Healthcare Appeals Examiner: Precise, Compliant Case Reviews
$40k - $44kWipro Services, Inc.
A healthcare service provider is looking for an Appeals Examiner to manage provider reconsiderations and appeals. This role requires strong problem-solving skills and a commitment to compliance. The ideal candidate will coordinate appeals processes, document outcomes meticulously, and collaborate with internal teams for resolution. Applicants should have a high school diploma, with further education preferred, and familiarity with healthcare coding systems is beneficial. The expected salary ranges from $40,000 to $44,000 annually, with a full benefits package provided. #J-18808-Ljbffr Wipro
$40k - $44k
The Appeals Examiner plays a critical role within the team by managing and... ...commitment to high‑quality case management. The Appeals Examiner... ...on delivering excellence in healthcare service operations while... ...Duties Coordinate comprehensive review and resolution of member...SuggestedMinimum wageWork at officeLocal area- Tew & Taylor is seeking a skilled Plan Reviewer to ensure plans comply with Florida Building Code and local regulations. You will review construction documents and coordinate with clients, contractors, and authorities to facilitate permitting and construction progress....SuggestedFor contractorsLocal area
$85k - $105k
...Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level CGS is seeking a Healthcare... ...Responsibilities Will Include: Review, sort, and analyze data using computer... ...g., check spreads, etc.). Develop HCF case referrals including, but not limited to:...SuggestedFull timeWork experience placementWork at officeLocal area- ...A government services provider is seeking a Healthcare Fraud Investigator to support a significant litigation... ...of relevant experience. Responsibilities include reviewing and analyzing financial records, developing case referrals, and advising attorneys on legal matters...Suggested
- ...member privileges and /or to close accounts, as applicable, in cases of suspected or confirmed fraudulent activity or suspicious activity... ...E and/or Federal Regulation Z and/or MasterCard rules.Reviews and identifies Common Points of Purchase (CPP) for card compromises...SuggestedFull timeContract workWork experience placementWork at officeLocal areaRemote workMonday to Friday
- ...Investigate detailed US & International bank fraud activities, using problem-solving abilities to uncover insights.Manage detailed reviews with tight deadlines, prioritizing tasks and managing time effectively.Detect and address fraud indicators with keen attention to detail...
- ...has been a trusted name in building code inspections and plan review services since 2008. Our mission is to provide expert services... ...code plan review or a related field. Certification as a Plans Examiner or the ability to obtain certification within six months of employment...For contractorsWork at officeLocal areaRemote work
- ...team for you! As a Commercial Letters of Credit Documents Examiner within the Trade & Working Capital team at JPMorganChase, you... ...processing Monitor, track and process assigned transactions Review and authorize transactions processed by peers Ensure all...Work at office
- ...1+ weeks. LCG Advisors is looking for an Experienced ABL Field Examiner to work closely with our clients, including large money-center... ...due diligence services, including audit engagements, portfolio reviews, and acquisition due diligence for a wide variety of clients. Perform...Full timeWork experience placementWork at officeRemote workWork from homeFlexible hours
- Benefits: Licensing reimbursement Bonus based on performance Paid time off Parental leave Training & development Building Plan Reviewer Expert Modular Consultants, LLC seeks a building plan reviewer to join our growing staff. Responsibilities include coordinating the review...
- ...please send a request to ****@*****.*** learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: Skills and Requirements Bachelor's degree or equivalent experience 5+ years of...
