Litigation Unit Complex Claims Consulting Director. This is an individual contributor role responsible for the direct handling... with defense counsel to manage litigation for the optimal claim outcome. Has national or company-wide scope of responsibility...
to less experienced Claim Professionals. May perform additional duties as assigned. Reporting Relationship Director.... We currently have an opening for a Complex Claims Consulting Director focused on Healthcare Professional Liability for CNA...
Job Category: Claims Adjusting Job Description: The Brandywine Claim Director is responsible for all aspects... of claim handling on a book of complex asbestos, long term exposure and environmental claims from first notice through...
. We are currently seeking a Utilization Management Medical Director to join our Clinical Performance team. This team is responsible... is provided at the right time for each member Work with medical director teams focusing on inpatient care management, clinical...
Director Clinical Quality & Safety Improvement Los Angeles, CA, US $185,500 – $215,000+ Performance Bonus..., claim denials, member satisfaction surveys, and auditing surveys across the organization; ensuring current and future...
A large and prestigious business management firm seeks a Music Audit Director to join their dynamic team.... This is an excellent opportunity for an audit professional with music industry experience. Responsibilities: The Audit Director...
Director, Inpatient Pharmacy Services I chose Kaiser Permanente because of its presence in our communities. We acknowledge.... Sells prescriptions verifying correct patient through the matching of a call slip against a claim check, checking health...
) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests... transfers based on clinical data presented and established criteria/guidelines, escalating to the medical director...
activities. Essential Functions Secondary DMC & VA billing. (Stand By for DMC & VA Billing) DMC-Monthly claim submission... of billing with Business Manager and Accounting Clerk. (Finance Team) Meet with Business Manager and Center Director to go over...
. Supports the department with HR audits as needed. Create reports as requested by Director and VP for strategic planning... individually and provide feedback to the Director on resolution. Work closely with Director on strategic planning and projects...
requests, claim notices, auto ID Cards, order MVR’s and issue certificates Review policies for accuracy. Prepare for producer... at (605) 799-8625 to have a conversation about this exciting career advancement opportunity! Lori Bierschbach Director...
resource groups, as well as coaching and mentorship programs. Porsha Director, Inpatient Pharmacy Services I chose Kaiser... the matching of a call slip against a claim check, checking health plan card or other patient identification. Sells...
health record system for possible errors, duplications, or other issues that could cause claim denials in an effort to make... the reporting for month end billing seamless and to reduce the potential of claim denials. Prepare reports from the...
health record system for possible errors, duplications, or other issues that could cause claim denials in an effort to make... the reporting for month end billing seamless and to reduce the potential of claim denials. Prepare reports from the...
effectivley communicate information to underwriting. This role reports to the Risk Control Director National Accounts..., claim and the Risk Control service teams assigned to the account. Write technically detailed reports that communicate...