analytical, critical-thinking... when claim rejections occur and to manage payor setup, payor contracts, and payor rates Maintain a deep understanding...