NewSenior Claims Supervisor Work from HomeSenior Claims SupervisorFranklin, TNIdeally, this individual has experience managing physician practice and hospital claims and litigation management, is familiar with physician practice and hospital operations (including medical staff issues), state malpractice laws, possesses strong negotiation skills and has demonstrated ability to independently problem solve and proactively manage and resolve claims. Build and maintain strategic alliances and collaborative partnerships with the HCI Risk Management team, HCA Legal Department, Clinical and Physician’s Services Group and other corporate departments that will mutually benefit the Claims Department and the organization.
NewProperty Adjuster Specialist - Field Claims USAAProperty Adjuster Specialist - Field ClaimsNashville, TNRemote$69,920–$125,850 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
NewDirector of Finance Vaco LLCDirector of FinanceFranklin, TN$170,000–$220,000Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
NewSafety & Training Supervisor Summit School ServicesSafety & Training SupervisorAntioch, TNLicense or Certification: SBDI certification required; Commercial Driver’s License with Passenger and School Bus Endorsements required; Strong working knowledge of MS Office Software (Word, Excel, Outlook, PowerPoint, etc.) and transportation related software. Summit School Services companies share a strong commitment to provide the highest level of transportation safety, quality transportation, outstanding customer service and positive employee relations.
Casualty Claims Manager Trexis InsuranceCasualty Claims ManagerFranklin, TennesseeRESPONSIBILITIES Overall management of the Casualty Unit staff including management of LAE while balancing the BI and UMBI metrics for the Department to ensure a proper Lowest Ultimate Cost. We focus on the effective use of technology to enhance the productivity of our people and increase our knowledge of and service to our customers while investing resources in product and geographic expansion.
Senior Manager, Claims Sun Life Financial IncSenior Manager, ClaimsTN$72,500–$108,800 / yearThe Senior Manager, Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day-to-day operations of our Long Term Disability claims team, as well as fostering client relations and ensuring the accurate risk management of disability claims. What you will do: Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners.
Medical Malpractice/Professional Liability Claims Program Manager University Health Services IncMedical Malpractice/Professional Liability Claims Program ManagerBRENTWOOD, TNOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. The Corporate Insurance team at UHS is looking for motivated Medical Malpractice/Professional Liability Claims Program Manager to join our innovative team and contribute to the maintaining of a rolling diary of claims based at UHS' Headquarters in King of Prussia, PA or Brentwood, TN Regional office.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteTNRemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
Senior Manager, Insurance and Claims Advocacy Sun Life Financial IncSenior Manager, Insurance and Claims AdvocacyTN$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
NewSenior Manager, Claims Services Sun Life Financial IncSenior Manager, Claims ServicesNashville, TN$68,200–$102,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Senior Manager, Claims Workforce Management, Meritain TPA CVS Health CorpSenior Manager, Claims Workforce Management, Meritain TPAFranklin, TN$67,900–$199,144 / yearServes as the primary subject matter expert for Claims Workforce Management (WFM), partnering closely with senior leadership and cross‑functional stakeholders to support operational decision-making, performance outcomes, and scalability. Provides strategic ownership of Claims workforce management by leveraging deep analytical expertise to forecast demand, develop capacity and staffing models, and optimize workforce utilization.
Senior Claims Supervisor HCA Healthcare IncSenior Claims SupervisorNashville, TNpreferredAdjuster's license in states in which HCI operates, especially Florida preferredMust be eligible to apply for and obtain adjuster's license(s) in assigned jurisdictions requiredProficient computer skills with word processing and database competency requiredPossess critical thinking, analytical and problem skills required Benefits HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. Education & ExperienceBachelor's degree required5+ years of experience in claims' management, preferably in healthcare and preferably in a multi-state environment; knowledge of hospital and healthcare operations requiredJD preferredDefense and trial experience preferredCertification in risk management or insurance, i.e. CPHRM, ARM, CPCU, etc.
Division Claims Coordinator HCA Healthcare IncDivision Claims CoordinatorNashville, TNRemoteYou must possess excellent communications skills and an understanding of hospital operations in order to coordinate activities with defense counsel, all levels of hospital administration, HCI personnel and the Division Claims Administrator to provide information to defense counsel and schedule hospital personnel for interviews, depositions, mediations, etc. Some examples include, but not limited to; Delineation of Privileges of Physicians, Employment Files, Credentialing Files, Surgical Schedules, Facility Maintenance documents, Surveillance footage, Radiology Imaging, Census Data, etc.
