Top 7661 Loss Recovery Associate Jobs

Claims Processor
MICHIGAN CONFERENCE OF TEAMSTERS WELFARE FUND —Detroit, MI
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- EMR systems
- Health insurance
- Dental insurance
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9d
Residential Clinical Therapist - $1,500 Sign-On Bonus!!
AK Child & Family —Anchorage, AK
- $60,000 - $86,000 a year
- Part-time
- Mid-level
- Residential
- Driver's License
- Health savings account
- AD&D insurance
Subrogation Litigation Associate Attorney
Orion Placement —Philadelphia, PA
- $125,000 - $150,000 a year
- Full-time
- Writing skills
- Mid-level
- