Under the direct supervision of the Claims Processing Supervisor and the general direction of the Manager, Claims Production, this position is responsible for the accurate review, entry and processing of all claims received for payment by AAH. Principal responsibilities include Research claims for completion and appropriateness. Review and handle rejected claims as necess

Alliance is the largest exclusive air emissions stack testing services company in the United States. Alliance Emissions Monitoring (AEM) is our Leak Detection and Repair (LDAR) division. Alliance Technical Group is filling a Safety Support Coordinator position for the Bakersfield, CA area. If you are looking to grow your career with a great company in the environmental te

Clinical Investigator starting approx. July 2023 UCSF Division of General Internal Medicine at San Francisco General Hospital The Department of Medicine at the University of California San Francisco (UCSF) is recruiting for a Clinical Investigator (MD/DO or PhD/DrPH/ScD trained) to join the faculty as an Assistant, Associate, or Full Professor in the Division of General I

Drive implementation and consistent utilization of loss mitigation initiatives and practices. Review and investigate claims, assess losses and damages, and determine liability. Negotiate and process settlements and denials within assigned authority limits and in accordance with applicable policies, tariffs, contracts, bills of lading, and local regulations and conventions

Who are we? Produce Alliance specializes in delivery of fresh produce to restaurants and other foodservice operators at higher quality and better prices. We provide produce category management services including procurement, national distribution, information services and food safety assurance to foodservice clients across North America. With a specialized focus on fast f

Scheduled Salary Increases Step 6 effective 7/8/24 ($50,596 $64,558 Annually) 5% effective 11/25/24 ($53,118 $67,782 Annually) 3% effective 7/7/25 ($54,704 $69,810 Annually) APPLICATIONS MUST BE SUBMITTED ONLINE ONLY The Fresno County Assessor Recorder's Office is currently offering an exciting opportunity for dynamic, motivated professionals interested in pursuing a chal

California Workers Compensation Claims Specialist Opportunities! Requisition ID 2023 23742 Job Locations US CA Brea Position Type Permanent Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our awesome team! The purpose of this posting is to

Under general supervision and direction, resolves moderately complex residential and commercial property claims by investigating losses, negotiating settlements, and presenting evidence in legal proceedings while maintaining adequate production levels. Responsibilities Examines claims forms, policies and endorsements, client instructions, and other records to determine co

Looking to work at a firm with an unbeatable culture? Withum is a forward thinking, technology driven advisory and accounting firm, helping clients to Be in a Position ofStrength SM in today's modern business landscape. Withum empowers clients with innovative tools and solutions to address their accounting, tax and overall business management needs. Withum is a place wher

Under the general supervision of the Manager, Claims Operation Support, the principal responsibilities of the Claims Specialist include Audit Activities Audit a designated percentage of all daily processing production for assigned staff members (including errors from claims pricing, adjudication, adjustments, member bill issues, and mail). Conduct periodic focused claims

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination o

REQUIRED EXPERIENCE Take on a significant role within a world class health organization. Elevate the operational and financial effectiveness of a complex health system. Take your professional expertise to the next level. You will leverage your extensive theoretical revenue cycle knowledge as you take on a vast range of critical revenue issues. This will involve applying d

Your Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with their care including a multidisciplinary team and the member's treating physicians . The Registered Nurse Case Manageme

Expedite and oversee administrative process of clients' insured claims as assigned within region, including but not limited to general liability, builders' risk, professional liability, pollution, and auto liability claims. Essential Duties & Key Responsibilities As directed by Claims Manager, report claims in timely manner to applicable insurance carriers, and gather per

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Behavioral Health Registered Nurse Case Manager will report to th