FEATURED JOBS
Showing 20-30 of 191
…to field provider method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members
…of complex provider information and synchronization of data on all claims and provider databases including expertise on business requirements for multiple
…the incumbent must be in contact with: Enrollment & Billing, Claims and Customer Service, district offices, financial institutions, healthcare facilities, and
…Works with medical directors in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied. Primary duties may
…loss history analyses, stratifications, and loss forecasters as requested. 3. Research claims issues as related to loss runs/loss summaries. 4. Obtain, perform
…guidelines, approving policy changes, maintaining workload, solving coverage issues, monitoring claims and managing written business up to and including the time
…to the timely and accurate processing and payment of unemployment insurance benefit claims . Unemployment Insurance Representative III's supervise a team of
…senior level reimbursement staff. May serve on related committees. + Identifies claims and provider reimbursement related system problems, including claims
…decision makers and group employees. Must have contact with SNL underwriting, claims and billing personnel. **QUALIFICATIONS** **Education** + High School Diploma or
…policyholder. + Collaborate with Underwriting, Loss Prevention, Workers' Compensation Claims , Special Investigations Unit to ensure policyholders and department