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Associate Claims Case Manager Jobs

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  • 3.6
    Novo Nordisk – Plainsboro, NJ
    Est. Salary $64k-$117k
    NEW
    ADMINISTRATION: Formats incoming claims data from Medicaid contract customers; ensures rebate claims data is in proper format. SYSTEMS… Determinations on requests for reasonable accommodation are made on a case-by-case basis.…
  • 3.8
    Memorial Healthcare System - South Florida – Hollywood, FL
    Est. Salary $46k-$64k
    24 days ago 24d
    , reviewing patients claims data, laboratory reports, and prescriptions, engaging with patients to manage their own health, and… of assigned patient case load through the duration of the program. Maintains client records by reviewing case notes, logging events…
  • 5.0
    TRISTAR Insurance Group, Inc – Sacramento, CA
    Est. Salary $51k-$78k
    14 days ago 14d
    insurance program manager and medical malpractice claims administrator in 1987. Workers compensation claims management services… California Insurance Guarantee Association which is a quasi-governmental agency which handles claims from insurance carriers that…
  • 3.8
    Kentucky Farm Bureau – Lexington-Fayette, KY
    Est. Salary $35k-$51k
    25 days ago 25d
    decisions, and industry trends. Handle claims in compliance with statutes, regulations, and case law. Complete assignments. Maintain… Review claim inventory reports, make needed adjustments immediately, and provide initialed copy to district claimmanager on a monthly…
  • 2.9
    Tenet Healthcare – Frisco, TX
    Est. Salary $61k-$81k
    5 days ago 5d
    relate to Medical Management, including referrals, Clinical Claims Chart, EBM, Risk Stratification, etc. Knows how to access… Health Management assessment incorporating analysis of clinical claim chart, discussions with the participant and the physicians assessment…
  • Kingsley-Rose – Houston, TX
    Est. Salary $56k-$77k
    14 days ago 14d
    liability claims. Assures that all JCAHO and to other regulatory agency requirements are met. Ensures that CaseManagers track… TITLE: Manager, Case Management REPORTS TO:Administrative Director Case ManagementJOB CODE: MGR086 DEPARTMENT: Case Management…
  • 2.6
    DentaQuest – Milwaukee, WI
    Est. Salary $34k-$57k
    7 days ago 7d
    corrective action and to reach case resolution. The Investigator I works closely with clients, managed care organizations, state agencies… responsible for the retrospective review of paid claims and analysis of claims data to identify provider fraud, waste or abuse.…
  • 5.0
    TRISTAR Insurance Group, Inc – Irving, TX
    Est. Salary $42k-$58k
    20 days ago 20d
    patient/caregiver, attorneys, employer, claims examiners, telephonic nurse casemanager, return to work specialists, vocational… Position Summary: The medical casemanager provides field case management in a workers’ compensation environment coordinating…
  • Mountain Home VAMC – Fayetteville, NC
    6 days ago 6d
    Registered Nurse-TBI CaseManager Fayetteville, NC Duties: Roles and Responsibilities: 1. Demonstrates integration… behavior, and physical functioning. 12.The role of the casemanager includes providing community awareness and education to client…
  • 3.3
    Desert Regional Medical Center – Frisco, TX
    Est. Salary $69k-$91k
    5 days ago 5d
    relate to Medical Management, including referrals, Clinical Claims Chart, EBM, Risk Stratification, etc. Knows how to access… Health Management assessment incorporating analysis of clinical claim chart, discussions with the participant and the physician’s…
  • 3.5
    CACI International – Jacksonville, FL
    Est. Salary $26k-$38k
    4 days ago 4d
    office applications to communicate case status to supervisory chain and government Task Managers as required --Current Secret security… includes receiving, logging, handling and processing of FECA claims from within the command workforce --Produce summaries, reports…
  • Mountain Home VAMC – Alexandria, LA
    5 days ago 5d
    HCHV CaseManager) Alexandria, LA Duties: The Senior Social Worker in this position functions as CaseManager for… decision on granting reasonable accommodation will be on a case-by-case basis. PBI INTERVIEWS: Any interviews that may be…
  • 2.9
    York Risk Services Group – Southfield, MI
    Est. Salary $35k-$49k
    7 days ago 7d
    determine the impact of case management activities on timely injury recovery, medical treatment, return to work, claim costs, and both… SUPERVISORY RESPONSIBILITIES: The Medical CaseManager reports to the Team Manager, Case Management and has no direct reports.…
  • 3.7
    Blue Cross and Blue Shield of Louisiana – Baton Rouge, LA
    Est. Salary $59k-$99k
    12 days ago 12d
    reimbursement programs. Identifies claims and provider reimbursement related system problems, including claims coding and processing issues… reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as…
  • 3.7
    Travelers – Philadelphia, PA
    21 days ago 21d
    Interact and collaborate with claim and underwriting colleagues as well as with external business associates. Primary Job Duties & Responsibilities… Construction Services Claim and Underwriting with moderate supervision by Accounting Executive/Director. 3. Set up and manage trust accounts…
  • 2.9
    York Risk Services Group – Boca Raton, FL
    Est. Salary $36k-$50k
    6 days ago 6d
