Payments Policy & Claims Analyst
$62.7k - $100.4kCareSource
CareSource in Las Vegas is seeking a Payment Cycle Analyst II responsible for providing analytical support and leadership for key Claims-related projects. The ideal candidate will define clinical and payment policy requirements and conduct thorough research on reimbursement policy claim edits. Applicants should have a Bachelor's degree and a minimum of three years of health plan experience along with proficiency in clinical editing software. A comprehensive rewards package is offered with a competitive salary range of $62,700.00 - $100,400.00. #J-18808-Ljbffr CareSource
- ...Claims Adjuster - Workers Compensation PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine... ...resolution, coordinates return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits...SuggestedContract workWork at office
$67k - $83k
...Claims Representative Are you ready to make a meaningful impact in the world of workers... ...claim assignments. Review claim and policy information to provide context for investigations... ..., or compensation agreements and issue payments for claims. Inform claimants, insured...SuggestedFull timeTemporary workWork at officeLocal area3 days per week- ...Purpose of the Role To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims... ...to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due...SuggestedContract workWork at officeFlexible hours
$50k - $55k
...Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF... ...injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Develops and maintains action plans to ensure...SuggestedContract workWork at officeFlexible hours- ...Claims Examiner - Workers Compensation By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues... ...and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority...SuggestedLocal areaFlexible hours
- ...Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Comp | Las Vegas, NV - 100% in Office... ...plans to resolution, return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits...Contract workWork at officeFlexible hours
- ...Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation | Jurisdiction: NV | Licensing:... ...Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority...Local areaFlexible hours
$70k - $85k
...Claims Adjuster A global fintech leader, Acrisure empowers millions of ambitious businesses... ...medical, indemnity, legal and expense payments Prepares reports for excess carriers... ...must carefully review documents and policies Good verbal and written communication...Immediate startFlexible hours$48.09k - $87.94k
...Sr. Claim Examiner – WC (NEVADA) Ready to take on high‑stakes claims and make a real... ...independent judgment on more complex and unusual policy coverages and determines if coverages... ...judgment and expertise and authorizes payments within scope of authority, settling claims...Remote work$65k - $85k
...Overview Workers' Compensation Claim Consultant Location: Las Vegas, NV Schedule... ...claims. Authorize and make payments of claims in accordance with claim procedures... ...throughout the year in accordance with company policy) + 10 paid holidays in your first year...Work at officeWork from home- ...and settle advanced, large loss, complex claims promptly and equitably under minimal supervision... ...judgment on more complex and unusual policy coverages and determines if coverages... ...independent judgment and expertise and authorizes payments within scope of authority, settling...
$53k - $69k
Job Description: As a member of our Claims team, utilize your knowledge of Workers Compensation... ...in accordance with legal statutes, policy provisions, and company guidelines. Responsibilities... ...suspect claims Ensures timely denial or payment of benefits in accordance with...Work experience placement- Claims Examiner - Workers Compensation Apply your knowledge and experience to adjudicate complex customer claims in an energetic culture... ...Calculate and pay benefits due; approve and make timely claim payments and adjustments; settle claims within designated authority...Work at officeFlexible hours
$2,500 per month
...Claims Specialist-WC Ready to make a real impact? We're looking for a sharp, proactive... ...investigation and processing of claims. Verifies policy coverage for submitted claims and... ...members, and/or clients. Approves payments of medical bills on lost time disability...Hourly payFull timeTemporary workRemote work$48.09k - $87.94k
...Sr. Claim Examiner WC (NEVADA) Ready to take on high-stakes claims and make a real impact... ...judgment on more complex and unusual policy coverages and determines if coverages apply... ...judgment and expertise and authorizes payments within scope of authority, settling claims...Full timeRemote work- SilverRock Automotive, Inc. is seeking a Claims Adjuster to validate, adjudicate, and approve automotive repair claims. You will work with repair facilities and ensure all claims are managed according to department standards. The ideal candidate has over three years of...Remote workWork from home
