Disability Claims Clinical Review Specialist
Sedgwick
Sedgwick is hiring a Disability Clinical Specialist. The role conducts clinical reviews of disability claims, reviews medical documents, and communicates findings with employees and providers. It requires current clinical licenses and CEU maintenance, with a focus on accurate decision rationale and quality outcomes. In this position, you will contribute to medical management of claims, support claims examiners, and work within a collaborative claims team environment. Travel is required as needed. #J-18808-Ljbffr Sedgwick
- ...to Work® Fortune Best Workplaces in Financial Services & Insurance DISABILITY CLINICAL SPECIALIST PRIMARY PURPOSE : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and/or complexity. Consults...DisabilityClaimsWork at officeLocal area
- Sedgwick is seeking an Accommodation Clinical Specialist in Wisconsin to perform standard clinical reviews of medical claims requiring additional evaluation. You will consult... ...and employees, determine the necessity of disability, and guide medical management decisions,...DisabilityClaims
- ...to their clients. As an RCM Specialist II, you will serve as a trusted... ...You'll Do Submit, review, correct, and process denied,... ...unpaid insurance and healthcare claims with a focus on accuracy and... ...national origin, color, religion, disability, sex, orientation, or...DisabilityClaimsFull timeWork at office
- ...accuracy of planograms. Responsible for reviewing and coordinating the proper use of... ...asset protection techniques, and filing claims for warehouse and vendor overages (merchandise... ...Equal Opportunity Employer, including disability/veterans. The actual compensation...DisabilityClaimsWork experience placementLocal areaFlexible hoursShift workAfternoon shift
$18 - $29 per hour
...Details Summary The Recovery Specialist is responsible for the... ...and research of third party claims. Works for the recovery of overpayments... ...them on notice of lien. Reviews medical charges to identify... ...is an EEO/AA Employer M/F/Disability/Vet. If you are an individual...DisabilityClaimsFull timeWork experience placementShift workDay shift$62.5k - $115.5k
...need us most. As a Property Claims Field Adjuster, you’ll respond... ...Catastrophe (NATCAT) Field Claims Specialist primarily supporting our... ...insurance, short and long term disability coverage, paid time off with... ...7. For NY residents please review the following state law...DisabilityClaimsFull timeTemporary workPart timeCasual workWork at officeLocal areaFlexible hoursNight shift$20 - $40 per hour
...Prescryptive.com. As the Contract Clinical Services Support Technician... ...reports and client business review materials. You will own... ...customizations. Investigate claim rejections related to drug list... ...disqualifying physical or mental disability. #J-18808-Ljbffr...DisabilityClaimsHourly payContract workLocal areaRemote workMonday to FridayShift work$110k
...global market leader in electronic plan review for local governments. We made the INC 5... ...differentiation, message hierarchies, and approved claims. Develop accurate, differentiated... ..., ancestry, national origin, religion, disability, protected veteran status, sex, gender...DisabilityClaimsLocal areaRemote work$86.4k
...insurance premium and pricing development, claim trend analysis, experience studies,... ...analysis and devise potential solutions. Review the appropriateness of the results in light... ...protected veterans or individuals with disabilities and prohibit discrimination against all...DisabilityClaimsFull timeFor contractorsWork at officeLocal areaShift work- .... Conduct regular team meetings to review progress, share best practices, and address... ...fully paid short- and long-term disability coverage and two-times base salary life... ...If you receive an unsolicited job offer claiming to be from Storable or any of its representatives...DisabilityClaimsFull timeTemporary workLocal areaImmediate startHome officeOverseasRelocation packageFlexible hours
- ...Purpose of the Role The Processing Specialist is responsible for reviewing and processing student schedules,... ..., and approving reimbursement claims in compliance with company policies... ...orientation, national origin, genetics, disability, age, or veteran status. OpenEd...DisabilityClaimsFull timeWork at officeLocal area
$190k - $220k
...programs, patient education, clinical pathways, remote therapeutic... ...quality code: tested, versioned, reviewed, and reproducible, and own... ...electronic medical record (EMR), or claims data. Experience building... ...identity, national origin, disability, or status as a protected...DisabilityClaimsPrivate practiceRemote work$47.7k - $55k
...Security Income (SSI) Eligibility Specialist. This position will be part... ...physical or mental disabilities whose families have limited income... ...electronic systems eligibly review for youth entering care and annually... ...and Disabled Adult Claim (DAC) applications. Manage applications...DisabilityClaimsExtra incomeWork experience placementH1bWork at officeLocal area$170k - $190k
...threat modeling, secure design review, and secure code review, with... ...toward vendor security claims. Own vulnerability management... ...being the sole security specialist on a small, cross-functional... ...decisions, national origin, age, disability, genetic information, marital...DisabilityClaimsFull timeRemote workWork from homeFlexible hoursShift work$250k
