UNKNOWN

FEED

Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Develops a working knowledge of commercial insurance and learns to manage an inventory of low complexity claims by successfully completing a formal training program, and following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit. After successful completion of a formal training program, this individual contributor position works under close supervision, and within defined authority limits, to handle and resolve low complexity commercial claims for a specific line of business.

YEAR

CNA Financial Corp

2027 Claim Trainee Program - Associate Claims Representatives

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Responsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.

WVU Medicine

Insurance Claims Specialist

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What you will do in this role: You will perform follow up activities on accounts to ensure prompt payment You will identify coding or billing errors from EOBs and work to correct them You will monitor insurance claims and contact insurance companies to resolve claims You will update the patient account record to identify actions taken You will assign bad debt accounts to the collection agency You will act as a liaison and administer contracts in collection of third party accounts (Medicare and Medicaid) You will complete account reconciliation of accounts turned over to outside agencies You will negotiate payment plans on self-pay accounts You are responsible for maintaining accounts receivable and creating a reduction in bad debt Qualifications you will need: Minimum (1) year of experience in a medical office setting highly preferred. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.

HOUR

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

HCA Healthcare Inc

Medical Insurance Claims Representative

FULL_TIME

The Claims Specialist willreview claims for reporting information in a spreadsheet or software and communicate with the TPA Manager and Claims Manager daily as well as possibly interacting with groups, claimants, outside carriers, and agents. Be knowledgeable and have a clear understanding of the business processes within MWG including internal departments, insurance carriers, brokers/agents, and group contacts.

Morgan White Group

Claims Specialist I

Talent Acquisition

This role is responsible for managing the security workforce; scheduling and overseeing their work; appraising their performance; rewarding and disciplining employees; addressing complaints and resolving problems within the department and outside. Act as a liaison between the Security team and other departments/stakeholders, informing upper management of problems or security issues and communicating with other department supervisors.

Collectors Universe, Inc.

Senior Supervisor, Security

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OTHER

Follow up activities are primarily performed via telephonic and web based methods of communication with all third party payers / self pay patients as well as internal communication with other hospital departments to facilitate payment of claims. Handles a high volume of third party claims and ensures that accurate information is submitted to payers via the clearing house and/or payer intermediary in a timely manner to ensure prompt payment.

Yale New Haven Health

Account Resolution Analyst

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We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations in NYC, Dallas and Charlotte.

Utica National Insurance Group

General Liability Litigation Specialist

We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. Communication skills will also be applied to correspond in writing and over the phone with individuals including injured workers, insureds, agents, vendors, team members, and defense counsel.

Workers' Compensation Enhanced Medical Only Representative (Entry-Level)

Successful professionals at Chubb come from many backgrounds and experiences and bring that rich diversity with them to our company along with: an inclusive mindset which allows differences to be leveraged for better business results; open, transparent communication; teamwork and inclusion which draws on diverse ideas and perspectives; and. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

Chubb is the world&rsquo;s largest publicly traded property and casualty insurance company and the largest commercial insurer in the U.S.
With operations in 54 countries and territories, we are a major personal lines writer, as well as a leading middle market, small commercial and large industrial commercial insurer, providing a wide range of traditional and specialty coverages.
As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. And we combine the precision of craftsmanship with deep experience to conceive, craft and deliver the very best insurance coverage and service to individuals and families and to businesses of all sizes.
Our products and services are distributed through brokers, independent agents, exclusive agents and various forms of direct marketing.
What we deliver:
<ul>
<li>Extensive product and service offerings</li>
<li>Broad distribution capabilities</li>
<li>Service excellence</li>
<li>Risk expertise</li>
<li>Underwriting discipline</li>
<li>Exceptional financial strength</li>
<li>Local operations globally</li>
</ul>

Chubb Ltd

Senior Claims Director-Major Accounts Excess Complex

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIEs geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.

Erie Indemnity Co

Inside Claims Representative I

Claims Facilitator

Any unsolicited resumes sent to Zoetis from a third party, such as an Agency recruiter, including unsolicited resumes sent to a Zoetis mailing address, fax machine or email address, directly to Zoetis employees, or to Zoetis resume database will be considered Zoetis property. Comfort Around Higher Management:  Deals comfortably with and presents effectively to senior managers, Composure: ability to operate in a fast-paced environment with KPIs including turnaround time.