Workers Compensation Claims Supervisor - TN, KY, AL GallagherWorkers Compensation Claims Supervisor - TN, KY, ALNashville, TennesseeRemote$1–$3 / hourFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. How you'll make an impact: Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTENashville, TNRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTENashville, TNRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Claims Escalation Supervisor Fast Pace HealthClaims Escalation SupervisorTennesseeFull timeManages the day-to-day functions of the claims escalation team, which consists of collecting and managing accounts, follow up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate) and following up on all denials to ensure processing/reprocessing and payments. The ability to maintain friendly, cordial relations with all clients, vendors, and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers.
Claims Coordinator I - REMOTE Ryder System IncClaims Coordinator I - REMOTENashville, TNRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Security Notice for Applicants: Ryder will only communicate with an applicant directly from a [@ryder.com] email address and will never conduct an interview online through a chat type forum, messaging app (such as WhatsApp or Telegram), or via an online questionnaire.
Warranty Claims Investigator Amrize LtdWarranty Claims InvestigatorNashville, TNRemote workforce position with regular travel in the field performing in-depth investigations to complete analysis of roofing systems exhibiting issues, requiring extensive knowledge of all construction practices as they relate to Elevate/GenFlex roofing systems. Quick and thorough completion of all paperwork including photographs related to each claim to properly document Amrize Building Envelope position for presentation and future reference including possible litigation.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminNashville, TNRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Fleet Claims Specialist, Middle Mile Property Damage Amazon.com IncFleet Claims Specialist, Middle Mile Property DamageNashville, TNAn ideal candidate brings a background in fleet maintenance and automotive claims handling, with experience managing professional relationships with multiple stakeholders, holding responsible individuals accountable for asset damages and repair costs, and achieving organizational targets. Interact with carriers and customers to obtain facts, explain claims processes, and provide high quality service to achieve a positive customer experience.
NewSenior Claims Representative (Workers Compensation) Dollar General CorpSenior Claims Representative (Workers Compensation)Goodlettsville, TNRemoteTimely conduct interviews with injured employees, customers, store personnel and medical care providers within 24 hours of receiving reported incident to evaluate facts regarding compensability of a claim under the state requirements. Whether you are looking to launch a new career in one of our many convenient Store locations, Distribution Centers, Store Support Center or with our Private Fleet Team, we are proud to provide a wide range of career opportunities.
NewCLAIMS REPRESENTATIVE SR Dollar GeneralCLAIMS REPRESENTATIVE SRGOODLETTSVILLE, TennesseeRemoteFull timeJob Details: Timely conduct interviews with injured employees, customers, store personnel and medical care providers within 24 hours of receiving reported incident to evaluate facts regarding compensability of a claim under the state requirements. Whether you are looking to launch a new career in one of our many convenient Store locations, Distribution Centers, Store Support Center or with our Private Fleet Team, we are proud to provide a wide range of career opportunities.
Field Claims Adjuster III, PL Property (Flex Team) Nationwide Mutual Insurance CoField Claims Adjuster III, PL Property (Flex Team)Nashville, TN$79,500–$148,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. Qualifications: · 5 years of insurance field/property claims handling or adjusting experience · Solid experience/proficiency with Xactimate · Solid experience writing own estimates and handling claims start to finish · Strong customer service competency · Strong written & verbal communication skills.
Inside Claims Adjuster Trexis InsuranceInside Claims AdjusterFranklin, TennesseeEffectively organize time and effort on files to minimize the days to close PD and Comp/Coll claims, negotiate physical damage claims equitably, and control expenses through proper repair management . We focus on the effective use of technology to enhance the productivity of our people and increase our knowledge of and service to our customers while investing resources in product and geographic expansion.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheNashville, TN$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
Managing Director Property Claims HCA HealthcareManaging Director Property ClaimsNashville, TNMajor Responsibilities: Proactively manage system-wide property claims including oversight of between HCA facility contacts, corporate functional areas, Third Party Administrator (TPA), forensic accountants, broker claims representative and captive insurer/fronting parties. This includes oversight of HCA’s property claims handling via coordination between HCA facility contacts, corporate functional areas, Third Party Administrator (TPA), forensic accountants, broker claims representative and captive insurer/fronting parties.
NewDirector , Product Management - AI Claims Platform CVS Health CorpDirector , Product Management - AI Claims PlatformTN$144,200–$288,400 / yearThis is a rare opportunity to own a flagship AI product in healthcare from strategy through delivery - partnering closely with Business executives, Operations teams, Enterprise technology, Data science and Engineering, with strong visibility to senior leadership. A&BC leverages advanced analytics, machine learning, modeling, and a hypothesis-driven approach to transform data into actionable, customer-centric insights to drive growth, improve health outcomes and access to health care across all our businesses in CVS Health.
