Performs analysis on clinical documentation, evidence based criteria application outcome, physician documentation, and complete review of the medical record related to DRG and clinical validation denials Formulates and submits letters of appeal Creates an effective appeal utilizing relevant and effective clinical documentation from the medical record; supported by current

of Responsibilities Support the underwriting and loss control departments by developing the understanding of risk evaluation, account pricing, and relationship building with agency partners and insured's. Accept or decline risks. Evaluate risks and information concerning risks such as inspection reports, credit reports, location and hazards. May examine loss experience of

At Elastic, we see endless possibility in a world of endless data. And we use the power of search to help people and organizations turn that possibility into results. Elastic is the leading platform for search powered solutions. With solutions in Enterprise Search, Observability, and Security, we help improve customer and employee search experiences, keep critical applica

At Elastic, we see endless possibility in a world of endless data. And we use the power of search to help people and organizations turn that possibility into results. Elastic is the leading platform for search powered solutions. With solutions in Enterprise Search, Observability, and Security, we help improve customer and employee search experiences, keep critical applica

Assist with discovery requests and responses Draft pretrial motions Efficiently conduct legal research Assist in preparation of cases for trial Why Should You Apply? Excellent Benefits including a 401k match Professional development programs including in house CLE and National Attorney Training Generous PTO plan Excellent growth and advancement opportunities Corporate Dis

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. Job Summary The Claims Specialist resolves medical claims that are not automatically adjudicated by the claims processing system in a timely and accurate manner according to divisional standards of quality and productivity. Resolution may include additional investigation or communi

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Manager, Managed Care Contracting Job ID 2022 22596 # Positions 1 Job Location US Telecommute Telecommute (U.S.) Position FT/PT Full Time Category Sales | Marketing | Communications Why Us? With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutio

Utilize product line subject matter expertise to underwrite commercial accounts within assigned area of responsibility by selecting the right risks and negotiating rates, terms and conditions for existing and new business Develop a pipeline of qualified account opportunities within appetite and utilize sales acumen, relationship and creative problem solving to create winn

Old Republic Risk Management (ORRM) is currently seeking a Workers' Compensation Audit Assistant to join its Underwriting Support Team at its company headquarters in Brookfield, WI . ORRM provides primary casualty insurance products to corporate and group insureds with complex risks. A pioneer in the alternative risk market since 1985, ORRM delivers innovative solutio

Old Republic Surety Company (ORSC) is currently seeking a Customer Service Representative Agency Support to join its Agency Services Team in Brookfield, WI . ORSC ranks among the nation's top underwriters of contractors' performance and payment bonds, miscellaneous surety, and commercial fidelity, offering thousands of types of bonds. We are growing across the cou

Looking for Dynamic Team Members to join our Team!

At American Family Insurance Claims Services, Inc. we believe people are an organization's most valuable asset, and their ideas and experiences matter. From our CEO to our agency force, we're committed to growing a diverse and inclusive culture that empowers innovation that will inspire, protect, and restore our customers' dreams in ways never imagined. American Family In

Part time or Full time Commercial Lines CSR position. 3+ Years experience as CSR and licensed in WI. Competitive Salary and benefits if full time position is desired. Please send your resume to jillk@schuellerharrington.com

Responsible for resolution of credit balances, analyzing and researching all accounts appearing on the Credit Balance Report for a possible refund. Works on assignments that are routine in nature, requiring limited judgment. Normally receives detailed instructions on all work. Works under close supervision. Responsibility Meet productivity standards as outlined in client