Claim Health jobs

Sr. Benefits Analyst (Workers' Compensation) Hawthorne, CA SpaceX was founded under the belief that a future where humanity is out exploring the stars is fundamentally more exciting than one where we are not. Today SpaceX is actively developing the technologies to make this possible, with the ultimate goal of enabling human life on Mars. SR. BENEFITS ANALYST (WORKERS' COMPENSATION) RESPONSIBILITIES: - Manage and oversee assigned claims on an on-going basis. Responsible for effectively managing claims to closure - Explain workers' compensation benefits and procedures to injured employees and coordinate return-to-work opportunities - Interpret and explain rules, regulations, and procedures to employees and management - Coordinate and facilitate claims process by acting as a liaison between the injured employee, employee's leadership team, insurance third party administrator, medical provider, and consultant - Work closely with on-site safety department to conduct initial incident investigation and gather relevant information to file the claim. Identify any apparent red flags and escalate issues as appropriate for prompt and effective resolution - Investigate, analyze, and determine the extent of the company's exposure with workers' compensation claims - Respond to workers' compensation subpoenas in an expeditious manner - Other duties and responsibilities as assigned including but not limited to: - Health and welfare benefits and retirement plan administration - Company wellness initiatives and employee services - Leaves of absence administration BASIC QUALIFICATIONS: - Bachelor's degree - 5+ years of human resources experience in benefits administration, leave administration, or workers' compensation PREFERRED SKILLS AND EXPERIENCE: - Human Resources certification

Health & Benefits Consultant 2 Locations posted: Posted 30+ Days Ago

Field Office- Claims Specialist Elko, Nevada Summary Positions under this announcement are being filled using a Direct Hire Authority (DHA)(SSA-001), open to all U.S. citizens. Selections made under this bulletin will be processed as new appointments to the civil service. Current civil service employees would be given new appointments to the civil service. Under the provisions of the DHA, Veterans Preference and the "Rule of Many" do not apply. NOTE: Telework may be available in accordance with agency policy. This IS NOT a virtual position. Duties Once selected for the Claims Specialist position in SSA, you will contribute to the Agency's mission through direct and personal service to the public. This includes speaking with beneficiaries about their rights under the Social Security laws, gathering facts and evidence to establish eligibility for benefits, making critical decisions to determine the amount of benefits paid to individuals, and using state-of-the-art computer technology to access and update information about claims. Claims Specialists conduct interviews with the public to obtain, clarify, and verify information about initial and continuing eligibility for retirement, survivors, disability, health insurance benefits, and eligibility for supplemental security income including State supplements. In addition, they resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA. Education SUBSTITUTING EDUCATION: If you are qualifying for this position based on completed education at an accredited U.S. college, university, or other

Field Office - Claims Specialist (Bilingual) (Spanish) Big Spring, Texas Summary Positions under this announcement are being filled using a Direct Hire Authority (DHA)(SSA-001), open to all U.S. citizens. Selections made under this bulletin will be processed as new appointments to the civil service. Current civil service employees would be given new appointments to the civil service. Under the provisions of the DHA, Veterans Preference and the "Rule of Many" do not apply. NOTE: Telework may be available in accordance with agency policy. This IS NOT a virtual position. Duties Once selected for the Claims Specialist position in SSA, you will contribute to the Agency's mission through direct and personal service to the public. This includes speaking with beneficiaries about their rights under the Social Security laws, gathering facts and evidence to establish eligibility for benefits, making critical decisions to determine the amount of benefits paid to individuals, and using state-of-the-art computer technology to access and update information about claims. Claims Specialists conduct interviews with the public to obtain, clarify, and verify information about initial and continuing eligibility for retirement, survivors, disability, health insurance benefits, and eligibility for supplemental security income including State supplements. In addition, they resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA. Education SUBSTITUTING EDUCATION: If you are qualifying for this position based on completed education at an accredited U.S.

Stop Loss Claims Analyst Overland Park, KS, US Company Details Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley's success is our nimble approach to risk - our ability to quickly understand, think through, and devise a plan that addresses each client's challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation , is one of the largest and best managed property/casualty insurers in the United States. #LI-AV1 #LI-Remote The company is an equal employment opportunity employer. Responsibilities As a Stop Loss Claims Analyst, you'll perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount requested is eligible for reimbursement. This position can either be fully remote (if not within commutable distance to the office) or based in one of our offices: Hamilton Square, NJ West Hartford, CT Marlborough, MA Kulpsville, PA We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so. What you can expect: Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in t

