Medical Claims Reviewer - United States - Remote

· At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sec ...

Job summary · Assist the Director of HIM in preparing claim audits and reviewing coding changes on client claims. ...

This position will report to the Claims Manager, playing a unique and important role in our mission to change healthcare for the better. Experience in the healthcare industry and critical thinking skills will help the organization build an effective and efficient claims team. · T ...

· About Peoplease · Peoplease is a leading Professional Employer Organization (PEO) providing solutions to small and medium-sized businesses in the blue and gray-collar industries. We enable our clients and partners to achieve their aspirations by offering world-class service an ...

The Position: · The successful candidate will be a rockstar at identifying, analyzing, and resolving insurance company denials. While working with our Reimbursement, Commercial, and Finance teams this role will provide on-going insight and analytics on all medical insurance claim ...

Our client, a well-established regional Property & Casualty Insurance Carrier, is seeking an experienced Inside Homeowners Property Claims Examiner to assist with increased claim volume throughout the Northeast region. This role will focus primarily on desk handling of residentia ...

· Overview · Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages three decades of experience solving co ...

This role will be responsible for direct handling of multi-line commercial claims with a focus on New York Labor Law. · ...

· Job description · About Neolytix · Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we ha ...

· Job description · About Neolytix · Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we ha ...

Senior Claims Adjuster - Casualty · Hybrid Work Schedule or Remote · (Remote work eligibility depends on the location of the candidate) · Tokio Marine HCC – Public Risk Group provides both first and third party coverages to public entities in multiple states. TMHCC- PRG is commit ...

What You Will Bring · Prior claim handling experience in fully and self-insured STD, LTD and State Leave lines of business. · Prior Appeal handling experience in fully/self insured STD, LTD, State Leave lines of business including decision letter writing. · Prior Complaint handli ...

If you're passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty ...

We're excited you're considering an opportunity with us to join our Peak Health team at WVU Medicine as a Benefit Configuration Analyst contributing to the foundation for an innovative new health plan. · This role will review implement and test new plan designs update existing be ...

The Tokio Marine HCC - Public Risk Group is seeking a self-motivated Claims Attorney to join their growing Claims Department. · ...

· Intro description: · Legalist is a tech-enabled alternative asset manager that uses proprietary data-driven origination to invest in uncorrelated legal and government-payment assets. Founded out of Y Combinator in 2016, Legalist manages over $1.7 billion for endowments, founda ...

· Reinsurance Claims Processor/Analyst · Full Time  · Remote USA · Reinsurance Claims Processor/Analyst, Remote · Pro IS, Inc. is currently recruiting for a Reinsurance Claims Processor/Analyst.  The successful candidate will support our clients with a variety of functions, some ...

· Job Title · Senior Claims Analyst, GL/Excess · Location · Remote (US) or Hybrid (Manchester, NH/Rockville Centre, NY) · Summary · Reporting to the Unit Manager, this role will be responsible for direct handling of commercial claims specific to General Liability and/or Excess G ...

· The Payment Integrity team is a group of innovative thinkers sitting at the intersection of Clover's provider Network, Claims, and Tech teams. The Payment Integrity team ensures that Clover pays claims in an accurate manner, with a particular focus on reducing inappropriate me ...

Description · Job Description: · We are seeking a skilled IT Testing Engineer III with strong experience in QA testing to join our dynamic team. The ideal candidate will be responsible for designing, reviewing, and executing manual and automated test cases, ensuring high-quality ...