Licensed Insurance Office Manager Location: ATHENS, TN, 37303 Salary: $40000.0 - $55000.0/year Experience: 0 Year...(s) State Farm Agency, located in Athens, TN has an immediate opening for a full-time Licensed Insurance Office Manager. We seek...
claim cost in the workers’ compensation arena. The scope includes: ensuring injured team members receive the... carriers and outside counsel; accurately setting and monitoring the claim reserves; and proactively monitoring claim...
to any - Licenses: multi-state adjusters license preferred (TX or FL); must be willing to obtain others required by manager... in the claim process to ensure effective communication and resolution. Provide exceptional customer service to our claimants...
to any - Licenses: multi-state adjusters license preferred (TX or FL); must be willing to obtain others required by manager... proper course of action, and appropriately resolve claims. Interact extensively with various parties involved in the claim...
. Interact extensively with various parties involved in the claim process to ensure effective communication and resolution... in accordance with statutory, regulatory, and ethics requirements. Document and communicate claim activity timely and efficiently...
operating model. We are seeking expertise to expand and optimize the Claim Review program. The Claim Review Manager role.... Locations: Hybrid/Remote – United States Role Overview: The Claim Review program is a key part of the group benefits...
operating model. We are seeking expertise to expand and optimize the Claim Review program. The Claim Review Manager role.... Locations: Hybrid/Remote - United States Role Overview: The Claim Review program is a key part of the group benefits...
Manager, Appeals and Hearings, who is responsible for supervising the day-to-day appeals and hearings activities... trends and resources that improve the delivery of clinical review services. Manage and evaluate individual/team performance...
Manager, Appeals and Hearings, who is responsible for supervising the day-to-day appeals and hearings activities... trends and resources that improve the delivery of clinical review services. Manage and evaluate individual/team performance...
Job Title: RN – Case Manager / Utilization Review / CDI Location: Syracuse, NY Duration: 13 Weeks... We are seeking an experienced Registered Nurse – Case Manager/Utilization Review/CDI to provide support across medical-surgical units...
Job Title: RN – Case Manager / Utilization Review / CDI Location: Syracuse, NY Duration: 13 Weeks... We are seeking an experienced Registered Nurse – Case Manager/Utilization Review/CDI to provide support across medical-surgical units...
Job Title: RN – Case Manager / Utilization Review / CDI Location: Syracuse, NY Duration: 13 Weeks... We are seeking an experienced Registered Nurse – Case Manager/Utilization Review/CDI to provide support across medical-surgical units...
Job Title: RN – Case Manager / Utilization Review / CDI Location: Syracuse, NY Duration: 13 Weeks... We are seeking an experienced Registered Nurse – Case Manager/Utilization Review/CDI to provide support across medical-surgical units...
as described in this Agreement.\ Notes: RN-Case Manager/Utilization Review/CDI - Floating from Downtown and Community campuses.... Must not have been named as a defendant in a professional liability claim. Must have verification of legal right to work...
as described in this Agreement.\ Notes: RN-Case Manager/Utilization Review/CDI - Floating from Downtown and Community campuses.... Must not have been named as a defendant in a professional liability claim. Must have verification of legal right to work...
review and quality assurance of the program review staff and associated processes. The MR Manager must be full-time and fully... abuse. Serving as a readily available source of medical information to provide guidance in questionable claim review...
Summary Oversees the accurate processing of claims that have been deferred for medical necessity review. Ensures... our team! Position Purpose: Oversees the accurate processing of claims that have been deferred for medical necessity review...
Review RN will report to the Manager, Post Service. In this role you will perform accurate and timely clinical review of post...Job Category: Healthcare Services and Operations Job Description: Your Role The Commercial Post Service Review...
under the direction of the Medical Review Supervisor/Manager, medical review investigations, studies, and data review... time Conduct in depth claim review of providers who are suspected of fraud, waste or abuse utilizing state Medicaid...
, discipline, promote or effectively recommend such to manager. ESSENTIAL FUNCTIONS Verifies accurate assignment of diagnoses.... Reviews claim denials and rejections pertaining to coding and medical necessity issues and exercises discretion and judgement...