$77k - $87k
...Overview Multi-Line Claim Consultant Location: Remote Schedule: Full-Time Salary Range:... ...appropriate resolution Authorize and issue claim payments in accordance with CCMSI procedures,... ...the year in accordance with company policy) + 10 paid holidays in your first year Comprehensive...Full timeWork at officeRemote work- ...ancillary products, and a customer-friendly claims process. SilverRock offers a variety of... ...to validate, adjudicate, and approve payment for diagnostics and repair recommendations... ...adherence to department process flows and policies.Manages list of assigned pending claims and...Full timeTemporary workCasual workRemote workWork from homeHome officeMonday to Friday
$62.3k
...Perform all activities associated with the settlement of claims on Individual Disability insurance policies and riders, and disability waiver and ASR riders on... ..., benefit eligibility and benefits. Make claim payment and manage the claim over the life of the client's claim...Full timeContract workPart timeH1bWork at officeWork from homeVisa sponsorship1 day per week$52.6k - $86.8k
...and where you do it. Job Category Claim Compensation Overview The annual base... ...in claim handling, customer service, and policy interpretation while working alongside... ...Forward Savings Program. When you make a payment toward your student loan, Travelers will...Work experience placementInternshipWork at officeLocal areaRemote work- ...Accounts Specialist in Las Vegas, Nevada. This role involves Medicare billing and collections, ensuring accurate claims processes and timely patient payments. Candidates should have a high school diploma and at least 2 years of experience in medical insurance billing....
- ...expectations and monitor progress Attract, retain, and motivate the team to maintain an engaging work environment and ensuring sound policies and procedures adhered to Perform other job-related duties as assigned Minimum Qualifications Bachelor's degree in a related field...Full timeLocal areaFlexible hoursShift workNight shiftWeekend work
$90k - $95k
...will effectively review Nevada Lost Time claims and determine appropriate action for... ...Secures necessary information (i.e., reports, policies, releases, statements, or other... ...personal authority. Ensures that claims payments calculated accurately and are issued in...Permanent employmentWork at officeLocal areaImmediate startRemote workFlexible hoursNight shift$55k - $65k
A leading claims management company in Las Vegas is looking for an Auto Field Appraiser to handle appraisals for corporate fleets and insurance clients. This role requires four years of relevant experience and strong negotiation skills. Applicants should have a Bachelor...Work at office- ...Warranty Claims Administrator Swickard Auto Group is seeking a skilled and dedicated... ...ensure accurate booking and warranty claim payments. Key Responsibilities: Claims Processing... ...standards, and updates to manufacturer policy. Participate in manufacturer webinars...Work at office
$25 per hour
As an outbound subrogation claims adjuster, you’ll have a vital role in keeping our claims process efficient and accurate. You will focus on claims involving property damage issues. Duties & Responsibilities You will be responsible for filing claims with insurance companies...Hourly payFull timeWork experience placementMonday to FridayFlexible hours$35 per hour
As a multiline claims adjuster, you’ll have a vital role in keeping our claims process efficient and accurate. You will focus on claims involving bodily injury issues. It will be expected that you will come up with a plan to resolve claims and write reports to the board...Hourly payFull timeWork experience placementMonday to FridayFlexible hours- ...Claims Team Manager In order to deliver an exceptional customer experience, a leader creates a culture of engagement by inspiring... ...within assigned authority limits, claims reserves, settlements and payments that exceed staff authority thresholds. Uses common...Work at officeLocal areaImmediate start
$120k - $145k
...Bachelor's and 6+ years experience with commercial lending, lending policies and procedures, or other directly related experience. 10+ years... ...have knowledge of job-related software such as Moddys Risk Analyst, as well as other common office software and applications....Work experience placementWork at officeLocal areaFlexible hours$85k - $125k
Private Client Underwriter *This position is open to multiple Burns & Wilcox branch offices across the US.* When retail agents and brokers have successful clients who require coverage for the unique, the unusual, or the unconventional, they come to the Private Client...Private practiceWorldwideFlexible hours
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