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State of Kentucky
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adjudicates disputed claims, conducts hearings for claims that have been appealed and conducts quality control reviews to ensure each area within the office are in compliance with federal and state...
Remote Work
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23 hours ago
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Neis
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Chicago, IL
Primary Purpose Conduct insurance premium audits for Workers Compensation and General Liability policies by auditing policyholders records, and applying manual rules and company standards....
Remote Work
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1 day ago
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Evolent Health
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Lansing, MI
Select claims samples for medical record reviews in accordance with pre-selection criteria, billing trends, and supporting documentation....
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2 days ago
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Prospect Medical Systems
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Riverside, CA
Minimum Experience: Two to three(2-3) years previous experience as medical claims Auditor or 3-5 years previous experience examining medical Claims preferred....
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2 days ago
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Evolent Health
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Augusta, ME
Responsibilities Conduct itemized bill review to verify the accuracy of the claim prior to reimbursement....
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2 days ago
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Philadelphia, PA
Receive claims for loss & damage, gather documents pertinent to claims process Set up inspections and subrogate with carriers Scan/upload pertinent documents (formal claims submissions, invoices, inspection...
Remote Work
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1 day ago
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Environmental Protection Agency
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San Francisco, CA
Education You MUST provide transcripts to support your educational claims. Unofficial transcripts are acceptable during the application process....
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1 day ago
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Anthem Blue Cross
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Pewaukee, WI
Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries....
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12 hours ago
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United Fire Casualty Company
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Cedar Rapids, IA
UFG is currently hiring for a Premium Audit Voluntary Auditor....
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2 days ago
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The Beacon Mutual Insurance Company
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Warwick, RI
Additionally this position will work collaboratively with underwriting, claims, and loss prevention staff to share information and to analyze and summarize audit findings....
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9 hours ago
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St. Joseph Health
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Anaheim, CA
Review Claims Audits to resolve difficult or complex claims, and recommend related training opportunities that will improve claim payment results....
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3 days ago
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Chicago, IL
Prepares tentative and final cost settlements in order to accurately determine providers' reimbursement rates for processing of Medicaid claims....
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1 day ago
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Neis
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Knoxville, TN
Primary Purpose Conduct insurance premium audits for Workers Compensation and General Liability policies by auditing policyholders records, and applying manual rules and company standards....
Remote Work
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2 days ago
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Selective Insurance
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Croton on Hudson, NY
Develop, apply, and maintain working knowledge of company premium audit technical policies and procedures and demonstrate an understanding of the property/casualty insurance business....
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16 hours ago
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Evolent Health
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Lansing, MI
Responsibilities Conduct itemized bill review to verify the accuracy of the claim prior to reimbursement....
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15 hours ago
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