The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. Serves as a subject matter expert for o

The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. Serves as a subject matter expert for o

Patient Accounts Insurance Specialist Job Location Other Remote Office ID 2024 11219 Status Full Time Shift Day Schedule Mon Fri Hours of Work 8 00am 4 30pm CST/Flexible Responsibilities Responsible for the timely and accurate billing of patient accounts and collection of insurance receivables. Work with insurance companies to resolve issues causing delay in the processin

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

The salary range for this job posting is $48,024.00 $76,838.00 annually + bonus + benefits The above represents the salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, education, experience, and other job related factors. Your recruiter can share more information about the specific salary range during the hiring process

The salary range for this job posting is $53,787.00 $86,059.00 annually + bonus + benefits The above represents the salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, education, experience, and other job related factors. Your recruiter can share more information about the specific salary range during the hiring process

At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees. This position is eligible to work from home in MI, OH, IN, CT, DE, FL, GA, MA, MD, NC, NH, NJ, NY, PA, RI, SC

Senior Claims Examiner Workers Compensation Requisition ID 2024 25103 Job Locations US OH Cleveland | US IL Lake Zurich | US Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within es

Fast paced field environment with frequent face to face, customer interaction Ability to traverse ladders, roofs, crawl spaces, and damaged property Typically inspects multiple losses per day requiring car travel between locations Evaluates and settles property related damages (primarily) between $10,000 and $100,000 (aggregate); occasionally handles losses that exceed $1

The Claims Senior Representative serves as a technical expert on claims adjusting and handles material damage, negligence, compensability, damage, and coverage issues. The role determines coverage and investigates, analyzes, negotiates, and settles claims not requiring outside investigation. The role delivers quality customer service in a high volume, moderate complexity

Claims Clerk Job Locations US OH Columbus Requisition ID 2024 17767 # of Openings 1 Category (Portal Searching) Administrative/Clerical Position Type (Portal Searching) Regular Full Time Overview The Claims Clerk will review insurance claims forms and documents for accuracy and completion and obtain missing information as necessary. Determines claims coverage by examining

Claims Clerk Job Locations US OH Cincinnati Requisition ID 2024 17763 # of Openings 1 Category (Portal Searching) Administrative/Clerical Position Type (Portal Searching) Regular Full Time Overview The Claims Clerk will review insurance claims forms and documents for accuracy and completion and obtain missing information as necessary. Determines claims coverage by examini

HYBRID 2 3x in Mason Office. $2000.00 missing equipment fee is assessed , if equipment is not returned. Duration 06/30/2024 Temp to hire or extension Data Entry Test Scores required on Resumes. If not received, will decline resume. Hours M F/Full Time; 8 4 30 (30 Minute lunch) Hybrid 2x in office a week.. Must have adequate WFH space and follow all Client remote protocol.

Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims after they've been submitted to commercial insurance carriers. This position requires an individual who demonstrates strong follow through, close attention to detail, and the ability to multi task. The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri anim He

The Surety Bond Claims Senior Analyst investigates, evaluates coverage, determines liability, sets reserves, and settles surety bond claims of low to moderate complexity and moderate risk. When a claim occurs, the Surety Bond Claims Senior Analyst plays a crucial role in assessing the validity of the claim and facilitating the resolution process. This role evaluates recov