Claims Management Jobs
Region: Anaheim, CA Compensation: $45,000-$60,000 Experience: 2-4 years Education: Bachelor’s Degree Landscape Construction Company seeking a talented Insurance Claim Management Specialist with a strong background in Workers Compensation claims management! As the Insurance Claim Specialist, you will partner closely with both operations and office teams across all levels, with a specific focus on e...
DescriptionImplements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and insures that policies and procedures are maintained while adhering to state and federal regulations. Qualifications Current CA RN license 3+ years experience Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred Requires comprehensive knowled...
Description: AppleCare Medical Management was formed in 1996. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctorsâbut the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board-certified private-practice, indep...
KEY RESPONSIBILITIES: Adjust Third-Party Claims within the assigned jurisdictional territory Communicate with Field Management regarding claims and mitigation of future exposures Communicate with the Claims Manager regarding high exposure situations Prompt reply to third-party claimants Prompt and Accurate documentation in the Risk Management Database Adjust liability claims based on claim merits...
Claims Manager, Risk Management Department: Risk Management Schedule: Full Time, Benefited Shift: Hours: Job Details Under the general direction of the Assistant Vice President, the Claims Manager will be responsible for the handling of all aspects of a claim file from beginning to conclusion, including the investigation in conjunction with the facility risk manager, determination of liability, co...
Claims Risk Management Senior Consultant Searching for a new job can be a risky business … but luckily mitigating risk is your forte. If you relish in identifying emerging trends through fact based analysis and have experience implementing programs that ensure the effectiveness of risk management… good. We’ve been expecting you. Allstate embraces creative problem solving and innovative thinking –...
Our client is hiring a Claims Manager/Director in the St. Louis area to add to their team. This is a rapidly growing healthcare organization. The Claims Manager/Director job responsibilities include: • Set and implement clear strategies to effectively support the needs of the Claims Department • Direct accountability for process and talent management to ensure all goals are accomplished • Achieve...
Job ID: 3756 # Positions: 1 Posted Date: 6/19/2014 Category: Claims Administration Product Line: FCHP Overview: About Fallon Health: Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in cr...
About Aon Risk Solutions Aon Risk Solutions, the global risk management business of Aon plc (NYSE: AON), is the worldwide leader in risk advice and insurance broking. Guided by the Aon Client Promise®, our teams help clients achieve profit, growth and continuity by delivering the best tailored and innovative risk solutions. We empower results through unmatched tools and capabilities, including the...
Description: WellMed is now part of the OptumHealth division under the greater UnitedHealth Group umbrella. WellMed is a healthcare delivery system serving more than 90,000 patients, primarily Medicare eligible seniors, in Texas and Florida through primary care clinics, multi-specialty clinics, and contracted medical management services. Headquartered in San Antonio, Texas, WellMed is an industry...
Monday thru Friday 9:00 am to 2:00 30 hours a week, No Benefits General Objectives: Responsible for accurate and timely entry of all patient demographics and charge entry. Ensures all pertinent information is received from assigned facilities and handles all day-to-day administrative requirements for billing such as: chart preparation, correspondence, telephone calls, record keeping, filing, etc....
Description: If you want to achieve more in your mission of health care,you have to be really smart about the business of health care. Financial discipline and accountability count more today than ever. Which is why your performance and innovation will find a reception here like nowhere else as you help people live healthier lives while doing your life's best work.(sm) Job Responsibilities: Manage...
Organized in 1953, ESIS®, Inc. (ESIS) provides customized risk management services. ESIS is part of ACE USA, the U.S.-based retail operating division of the ACE Group, headed by ACE Limited (NYSE: ACE). ACE USA, through its underwriting and service companies, provides insurance products and services throughout the U.S. Additional information about ESIS and its products and services can be found at...
Hospital Medical Claims Follow Up Position Hospital Receivables Services, Inc. is currently hiring for Hospital Insurance Follow-Up/ Medical Collections personnel. This position offers competitive pay and a great working atmosphere. The position requires recent medical insurance follow-up/ collections experience. Out-of-network and workers compensation experience is highly preferred. In this posit...
Description: Position Description: Flexible? Friendly? Fast on your feet? That's a great start. Accurate? Accountable? Self Directed? These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoug...
1690 New Britain Ave Farmington CT USA 06032 CRM NOTES •Minimum of a Bachelor’s degree or equivalent business experience required. •Minimum of 4 years of claims related experience required; prior insurance experience in a health/disability claim environment required. •Demonstrated analytical and critical thinking skills. •Strong written and verbal communication skills. •Experience with Microsoft O...
Plans, directs, and implements the Flex-N-Gate US group of companies workers' compensation insurance claims management program. Under the direction of the Vice-President of Human Resource, the Corporate Claims Manager will be responsible for mitigating risk to the company throught loss prevention of safety programs. The Corporate Claims Manager will oversee, manage and coordinate the daily activit...
Company Description: The Transamerica companies offer a wide array of innovative financial services and products with a common purpose: to help individuals, families, and businesses build, protect and preserve their hard-earned assets. With more than a century of experience, we have built a strong reputation on solid management, sound decisions and consumer confidence. The Transamerica companies a...
Claims AVP – Commercial Lines We are seeking a talented Commercial Claims Leader for our Fortune 500 Mutual Insurance Company client who is a leading provider of personal and commercial property and casualty insurance. Our client is A+ rated by AM Best and is seeking an individual who can successfully lead a national commercial claims operation with 100+ claims representatives, servicing an over $...
Description •Minimum of a Bachelor's degree or equivalent business experience required. •Minimum of 4 years of claims related experience required; prior insurance experience in a health/disability claim environment required. •Demonstrated analytical and critical thinking skills. •Strong written and verbal communication skills. •Experience with Microsoft Office products including Word, Excel, Power...
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Claims Management Clerk
$21,528.00 - $63,000.00
Typical Salary for Claims Management Clerk
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Claims Management Clerk
Supports claims management services by processing data; maintaining instructional manuals; providing clerical services.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Maintains work operations by following policies and procedures.
Prepares work to be processed by gathering, sorting, organizing, and recording data, information, and documents.
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