The Regulated Claims Settlement Coordinator supports the Claims Settlement Team through leading the review and response to disputed claims submitted through state and federal arbitration processes. The Regulated Claims Settlement Coordinator will be responsible for supporting Zelis' settlement offers and pricing after disputes have been filed to federal and state arbitrat

The Patient Accounts Representative position supports the reduction of Accounts Receivables. The Representative may also perform a variety of duties including assisting patients directly with their bill or other financial aspects of their care, correspondence response, billing and re billing, certain denial issues, prompt handling of A/R credits and trend monitoring. Esse

Insurance Coordinator Job Locations US Job System ID 2024 21231 # of Openings 1 Overview Who WE Are HearingLifeis a national hearing care company and part of the Demant Group, a global leader in hearing healthcare builton a heritage of care, health, and innovation since 1904.HearingLifeoperates more than 600 hearing care centers across 42 states.We follow a scientific, re

This position provides Rating & Underwriting services and support to the Sales team and is responsible for the production of rates for the 51+ markets. Responsibilities Develops and issues renewal rates for group size 51+. Manages book of business independently up to authority limits, providing recommendations and analysis to Sales. Analyzes both Account specific metrics

Claims Program Manager, Medical Stop Loss (Remote or Eatontown, NJ) Job Locations US NJ EATONTOWN | US NJ Remote | US FL Remote | US TX Remote Job ID 2023 3471 Category Claims Type Regular Division A&H Crum & Forster Company Overview Crum & Forster (C&F) Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance p

The Experience Manager assists with controlling the optimization of the guest and employee experience by coordinating onsite service teams, training team members on enhanced engagement systems, and using recorded metrics to track and close service delivery gaps. This position reports into the Director of Experience. Key Responsibilities Experience Facilitation Owns the em

This position provides Rating & Underwriting services and support to the Sales team and is responsible for the production of rates for the 51+ markets. Develops and issues proposal rates for group size 51+ and experience rated proposals. Develops and issues experience rated renewals for group size 51+. Develops and issues renewal and proposal rates for alternately funded

Enter all monetary transactions (bound accounts, endorsements, cancellations, etc.) into our local bordereau. Reconcile monthly corporate reports. Forward loss runs to respective broker. Update all spreadsheets daily (Local Bordereau, deal tracker and Master Log) Send weekly policy draft list, accounts to be peer reviewed to the respective underwriter, open invoice and de

SMBC Group is a top tier global financial group. Headquartered in Tokyo and with a 400 year history, SMBC Group offers a diverse range of financial services, including banking, leasing, securities, credit cards, and consumer finance. The Group has more than 130 offices and 80,000 employees worldwide in nearly 40 countries. Sumitomo Mitsui Financial Group, Inc. (SMFG) is t

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

Greet all outpatients and visitors, determine reason for visit to the department and verify the following for scheduled appointments accuracy of identity, prescription, medical insurance, and confirm all demographic and contact information. Accurately update/change/complete any registration records information, as needed. Complete/Scan ID cards, Insurance Cards, Referral

Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope. Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial tre

Claims Examiner, General Liability Job Locations US NY NEW YORK | US NJ JERSEY CITY | US NY UNIONDALE Job ID 2024 3627 Category Claims Type Regular Division Seneca Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance com

We're looking for a Dispute Resolver Intern to join our Dispute Team in Bridgewater, NJ. Working for Signify means being creative and adaptive. Our culture of continuous learning and commitment to diversity and inclusion creates an environment that allows you to build your skills and career. Together, we're transforming our industry. As the world leader in lighting, we're