Claims Examiner - Nashville - Sedgwick

Claims Examiner role at HCA Healthcare involves ensuring correct adjudication of all claims for SCCIPA contracted plans. · Responsibilities include but are not limited to: Adjudicate claims resolving system edits and audits for hardcopy and electronic claims.Resolve provider elig ...

Lensas career site helps job seekers find great jobs in the US but does not hire directly. · Join Sedgwick where you can bring your big ideas to help solve problems for some of the worlds best brands · ...

This role prefers candidates local to California and/or Pacific Time Zone. We care like family Jump-start your career as a Senior Claims Examiner today with Work from Home. · Adjudicate all types of claims, resolving all system edits and audits for hardcopy and electronic claims. ...

+ · The Senior Claims Examiner primary function is to ensure correct adjudication of all complex claims for SCCIPA contracted plans. · ...

This role prefers candidates local to California and/or Pacific Time ZoneAre you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family Jump-start your career as a Claims Operations Lead ...

We re excited to let you know about an opportunity for a Neurologist to give back to America s heroes and help them receive their well-deserved Veterans Affairs (VA) benefits in Nashville.Examinations begin with a review of the Veteran s medical history which includes an abstract ...

This position involves reviewing and adjudicating complex or specialty claims. The role requires determining whether to return, deny, or pay claims following organizational policies and procedures. · Examines and processes complex or specialty claims according to business/contrac ...

The Tennessee Department of Treasury impacts the lives of Tennesseans every day. · Treasury serves all Tennesseans by helping to educate and empower individuals to make informed financial choices,and by providing public-serving programs in the areas of college savings, · financia ...

The job involves reviewing and adjudicating complex or specialty claims. The role also includes training and mentoring new staff members. · Examines and processes complex or specialty claims according to business/contract regulations, internal standards and examining guidelines. ...

We are seeking a highly skilled Medical Claims Manager to join our team in Nashville, · Tennessee. · ...

Will conduct Medical Disability Examinations (MDE) for veterans who file disability claims for hearing conditions through the Veterans Benefits Administration as part of the Compensation and Pension Program. · ...

+Job summary · Audiologist will conduct Medical Disability Examinations for veterans who file disability claims for hearing conditions through the Veterans Benefits Administration. · +ResponsibilitiesPerforms age-appropriate audiology assessments and examinations for Military Vet ...

Job summary · This position follows a hybrid schedule with 3-4 in-office days per week. The Senior Recovery/Resolution Analyst will work with a team on researching issues to determine feasibility of reducing medical costs through prospective solutions of claim system processes an ...

The role of a Customer Service Representative 3 is to interact with customers by providing information in response to inquiries about products and services, · while also addressing and resolving complaints. The position involves determining customer issues, offering potential sol ...

The main function of a call center/customer service specialist is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. · A typical customer service specialist is responsible for determining th ...

This position follows a hybrid schedule with 3-4 in-office days per week. Our office is located at 100 Airpark Center East, Nashville, TN 37217We are improving the flow of health data and information to create a more connected system. · We remove friction and drive alignment betw ...

This classification is responsible for directing and managing the daily operations of the Consumer Insurance Services Section. · Direct the daily operations of the Consumer Insurance Services Section. · Serve as the primary point of contact for the office... · ...

The Assistant Attorney General represents the Tennessee Attorney General and Reporter in matters arising from their public duties, including litigation, transactional assistance, and general legal advice to state entities. The Civil Medicaid Fraud Division investigates and prosec ...

We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. · Key Responsibilities · Identify and pursue new business opportunities with homeowners, contractors, and referral partners ...

The main function of a call center/customer service specialist is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. · ...

The main function of a call center/customer service specialist is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints.A typical customer service specialist is responsible for determining the c ...