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claims adjuster in Detroit

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  1. Claims Management Specialist - Metro Area/Lansing/Ann Arbor

    Manage all aspects of multi-line claims generated by assigned group of agents including claim examination, investigation, determination of coverage, liability, compensability, subrogation, etc., adjustments, litigation and settlements within limit of assigned authority levels. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. RESPONSIBILITIES Receive claim assignments from assigned agents, verify applicability of coverage. ...

  2. Medical Biller

    Basic Function Processing insurance claims and perform follow up procedures for delinquent accounts. Responsibilities 1. Maintain accurate patient accounts by entry, verifying discrepancies with patients, offices or insurance companies as needed and correction 2. Charge entry for assigned incoming revenue sources; recognizing possible coding discrepancies and addressing with management 3. Receive insurance claim forms, verify information, make adjustments as needed and mail to appropriate insurance ...

  3. Director of Medicare Services /paid relo to Cincinnati, OH - fzsmarDT

     We are looking for someone that has supervisory or management experience with hospital based Medicare claims experience. Position Summary:   The Director of Medicare Services is primarily responsible for leadership and management of the daily workflow of the Medicare Advantage, Traditional Medicare and Post Discharge Review Departments. Essential Duties and Responsibilities: Interview, hire, train, audit and review team members Lead, supervise, motivate and monitor team members to ensure ...

  4. Insurance Claims Adjuster

    JOB ID: MI24964 Job Title: Insurance Claims Adjuster Company: Job Chit Chat Industry/Environment: Insurance (professional, motivated & results driven) Responsibilities: Investigates, analyzes, and determines the extent of liability concerning loss or damages on high complexity claims to secure an accurate and fair settlement Negotiates settlements Interpret complex policy language Skills Needed/Experience: Experience interpreting complex policy language Exceeds expectations ...