...navigating procurement, legal, and security review processes and negotiating enterprise-... ...fully paid short- and long-term disability coverage and two-times base salary life... ...If you receive an unsolicited job offer claiming to be from Storable or any of its representatives...DisabilityClaimsFull timeTemporary workLocal areaImmediate startRemote workHome officeOverseasRelocation packageFlexible hours- ...Provider.Assist and communicate with the case manager on specific claims.Act as a worker advocate. Protect the rights of the workers.... ...identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability....DisabilityClaimsLocal area
$20.05 per hour
...in submitting internet orders, returns, exchanges, and warranty claims. Provides technical and/or product information to help... ...religion, sex, national origin, age, sexual orientation, gender identity, gender expression, veteran status, or disability. #LI-REMOTE...DisabilityClaimsHourly payFull timeRemote workFlexible hours$1,000 - $2,000 per month
...make a difference. The Accounts Resolution Specialist contributes to the financial viability... ...and accurate validation of denied claims and determines appropriate denial resolution... ...for Basic Life, AD&D, Short and Long‑Term Disability ~ Voluntary Life insurance option for...DisabilityClaimsFull timeTemporary workPart timeWork at officeImmediate startRemote workFlexible hours$20.65 - $30.78 per hour
...to either member eligibility, plan prescription benefits, and claim payment issues or patient services needs such as updating billing... ...benefits package, including medical, dental, vision, life and disability insurance; paid time off (vacation, sick time, and holidays); Medical...DisabilityClaimsHourly payFull timeTemporary workRemote workShift work$106.52k - $157.27k
...reporting, interventions, and STAR ratings Clinical gaps and adherence Network Management... ...Databricks, prompt engineering, medical expense, claims, cost of care analytics We provide... ...medical, dental, vision, life and disability insurance; 401(k)/403(b) with employer match...DisabilityClaimsFull timeTemporary workRemote workShift work$95.14k - $142.08k
...role applies deep expertise in claims analysis, actuarial concepts... ...provider network, including specialists, primary care physicians and... ...programs, and integrated clinical and behavioral health services... ..., dental, vision, life and disability insurance; 401(k)/403(b)...DisabilityClaimsPermanent employmentFull timeTemporary workTraineeshipCurrently hiringRemote workShift work$106.52k - $157.27k
...and client ad-hoc reporting related to clinical and financial services Population health... ...Databricks, prompt engineering, medical expense, claims, cost of care analytics The base pay... ...medical, dental, vision, life and disability insurance; paid time off (vacation, sick...DisabilityClaimsFull timeTemporary workRemote workShift work- ...prescription drug, dental, vision, disability and life insurance for... ...effective options Deliver clinical healthcare services, including... ...navigate challenges, from insurance claims to medication management,... ...remain open until filled. To review benefits, please click here...DisabilityHourly payRelocationRelocation packageFlexible hours
$54.3k - $77.5k
...stakeholders to research, analyze, and resolve complex operational or claims-related issues. Learn and apply contract policies, procedures,... ...status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics....DisabilityClaimsRemote jobFull timeContract workFlexible hours$60.9 - $82.3 per hour
...prescription drug, dental, vision, disability and life insurance for... ...cost-effective options Deliver clinical healthcare services,... ...navigate challenges, from insurance claims to medication management, with... ...remain open until filled. To review benefits, please click here jobs...DisabilityHourly payFlexible hours$72.7k
...and data-validation tools. Healthcare expertise: Understand claims, membership, provider, and care management data. Risk and bug... ...based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on...DisabilityClaimsFor contractorsLocal areaRemote work$1,000 per month
...tracking, and variance analysis across all departments, including claims, production, and underwriting, and explain clearly what is... ...sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or...DisabilityClaimsFull timeWork at officeRemote workWork from homeWork visaFlexible hours- ...awareness. Offers preventive and clinical healthcare services,... ...medications are compounded, reviewed, dispensed, and verified accurately... ...productivity Ensures insurance claims are processed accurately to... ...Employer, including disability/veterans We will consider...DisabilityLocal areaShift work
- ...Kidnap & Ransom , while partnering across Product, Underwriting, Claims, Legal, Compliance, Actuarial, and Technology to drive... ...balance work and home life. Medical, dental, vision, life, and disability insurance ~ Tuition reimbursement ~ Company paid holidays ~...DisabilityClaimsRemote jobFull timeTemporary workWork from homeFlexible hours
$46.1k - $55k
...currently seeking a Title IV-E Licensing Specialist. This position will be part of the team... ...homes, and facility staff prior to the claiming of federal title IV-E funds for... ...expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil...DisabilityClaimsWork experience placementH1bWork at officeLocal areaRemote work
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