RN - Recovery-2 English Mountain Recovery posted: Posted Today

Field Office - Claims Specialist (Bilingual) (Spanish/Creole) East Orange, New Jersey Summary Positions under this announcement are being filled using a Direct Hire Authority (DHA)(SSA-001), open to all U.S. citizens. Selections made under this bulletin will be processed as new appointments to the civil service. Current civil service employees would be given new appointments to the civil service. Under the provisions of the DHA, Veterans Preference and the "Rule of Many" do not apply. NOTE: Telework may be available in accordance with agency policy. This IS NOT a virtual position. Duties Once selected for the Claims Specialist position in SSA, you will contribute to the Agency's mission through direct and personal service to the public. This includes speaking with beneficiaries about their rights under the Social Security laws, gathering facts and evidence to establish eligibility for benefits, making critical decisions to determine the amount of benefits paid to individuals, and using state-of-the-art computer technology to access and update information about claims. Claims Specialists conduct interviews with the public to obtain, clarify, and verify information about initial and continuing eligibility for retirement, survivors, disability, health insurance benefits, and eligibility for supplemental security income including State supplements. In addition, they resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA. Education SUBSTITUTING EDUCATION: If you are qualifying for this position based on completed education at an accredited

RN Hospital Per Diem Days Philadelphia, PA posted: Posted Today

Stop Loss Claims Auditor UNAVAILABLE, KS, US Company Details Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley's success is our nimble approach to risk - our ability to quickly understand, think through, and devise a plan that addresses each client's challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation , is one of the largest and best managed property/casualty insurers in the United States. #LI-AV1 #LI-Remote The company is an equal employment opportunity employer. Responsibilities As a Stop Loss Claims Analyst (aka Auditor), you'll perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount requested is eligible for reimbursement. This position can either be fully remote (if not within a commutable distance to the office) or based in one of our offices: Hamilton Square, NJ West Hartford, CT Marlborough, MA Kulpsville, PA We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so. What you can expect: Culture of innovation, teamwork, supportive colleagues and leaders willin

Physical Therapist PRN Wyoming Medical Center Central (1233 E Second St) posted: Posted 30+ Days Ago

Medical Representative Malaysia - Petaling Jaya posted: Posted 18 Days Ago

Our Culture Our Culture | Everest United States Locations Serving customers in more than 115 countries across 6 continents. North America Bermuda Canada ( English | Français ) United States Latin America and Caribbean Chile ( English | Español ) Colombia ( English | Español ) Mexico ( English | Español ) Europe France Germany Ireland Italy Netherlands Spain UK Asia Pacific Australia India Singapore Middle East and Africa Search Menu Our Offer Back Products and Services Back Products and Services Explore the full range of our capabilities from across the business. Insurance Back Products Back Products Accident and Health Specialty Lines Programs Services Claims Back Claims Insurance Claims and Support Accident and Health Reinsurance Back Products Back Products Treaty Property Treaty Casualty Facultative Property Facultative Casualty Structured Solutions Surety and Credit Accident and Health Marine and Aviation Property Hybrid Solutions Third-Party Capital Back Third-Party Capital Mt. Logan Capital Management Why Everest Contact Us Back Contact Us Browse our global offices or contact us to discuss how we can help. Contact Us Locations About Us Back Overview Our Story Leadership Back Our Leadership Find out more about our world-class leadership with deep industry experience. Executive Leadership Team Board of Directors Privacy Back Privacy Our established policies and procedures have been built to comply with the applicable privacy and data protection laws wherever we do business. Privacy, Security and Trust Back Privacy Notices and Policies Back Privacy Notices and Policies Australia Privacy Statement Bermuda Privacy Notice Canada - Personal Information Protection

Health Assessor United Arab Emirates - Dubai posted: Posted 21 Days Ago

Inclusion and Belonging DEI | Everest United States Locations Serving customers in more than 115 countries across 6 continents. North America Bermuda Canada ( English | Français ) United States Latin America and Caribbean Chile ( English | Español ) Colombia ( English | Español ) Mexico ( English | Español ) Europe France Germany Ireland Italy Netherlands Spain UK Asia Pacific Australia India Singapore Middle East and Africa Search Menu Our Offer Back Products and Services Back Products and Services Explore the full range of our capabilities from across the business. Insurance Back Products Back Products Accident and Health Specialty Lines Programs Services Claims Back Claims Insurance Claims and Support Accident and Health Reinsurance Back Products Back Products Treaty Property Treaty Casualty Facultative Property Facultative Casualty Structured Solutions Surety and Credit Accident and Health Marine and Aviation Property Hybrid Solutions Third-Party Capital Back Third-Party Capital Mt. Logan Capital Management Why Everest Contact Us Back Contact Us Browse our global offices or contact us to discuss how we can help. Contact Us Locations About Us Back Overview Our Story Leadership Back Our Leadership Find out more about our world-class leadership with deep industry experience. Executive Leadership Team Board of Directors Privacy Back Privacy Our established policies and procedures have been built to comply with the applicable privacy and data protection laws wherever we do business. Privacy, Security and Trust Back Privacy Notices and Policies Back Privacy Notices and Policies Australia Privacy Statement Bermuda Privacy Notice Canada - Personal Information Protection