NewDirector of Claims Pricing Solutions - Remote UnitedHealth Group IncDirector of Claims Pricing Solutions - RemoteBrentwood, TNRemote$134,600–$230,800 / yearClaims system and/or contract modeling experience with at least of one of the following: Cognizant: Facets/NetworX, QNXT/NetworX; HealthEdge: Health Rules Payer; Advantasure: iKA Claims; Epic: Tapestry; 3M: GPCS; RAM: HealthSuite; and/or Conduent/HSP: MediTrac; HealthEdge Source; Zelis: Payer Compass; Reimbursement Manager (REM); PMMC: Contract Modeling; Strata: Market Reimbursement Intelligence or Contract Analytics; MD Clarity: RevFind or Clarity Flow; ClaraPrice: Payer Contract Management. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.
Claims Escalation Specialist Fast Pace HealthClaims Escalation SpecialistTennesseeFull timeThe Claim Escalation Specialist will perform the daily collections and management of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Performs daily on collecting and managing of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments.
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterTNRemote$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Clearing the error involves researching to obtain the missing or misaligned information (sometimes requiring communication with the claimant or insured) and entering or correcting data in various fields in either our claims system or the state's reporting site.
Senior Resolute PB Claims Consultant Deloitte Touche Tohmatsu LtdSenior Resolute PB Claims ConsultantNashville, TN$121,000–$143,000 / yearThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various functional and / or technical teams, including escalating any matters that require additional attention and consideration from engagement management.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistTNRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
NewClaims Customer Service Advocate II CGS AdministratorsClaims Customer Service Advocate IINashville, TennesseeWe are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. Required Work Experience: 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience.
NewClaims Customer Service Advocate II BlueCross BlueShield of South CarolinaClaims Customer Service Advocate IINashville, TennesseeWe are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. Required Work Experience: 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience.
EDI Claims Filing Specialist Nesco Resource, LLCEDI Claims Filing SpecialistBrentwood, TN$18–$18 / hourThe EDI Claims Filing Specialist is responsible for ensuring that claims are accurately submitted to payors, either electronically or via paper, with all required documentation. Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
TEMP- Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Senior Workers' Compensation Claims AdjusterTN$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
TEMP- Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Workers' Compensation Claims AdjusterTN$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
NewTEMP-Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Senior Workers' Compensation Claims AdjusterTN$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
Claims Escalation Rep TriWest Healthcare AllianceClaims Escalation RepNashville, TNRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.
Epic Certified Resolute Professional Billing & Claims Senior Consultant Accenture PlcEpic Certified Resolute Professional Billing & Claims Senior ConsultantNashville, TNThe Advanced Technology Centers (ATCs) make tremendous impact in solving our clients' business problems leveraging Innovation, Intelligence, Industry insights, new IT and new technology skills. For our clients, the Network provides the strength of our geographic diversity, greater resilience, and seamless access to the deepest industry knowledge, the latest in Gen AI solutions, and tech expertise from around the world.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerNashville, TNRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
Inside Auto Claims Service Leader (Hybrid- Nashville, TN) Allstate Insurance CompanyInside Auto Claims Service Leader (Hybrid- Nashville, TN)Nashville, TN$90,000–$140,000 / yearKey Responsibilities: This Claims Service Leader will lead and support a Level 2 Inside Auto team, helping drive team success while fostering a positive, high-performing environment. This role is responsible for managing and motivating approximately 9 - 11 adjusters to achieve high levels of performance and execute required claim processes with expertise.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerNashville, TNRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Claims Examiner, Workers'''' Compensation | Southeast Jurisdictions | Remote Sedgwick Claims Management Services, Inc.Claims Examiner, Workers'''' Compensation | Southeast Jurisdictions | RemoteTNRemotePRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
NewClaims Representative - Remote The Cigna GroupClaims Representative - RemoteTNRemote$17.75–$26 / hourThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. New claim representatives will be provided with a robust training program, which includes virtual classroom training, on-the-job learning/feedback, and gradually increasing claims per hour/quality requirements over several months.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystNashville, TNRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
Unemployment Claims Hearings Analyst Thomas and CompanyUnemployment Claims Hearings AnalystNashville, TNFull timeAs the largest privately held service provider in our industry, Thomas & Company stands at the forefront of delivering innovative and comprehensive solutions that help businesses optimize their operations and manage critical aspects of human resources. We specialize in offering unmatched unemployment cost control, employment verification, and tax credit services, all designed to reduce financial risk, streamline processes, and drive cost efficiency for our clients.
Temporary Subrogation Claim Representative II AAA Southern New EnglandTemporary Subrogation Claim Representative IITNBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Work Environment: This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership.
NewRegional Auto Claim Representative II (Desk) AAA Southern New EnglandRegional Auto Claim Representative II (Desk)TNBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.