Knowledge Claims are the topics, the scholarly conversations, that research communities debate via publications and dialectic, created to carry out tasks and projects in the firm and be evaluated on their usefulness, not on their universal truth.
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POSITION SUMMARY. Identify, develop, and implement training programs that are consistent with creating high performers for all positions in the claims department. Position. Full Time, Salaried opportunity. Location. Position will be based out of our beautiful West Creek office in Goochland, VA. Schedule. Monday - Friday, 8:00am - 4:30pm, this position does involve traveling, company auto provided with covered gas, insurance, and maintenance. Comp...
Job Description. Claims Representative I, II, III. Location. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The Claims Representative I is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery. How you will make an impact...
Position is fully onsite Mon-Friday, Bilingual in Spanish is required. Location. 9250 NW 36th St, Miami, FL 33178. About us. Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert indivi...
JOB DESCRIPTION. The Supervisor of Claims Processing is a people leader role responsible for providing leadership, support, and development of Claim Examiners and Claim Processing Coordinators. This role is responsible for departmental daily work distribution, team performance, and engaging and leading a claims processing workforce while ensuring turnaround times and accuracy results meet or exceed our customer expectations. RESPONSIBILITIES. Ove...
Job Description. We have unique opportunities and are always looking for exceptional talent. Join a company where you will have an opportunity to grow professionally and personally and give strength to others by. Empowering Healing. We offer a strong benefits package, opportunities for growth, and the chance to contribute to our mission: to provide an integrated portfolio of healing solutions that improve lives while lowering the overall cost of ...
Overview. To review, research, and resolve claims for all Medi-Cal claim types within established production and quality standards, including manual processing. Completes and processes claims and claims worksheets. Creates appropriate documentation that reflects the actions taken and status of the claim. Generates provider communication, such as letters, as necessary. Routes and tracks claims requiring review by other staff and departments, and p...
Wilcox Companies is seeking an experienced Health Insurance Claims Manager to oversee the claims processing and adjudication for our health insurance division. As a Health Insurance Claims Manager, you will be responsible for ensuring that all claims are processed accurately, efficiently, and in compliance with state and federal regulations. You will also oversee a team of claims specialists and ensure that they are meeting performance goals and ...
. . HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington’s Best Workplaces’ by our Staff and PSBJ™. Our vision, ‘Pro...
HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a 'Washington's Best Workplaces' by our Staff and PSBJ. Our vision, 'Proving ...
Company Description Finance / Accounting - Claims Review and AdjustingHealthcare / Health ServicesJob DescriptionResponsibilities in this senior position will include, but are not limited to:Responsible for directing the planning, design, development, implementation and evaluation of policies and procedures that assure accurate, timely claims and encounter processing and provider inquiries (written or verbal).Assure timely and accurate processing...
Manager, Claims. Job Locations. US-CA-Irvine. Requisition ID. 2024-16419. Category. Claims - Workers Compensation. Position Type. Regular Full-Time. Overview. AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Claims Manager in Irvine, CA. The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department....
About Our company. Computech Corporation has over 25 years of experience providing contract, temporary, and direct-hire staffing services. We successfully work with public and private sector entities nationwide and offer staffing solutions for Information Technology (IT), engineering, medical, professional, finance, administrative, light industrial, manufacturing, and other workforce needs. Job Description. The ideal candidate will be responsible...
