senior claim representative

... Your tenacity and determined mindset along with thick skin help you keep your eye on the prize. Advocating for clients. To you, your clients are everything. You are passionate about serving them as a dedicated relationship manager. What you can expect from us Consistent support. Whether its through teaming up with a senior advisor, or providing you with tools to track your goals, results, and business practices, Mutual of Omaha is committed to your success. A complete line of insurance and financial services products. These include Life, Disability Income, Long-Term Care insurance and annuities. Financial advisors appointed with our broker ...

Join our TTEC work from home customerservice representative team if you reside in 45 out of 50 states. We cannotaccept applications for residents of CA, CO, HI, IL or NY or outside of the UnitedStates. Were hiring and are looking to connect with you to help usdeliver exceptional customer service experiences as aWorkfrom Home Customer Service Representative. Accepting digital applications for your protection and theprotection of our employees: Apply onlineto connect with us. Now, more than ever, how we connect is everything. Our purpose isto deliver humanity to business and it's more relevant than ever before intodays environment. We know were ...

Charles River Development seeks an exceptional User Experience Designer to take a hands-on role conceiving and designing innovative solutions. Candidates must be able to think in terms of a holistic user experience, and to create innovative designs that fit well within the existing product framework. This role requires skills in user experience, information architecture, interaction design, and visual design, and an understanding of current UI technologies. The ideal candidate would also have experience in the fintech space. As a User Experience Designer at CRD, you will work side-by-side with 1-4 product teams in an Agile environment, ...

: Sunrise Senior Living was again certified as a Great Place to Work® by ... team member support for 2-4 senior living communities operating within a ... compensation claims and update claim activity as necessary. Coach ... adjustments as necessary. Sunrise Senior Living operates several different ... this job description are representative of the knowledge, skills, and ... preferably in healthcare/Senior housing industry. Highly motivated ... Sunrise Senior Living has championed quality of life in senior care for more ... world's leading experts in Senior Living entrust their career to ... Apply today to learn why Sunrise Senior Living is a certified Great Place to ...

... utilized by PFS in accordance with policy and procedures. Provides continuous updates and information to PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience. Role Specific Responsibilities Billing Review and work claim edits. Works payor rejected claims for resubmission. Works reports and billing requests. Demonstrates strong knowledge of standard bill forms and filing requirements. Exhibits and understanding of electronic claims editing and submission capabilities. Collections Collect balances due from payors ensuring proper reimbursement ...

... development, and performance management; to monitor claim handling activities; and provide technical and ... reserve and settlement amounts over the Claims Representative authority level for approval Ensures claims are ... a monthly and quarterly basis Identifies and alerts senior management to claims trends or issues Resolves ... of prospective claims representative candidates and provides feedback to assist senior management with hiring ... jurisdictions Attends and participates in claim file reviews with senior management and defense attorneys ... leads special projects or processes as assigned by senior management Continuously strives to improve our product ...

... Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poors. At ... opportunity employer. Responsibilities: The Senior Claims Representative Investigates, evaluates and resolves ... and in writing. Conduct detailed, comprehensive claim investigations which may include on-site scene ... virtually and in-person. Proactively manage litigated claim files from inception to closure, including ... activity in a paperless claim system; compose comprehensive periodic reports including claim summary reports and ... technical resource for trainees and less-experienced claim professionals. Qualifications: BA/BS degree preferred ...

... and professionally ensure high quality claim handling by analyzing liability of claim submissions while making coverage ... for help and support because of your deep knowledge and liability claim expertise. Key Functions will include but not be limited to: The ... and origin experts and independent medical examiners. Refers to claim to subrogation group or Special Investigations Unit as ... as necessary, during the processing of the claim. Reviews and analyses claim documentation and legal filings. Assesses actual ... resolution; attends trials as a representative of the company. Acts as senior technical professional on team, assisting team ...