Zoetis Inc

Lab Supervisor

The position also focuses on training team members, utilizing EHS training, maintaining product quality, supporting clear communication across operations, and prefers bilingual Spanish and English communication skills. Today, as an affiliate of Aramco, one of the world's largest integrated energy and chemicals companies, we are driven by innovation and committed to creating sustainable solutions for a better future.

Valvoline Inc

Distribution Production Supervisor

The TCIS prepares daily progress reports and maintains progress schedules; checks shop drawings and contractors' quotations for variations; keeps records of quantities and cost of materials used; prepares contractors' periodic progress payment claims and recommends payment. CDR Maguire Inc., a national multi-disciplinary engineering firm is seeking a Transportation Construction Inspector Supervisor for the reconstruction of Sr 4004 and realignment of Eagleville Road and Crawford Road to form a four leg intersection project in Montgomery County for an immediate opening.

CDR Companies

Transportation Construction Inspector Supervisor - Montgomery County District 6

This may require working outside normal production hours, including extended shifts, production startup activities, recovery efforts, and occasional weekend support based on operational requirements. From a one-man company built on the world-changing invention of the McCormick reaper in 1831, to the 15,000-person-strong company we are today, few companies can lay claim to a history like International.

Navistar International Corp

Production Maintenance Supervisor - NIGHT SHIFT

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.

Humana Inc

Claims Process and Policy Professional

Coordinates production to meet production control schedules and maintains continuous flow of production; implements the necessary maintenance of equipment to ensure continuous production on an assigned shift. With Diversity, Equity, and Inclusion (DE&I) as part of our Social Ambition 2030 and a strategic pillar of our Company culture, Prysmian is committed to the development of an organization that prioritizes talent, where people feel respected, included, and free to fully express their potential just as they are.

Prysmian S.P.A.

Production Supervisor - Third Shift

The Manufacturing Production Supervisor is responsible for overseeing daily production activities, ensuring production schedules and backlogs are met, maintaining appropriate staffing levels, and supporting a safe, efficient, and productive manufacturing environment. With Diversity, Equity, and Inclusion (DE&I) as part of our Social Ambition 2030 and a strategic pillar of our Company culture, Prysmian is committed to the development of an organization that prioritizes talent, where people feel respected, included, and free to fully express their potential just as they are.

Lexington Production Supervisor

Responsible for investigating and processing quality related claims, entering replacement orders, issuing credits, entering Charge Backs, maintaining the QA library, perform lab responsibilities, and additional job-related duties. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact MillerKnoll Talent Acquisition at careers_help@millerknoll.com.

MillerKnoll, Inc.

Quality Claims Coordinator

Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges. * Process transactions apply cash, member bills, resubmit invoices, write-offs, etc.

Claims Supervisor Jobs in the United States

2027 Claim Trainee Program - Associate Claims Representatives CNA Financial Corp

Insurance Claims Specialist WVU Medicine

Medical Insurance Claims Representative HCA Healthcare Inc

Claims Specialist I Morgan White Group

Senior Supervisor, Security Collectors Universe, Inc.

Account Resolution Analyst Yale New Haven Health

General Liability Litigation Specialist Utica National Insurance Group

Workers' Compensation Enhanced Medical Only Representative (Entry-Level) Utica National Insurance Group

Senior Claims Director-Major Accounts Excess Complex Chubb Ltd

Inside Claims Representative I Erie Indemnity Co

Claims Facilitator Erie Indemnity Co

Lab Supervisor Zoetis Inc

Distribution Production Supervisor Valvoline Inc

Transportation Construction Inspector Supervisor - Montgomery County District 6 CDR Companies

Production Maintenance Supervisor - NIGHT SHIFT Navistar International Corp

Claims Process and Policy Professional Humana Inc

Production Supervisor - Third Shift Prysmian S.P.A.

Lexington Production Supervisor Prysmian S.P.A.

Quality Claims Coordinator MillerKnoll, Inc.

Insurance Claims Processor Global Channel Management

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