Associate Claims Case Manager jobs

Serve as a case manager to clients. Manage and coordinate risk management cases ... and make decisions independently * Manage case deadlines independently * Present case... more

reports results and recommendations to management, follows-up on corrective action ... approval for product release, additional claims, etc., by addressing issues from a... more

URAC, and Utilization Review/Case Management Policy and Procedure ... * Utilization Management and/or Case Management experience, preferred * 2-3 years... more

by synthesizing medical records, case management notes, and other related ... Associates degree. 3-5 years medical claims or related insurance carrier claims... more

Assists with development of utilization/care management policies and procedures, chairs ... Oncology Certification preferred and or/Case management experience preferred. more

Medicare developing / analyzing clinical, claims payment or reimbursement policies * ... COSMOS, NICE, or PULSE ( or other Medicare claims processing application) is a plus *... more

development, product development, and claims development processes. Knowledge of ... ORGANIZATIONAL RELATIONSHIPS/SCOPE: Reports to Manager or Director of Clinical Affairs... more

of loss due to: employee injury, liability claims by members of the public, building ... Alternate Work program and medical case management programs Develops,... more

new products, extended product claims, and post-market clinical research ... with appropriate site staff and Program Manager. * May be expected to write a draft... more

vendor status via websites (ambulance claims, extended provider network, Medicare ... understanding the nature of how member/claims payment was/should be handled,... more

workeras compensation reporting and case management, hazardous waste management, and ... a Serve as the Risk Control/Loss Manager for workeras compensation reporting, case... more

20992)|false|270864|false|true|Field Claims Adjuster - New York, NY|20992|!*! ... persons associated in any way with the case, and secure written statements and... more

and Claim Managers to insure cost effective claims management; and ensuring proper ... of more complex claims. - Partner with management to align and manage expectations... more

Nurse Case Mgr Sr Location: GA-Atlanta Performs care management within the scope ... Oncology Certification preferred and or/Case management experience preferred. more

do. With our state-of the-art online case management system, you will be provided all ... activities related to complex insurance claims investigations: Detailed Claim Review... more

Assists with development of utilization/care management policies and procedures, chairs ... Oncology Certification preferred and or/Case management experience preferred. more

of PCP, Professional Fee and Hospital claims and brings claims with unbundling, ... Utilizes claim system to process claims, writes up findings and action taken... more

new products, extended product claims, and post-market clinical research ... with appropriate site staff and Program Manager. Assist internal departments and... more

* * Claims Processing Consultant/Trizetto Facets- Healthcare Consultant Job ID ... major offerings: * Integrated Case Management:Helping social organizations... more

* * Claims Processing Consultant/Trizetto Facets- Healthcare Consultant Job ID ... major offerings: * Integrated Case Management:Helping social organizations... more

* * Claims Processing Consultant/Trizetto Facets- Healthcare Consultant Job ID ... major offerings: * Integrated Case Management:Helping social organizations... more

* * Claims Processing Consultant/Trizetto Facets- Healthcare Consultant Job ID ... major offerings: * Integrated Case Management:Helping social organizations... more

* * Claims Processing Consultant/Trizetto Facets- Healthcare Consultant Job ID ... major offerings: * Integrated Case Management:Helping social organizations... more

* * Claims Processing Consultant/Trizetto Facets- Healthcare Consultant Job ID ... major offerings: * Integrated Case Management:Helping social organizations... more

* * Claims Processing Consultant/Trizetto Facets- Healthcare Consultant Job ID ... major offerings: * Integrated Case Management:Helping social organizations... more