... Compensation Claim Consultant is responsible ... level claim position. Accountable for the quality of ... and within our corporate claim standards. ... with established claim handling standards and ... with claim procedures utilizing a claim payment ... within Corporate Claim Standards, client specific ... supervision of designated claim files sent to outside ... personal diary on claim system. Client ... Prepare reports detailing claim status, payments and ... parties throughout the claim adjustment process. ... claim positions with minimum supervision. Conduct claim ... Compliance with Corporate Claim Handling Standards and ... described here are representative of those that must be ...

... accreditation for staffing firms and have been awarded Best in Staffing 5years running by our employees and client partners. Job Summary The Customer Service Representative Sr is the first line of contact for members and providers and will assist them with questions related to the Medi-Cal programs for Orange County. The incumbent ... and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Verifies member eligibility, claim and authorization status for providers. Responsible for thorough follow-up and completion of all member and provider inquires or requests. Responsible for ...

... meets state or provincial health related requirements (as applicable for position)In addition to the above, the following skills are preferred: experience serving senior citizens; familiarity with laws and regulations applicable to the Community, and Human ResourcesDemonstrated ability to communicate effectively (in English), both ... handlers permit as necessary to fulfill state regulations PHYSICAL REQUIREMENTS Physical Demands and Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable ...

... license or Registered Nurse license, is required. License must be in good standingBachelors degree in related field, preferredMinimum 2+ years experience with senior care or assisted living and has knowledge of seniors with Alzheimers disease or other related dementiaPrevious supervisory and/or management experience in a ... responsibilities over all care staff and all staff in the absence of the Executive Director PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable ...

... excellent customer and organizational skillsAbility to work under time constraints with little supervision and meet department deadlines.Previous experience in senior living, preferredSatisfactorily pass Sunshines and state regulated criminal record clearance, health screening and TB clearance (if applicable) ESSENTIAL JOB ... position has no supervisory responsibilities PHYSICAL REQUIREMENTS Physical Demands and Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable ...

... such theft/loss. Produce and publish analytical products via portal, SharePoint and other electronic methods for OSI Center leadership, OSI field units and DAF senior leadership. Summarize work efforts, meetings, project statuses, and accomplishment in the form of Weekly activity reports (WAR). Support collection efforts by ... standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must be able to remain in a stationary position 75% of ...

... individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities required. Reasonable accommodations may be made to enable ... and ensure compliance of governmental regulations and insurance industry requirements and act as company representative with regulatory agencies. Prepare studies and analyses of industrial accident causes and hazards to ... compensation program, including work with the insurance carrier to manage claims and participate in claim reviews. Accompany, as applicable employees to testing and physician appointments. Develop and implement a ...

... sponsors, and external agencies. POSITION SUMMARY The Senior Director of Girl Scouts Merchandise E-commerce and ... efforts and drive our online revenue growth. The Senior Director will be responsible for developing and ... of our e-commerce profit and loss (P&L). The Senior Director will take on various responsibilities, ... conversions and online presence. Additionally, the Senior Director will supervise the sites operational ... of Experience: Ten (10) years prior experience in a senior-level management or staff position with responsibility ... DEMANDS: The physical demands described here are representative of those that must be met by an employee to ...

... results to end-users and councils, including budget requests, spending analysis, project status readouts to senior leadership Own creation and coordination of product success measures, metrics, and KPIs to track and ... PowerPoint, etc. Exhibit executive presence and presentation skills as this role will require readouts to senior executives and council leadership on project initiatives, status, and recommendations as well as address ... supporting multiple business departments. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. ...

... in nursing administration within 1 year of hire or promotion date Required Responsibilities: Job Summary The CNO & Operations Executive is the hospital's senior level nursing, operations and patient care executive responsible for assuring the overall standard of nursing, ancillary and support service to ensure operational ... at assigned hospitals. Ensures compliance with DNV, Medicare, State of Arizona, DHS, and other federal and state laws for areas of responsibility. Serves as representative to various consultants, vendors, community organizations and others. Teamwork Participates in developing and implementing mechanisms for collaboration between ...