$97.75k - $132.25k
...dismemberment, personal accident, critical illness and business travel and accidental insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most. Our...Contract workTemporary workImmediate startRemote workWorldwideFlexible hoursShift workWeekend work- ...modeled after the highest training standards in the trucking industry. Requirements: · Must be an approved local State CDL Examiner WITH A CURRENT, VALID CDL EXAMINER LICENSE · A safe CDL A driving record as determined by the SAGE Safety Department. · Knowledge...Full timeLocal area
$97.75k - $132.25k
...dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most. Our...Contract workTemporary workImmediate startRemote workWorldwideFlexible hoursShift workWeekend work$93k - $179k
...your recruiter to learn more. Base pay range $93,000.00/yr - $179,000.00/yr Direct message the job poster from SoTalent Executive Healthcare Recruiter at Wellstar Health System with HR expertise. Retired Professional Athlete. At USAA, we serve a mission like no other—...Full time$56k - $64.89k
...civil, or administrative investigations or examinations, including a minimum of two (2) years of... ..., civil forfeiture, and civil theft cases. Examine cybersecurity incident responses... ...on cyber‑fraud and IT‑related issues. Review and evaluate consumer complaints for violations...Work at officeLocal areaFlexible hours- An established industry player is seeking an Experienced ABL Field Examiner to join their dynamic team in Tampa. This role involves conducting due diligence services and audits for a diverse range of clients, including major banks and private equity firms. You will utilize...Remote jobFlexible hours
- Ruchman and Associates, Inc. is seeking a Forensic Accountant to support forfeiture tasks at the Defense Criminal Investigative Service in Tampa, Florida. This role involves investigating financial infrastructures and supporting federal prosecutions. Qualified candidates...Remote work
- JPMorganChase is seeking a Fraud Analyst fluent in Portuguese and English to manage fraud detection, remediation, and client remediation efforts. You will secure accounts, handle claims, and coordinate with internal teams to deliver a white-glove remediation experience....
- A leading firm in financial services is looking for a qualified professional in forensic accounting based in Tampa, Florida. The role involves performing detailed valuations, forensic analyses, and providing guidance to clients. Ideal candidates should have at least 3 years...
- All Jobs > Forensic Accountant Supporting DCIS Ruchman and Associates, Inc. is currently seeking a Forensic Accountant to support forfeiture related tasks at the Defense Criminal Investigative Service (DCIS). The DCIS is a federal law enforcement organization whose mission...Remote work
- JPMorgan Chase & Co. is seeking a Fraud Analyst who is fluent in Portuguese and English to deliver best-in-class fraud protection, remediation and client service. You will help manage challenging situations by offering fraud detection, prevention and recovery solutions ...
- ...in Front of Our Recruiter Faster! To ensure your application is reviewed quickly, apply directly on our careers page: Career Site... ...information provider, we are committed to exceptional customer service, precise property documentation, and timely, underwriter-ready reporting...Extra incomeFor contractorsLocal area
- ...preparing client reports. The ideal candidate has 1-3 years of claims experience, a bachelor's degree or equivalent, strong communication skills, and the ability to work independently while handling technical materials and complex cases. #J-18808-Ljbffr Crawford & Company
- ...carrier partners. As a trusted High Value Residential Insurance information provider, we are committed to exceptional customer service, precise property documentation, and timely, underwriter-ready reporting.We are actively seeking experienced High Value Residential...Extra incomeFor contractorsLocal area
- Chubb Ltd. in the Tampa area is seeking a Claims Investigator/Adjuster to review claim and policy information, interview insureds, claimants and witnesses, and determine the extent of the policy’s obligation to the insured. The role involves coordinating appraisals or...
- Chubb European Group Ltd. is seeking candidates for a claims management role in Tampa, Florida. You will be responsible for reviewing claims, conducting interviews, and determining liability based on policy obligations. The ideal candidate will have strong analytical and...
- ...Universal is seeking an experienced SIU Investigator to independently examine suspected fraudulent insurance claims across workers’... ...reports and maintain documentation, collaborate with clients and case managers, and adapt to varied hours including weekends. #J-1880...
- ...matters for civil enforcement, advise on referrals, and build partnerships. Responsibilities include analyzing cybersecurity incidents, examining forensic reports, preparing affidavits, and coordinating with law enforcement and prosecutors. Some travel and extended hours may...Work at office
$33.5 - $38.5 per hour
Are you a detail-oriented and independent professional ready to take on a challenging and rewarding role? Your role ReSource Pro is seeking a Premium Insurance Field Auditor (1099/Contractor) to play a vital role in ensuring accurate insurance policy premiums. In this ...Hourly payContract workFor contractorsWork experience placementLocal areaImmediate startRemote work
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