Senior Health Consultant Vancouver - Burrard posted: Posted 30+ Days Ago

Account Manager Tokyo About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra's transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. About Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra's transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. Key Responsibilities: Strategic Regional Partnership : Act as the primary Japan-based consultant for a portfolio of global enterprise clients, ensuring Lyra's mental health platform integrates seamlessly with each organization's specific corporate culture and local HR policies. Portfolio Retention & Renewal: Own the end-to-end

Certified Medical Coder Revenue Cycle Tulsa, Oklahoma, United States Join our team as a Certified Medical Coder, where you will apply diagnostic and procedural codes to patient health records, ensuring accurate documentation and claim processing. If you have a passion for coding and healthcare, this is the opportunity for you!

RN - PRN Carolina Dunes Behavioral Health posted: Posted 30+ Days Ago

Billing Specialist UNAVAILABLE, UNAVAILABLE, UNAVAILABLE Where You'll Work CHI LakeWood Health provides long-term care, family practice-clinic, 15-bed critical-access hospital, public health and assisted living services. Nestled in Baudette, MN, just minutes from Lake of the Woods and Zippel Bay State Park. Enjoy nature's playground, lake living, trails, unique shopping, and dining! We serve patients and their loved ones in Lake of the Woods County and the surrounding area. Check out the link for more info on Baudette, MN https://www.ci.baudette.mn.us/. Job Summary and Responsibilities As our Billing Specialist, you will help our patients and providers streamline the billing and insurance process so they can focus on patient care and financial well-being.Every day you will review and process patient accounts, insurance claims, and payment postings. You will be expected to ensure accurate and timely billing, follow up on denied claims, and maintain patient confidentiality.To be successful in this role, you must: Have strong attention to detail Be knowledgeable of medical billing and coding Experience with healthcare insurance Job Requirements Required High School diploma or equivalent and minimum of one year experience in a clinic or general business office

Medical Representative_R&I(North) Taiwan posted: Posted 30+ Days Ago

Manager Patient Safety UNAVAILABLE, UNAVAILABLE, UNAVAILABLE Where You'll Work Founded as a faith-based hospital in 1923 by the Sisters of Charity of the Incarnate Word, Dignity Health - St. Mary Medical Center is a 389-bed, acute care, nonprofit hospital located in Long Beach, California. The hospital offers a full complement of services, including a Level II trauma center, cardiac and vascular center, surgical weight loss, maternity and the CARE Center, which is a recognized PrEP center of excellence. The hospital shares a legacy of humankindness with Dignity Health, one of the nation's five largest health care systems. Visit https://www.dignityhealth.org/socal/locations/stmarymedical for more information. One Community. One Mission. One California. Job Summary and Responsibilities As our Manager of Patient Safety and Risk at St. Mary Medical Center, you will oversee the facility's Patient Safety Program, including the Patient Safety Plan requirements for the collection, analysis and reporting of events and patient safety data, investigation of events and near misses, and will ensure all accreditation and regulatory requirements for patient safety are fully met. Every day, you will participate in system office initiatives and programs to mitigate identified risks which result in reduced costs, reduced adverse patient outcomes, and safer patient care. You will also coordinate claim team requests and collaborate with other key stakeholders to implement learnings from claims. You will also spearhead the the coordination of all legal doc

Medical Representative - CVRM - NGHE AN Vietnam - Hanoi posted: Posted 30+ Days Ago

EPIC Professional Billing Claims Analyst UNAVAILABLE, UNAVAILABLE, UNAVAILABLE Where You'll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Job Summary and Responsibilities *** Epic Professional Billing certification and/or experience required.*** As an IT EPIC Application Analyst, you will implement, optimize, and support our EPIC EHR system, ensuring seamless operation and alignment with clinical workflows.Every day you will analyze requirements, configure EPIC modules, perform testing, provide training and support, and troubleshoot issues, collaborating with clinical staff.To be successful, you will possess deep EPIC module expertise, strong analytical and problem-solving skills, and a commitment to healthcare technology. Designs, builds, te

Claims (Billing) Specialist / Patient Account Representative - Healthcare 3 Locations posted: Posted 7 Days Ago