- UpvoteDownvoteShare Job
- Suggest Revision
Certification/s: PHR/SPHR/CP/SCP preferredAt least three (3) years prior experience processing NYS workers’ compensation claims and/or FMLA leaves of absence, is preferred. Certification/s: PHR/SPHR/CP/SCP preferredAt least three (3) years prior experience processing NYS workers’ compensation claims and/or FMLA leaves of absence, is preferred.
TemporaryExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Three plus years of hands-on experience with Epic Resolute Billing in a real-time environment with Claims as they relate to the Resolute Module. Claims certification preferred. The Sr. Epic Resolute Revenue Cycle Analyst works with leadership to establish priorities for the Epic billing module, assisting systems analysts in implementing Epic Resolute updates and establishing Epic Resolute best practices and procedures.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
As a Large Loss Claims Experience Advocate, you’ll help us settle claims quickly and efficiently, surpassing customer expectations along the way. Through our Giveback program, we partner with organizations such as the ACLU, New Story, The Humane Society, Malala Fund, American Red Cross,.org, charity: water, and dozens of others, and have donated millions towards reforestation, education, animal rights, LGBTQ+ causes, access to water, and more.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Duties will include handling workers compensation and auto claims including bodily injury, physical damage, and property damage/liability claims. Serve as a technical resource concerning Workers' Compensation and auto claims; respond to inquiries and provide technical information concerning related laws, codes, rules, regulations, policies and procedures; respond to calls from employees, third-party administrator, physicians, medical facilities and others.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.) Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.
$86,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Claims Adjuster are sent to client’s homes for pre-loss assessments & inventory, post-loss assessment & inventory, collections cataloging, reconstruction post loss including compiling inventory lists, photos, and in-depth client interviews.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Key stakeholder departments include, configuration, provider relations, provider credentialing, provider enrollment, claims, medical management and payment integrity. Takes the lead in identification and resolution of ongoing operational issues with providers, including but not limited to rate negotiation, reimbursement, billing/claims, configuration/system implementation, reporting/analytic needs, non-compliance.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Technical evaluation of pharmaceutical industry data sources including claims, EHR, specialty pharmacy, sales, and customer master data. 5 years of hands-on experience using administrative claims (EMR/EHR, open and closed claims data sources) OTHER INFORMATION Eligible for employee bonus referral Candidate demonstrates a breadth of diverse leadership experiences and capabilities including: the ability to influence and collaborate with peers, develop and coach others, oversee and guide the work of other colleagues to achieve meaningful outcomes and create business impact.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Get exposure to civil law, including legal assistance (estate planning, family law, tax matters); tort claims (represent interests of the U.S. in tort issues such as Federal Tort Claims Act/Military Claims Act); labor law (arbitration and equal opportunity); and contract law (legal review of multi-billion dollar contracts of military technologies and supplies.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Collaborate and maintain cross-functional working relationships with team members of multiple business units; Claims Third-party Administrators (TPA), Programmers, and approved vendors to analyze and correct data quality errors.
RemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Ethics & Compliance teams provide coordinated advice and assistance on independence, conflicts, regulatory and risk management issues, as well as dealing with claims, and any queries regarding the organization’s ethics.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Medical claims, Medicaid and HEOR database search. Observational data, MarketScan, Optum, Market Clarity, EMC- Claims databases. Open to remote for experienced candidates with Medical Claims and EMR experience.
ExpandUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The RoleSenior Claims Specialists at Willis Towers Watson drive proactive adoption of risk mitigation strategies and positive outcomes for clients who experience losses. Advocate for timely, optimal resolution of claims, including escalation/negotiation with claim service providers on disputed claims.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
MetroPlusHealth Summer Internship: Business Continuity
InternExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Assist with Crop claims field inspections, investigations, customer communications and administering insurance policies to ensure compliance with state and federal regulations. Support business objectives by assisting with claims auditing.
ExpandApply NowActive JobUpdated 6 days ago
claims tpa jobs Company: Metroplus Health Plan in Brooklyn, NY
FEATURED BLOG POSTS
Learn How to Respond to an Interview Request With Templates
Job interviews are an inevitable part of any job search. So, handling them well is key to building a fulfilling career. Regardless of whether you’re looking at a more junior role or strive for a role as a business executive, you need to maintain your professionalism every step of the way in order to stay in the game.
How to Write an Address Correctly: Explained with Examples
It's hard to imagine a scenario where a text or phone call just won't do these days. With communication at our fingertips, you may think learning how to write an address is a superfluous skill. But it's a skill that will come in handy when you need to fill out healthcare forms, ship a package, order food delivery, or even apply for new jobs.
5 Common Interview Mistakes
Everyone's interview process is unique in some form or fashion. Like most, your interview process is crafted so you can get the most information out of your candidates to increase hiring confidence and make the right hiring decisions. However, there are often small problems in interview processes that could ultimately affect the success of hiring decisions.
How to Write a Job Description?
It might be tempting to overlook the importance of a well-written job description. After all, if you’ve posted job ads before and ended up with tons of resumes in hand, it’s easy to assume that this will always be the case, regardless of how your job ad reads. But, in reality, you really can’t take getting an influx of resumes for granted.
How to Get a W2 From Previous Employers
When tax time rolls around, the last thing you want to worry about is having to track down a W-2 from your former employer. Many times you won’t have to because the IRS requires companies to send these forms to all current and former employees who have earned more than $600 in the last year. Unfortunately, there are employers who don’t do what they’re supposed to. There are even times where something else may happen that prevents the W-2 from getting where it’s supposed to go.
How to Ask Someone to be a Reference + Email Templates
One part of the job-hunting process that frequently gets overlooked is putting together a list of good references. Most of the time we focus on creating the perfect resume, writing an awesome cover letter, and getting our hands on letters of recommendation. We think about what outfit we’ll wear to the job interview, how we’ll answer those tricky questions, and what our career plan looks like. But, in fact, having multiple references lined up who will speak favorably about you to a potential employer is critical to landing a job. This aspect of job searching really can’t be ignored.
Job Rejection Email Response with Examples
Glassdoor estimates that, on average, there are about 250 applicants for every job vacancy out there. If you’ve ever applied for a job, the odds are that you’ve received the dreaded job rejection email.