    determine the impact of case management activities on timely injury recovery, medical treatment, return to work, claim costs, and both… SUPERVISORY RESPONSIBILITIES: The Medical CaseManager reports to the Team Manager, Case Management and has no direct reports.…
  • CACI International – Jacksonville, FL
    Est. Salary $24k-$36k
    4 days ago 4d
    office applications to communicate case status to supervisory chain and government Task Managers as required --Current Secret… current knowledge of Federal Employee Compensation Act (FECA) claims policies and processing with the Federal Government. In this…
  • 3.1
    American Water Company – Cherry Hill, NJ
    Est. Salary $36k-$57k
    5 days ago 5d
    organization. Associate in Claims (AIC) is preferred, but not required. Join American Water. We care about water. It's what we do.… and circumstances by state operations managers and/or supervisors for property damage claims and other casualty losses occurring…
  • 2.8
    Crawford & Co. – Miami, FL
    Est. Salary $44k-$61k
    5 days ago 5d
    Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for… on case, necessary for case management the injured worker/disabled individual. May obtain records from the branch claims office…
  • 3.3
    Continental Western Group – Des Moines, IA
    Est. Salary $84k-$115k
    5 days ago 5d
    the right person to join the Claims leadership team as our Director of Workers' Compensation Claims. In addition to providing strategic… and tactical claims operational improvements with the objective of delivering superior workers' compensation claims results to policyholders…
  • 2.6
    Axion LLC – White Plains, NY
    Est. Salary $61k-$81k
    4 days ago 4d
    DESCRIPTION JOB TITLE: Nurse CaseManager REPORTS TO: Case Management Supervisor POSITION SUMMARY: Case management, coordination… Representative. Collaborates with finance department, claims processing agency and managers on services that are authorized and/or denied…
  • 3.3
    Center For Diagnostic Imaging – De Witt, NY
    Est. Salary $53k-$73k
    5 days ago 5d
    Ensures appropriate case reserves consistent with company guidelines. Extends settlement authority on claims exceeding adjuster's… experience, Chartered Property Casualty Insurance (CPCU); Associate in Claims (AIC) designation or similar professional designation…
  • 3.3
    Kelly Services – Gaithersburg, MD
    8 days ago 8d
    : Manage day to day activities of health care provider support request and deliverables Perform intake of cases and document… determine appropriate case routing Log information into appropriate eConnect tool and manage/route all program specific…
  • 3.0
    Lane Construction – Chantilly, VA
    Est. Salary $40k-$65k
    8 days ago 8d
    the Corporate ClaimsManager is notified. • Keep management informed of claims status. • Monitor all claims for possibility… prior claims handling experience required necessary • Construction experience preferred • AIC (Associate in Insurance Claims) designation…
  • 4.0
    York Claims Service – Orange, CA
    Est. Salary $47k-$65k
    17 days ago 17d
    determine the impact of case management activities on timely injury recovery, medical treatment, return to work, claim costs, and both… SUPERVISORY RESPONSIBILITIES: The Medical CaseManager reports to the Team Manager, Case Management and has no direct reports.…
  • 3.7
    Minnesota Department of Transportation – Saint Paul, MN
    Est. Salary $37k-$52k
    4 days ago 4d
    on legal issues associated with case processing, case litigation and data practices. This position manages all aspects of the… Current licensure by the Minnesota State Bar Association. Experience performing legal/case analysis that is legally or procedurally…
  • 4.7
    OrthoIllinois – Rockford, IL
    EASY APPLY
    Est. Salary $61k-$83k
    5 days ago 5d
    or telephonic case management experience preferred BSN Certified CaseManager or 5+ years of progressive Case Management experience… OrthoIllinois. Oversight, supervision of, and education of RN CaseManagers within Value Based initiatives, including the BPCI Program…
  • 3.4
    The University of Texas Health Center at Tyler – Tyler, TX
    NEW
    issues including claim payment, reimbursement, operational issues, and general information requests Assist Manager with reviewing… reviewing underpaid claims, and report details on underpayment issues to PFS management team Assist Provider Enrollment Coordinator…
  • 3.4
    Liberty Mutual – Portland, OR
    Est. Salary $43k-$61k
    7 days ago 7d
    at Liberty Mutual - A Fortune 100 Company! As an AssociateClaims Specialist you will develop the knowledge and skills needed… negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive…
  • 3.9
    Kaiser Permanente – Pasadena, CA
    Est. Salary $38k-$60k
    13 days ago 13d
    Schedules and prepares cases for monthly Claims Review Committee (CRC) case presentations. Develops and manages file closing procedures… Responsibilities: Claims Management Assistance: Establishes and maintains open and closed risk, claim, suit and pre-suit…
  • 3.3
    Chubb Corp – Chicago, IL
    Est. Salary $39k-$59k
    NEW
    Business Development Managers (BDMS), brokers and employers to ensure all questions on any element of a case are handled timely… Communicate and collaborate with internal departments including claims, new business, client finance, enrollment services and sales…
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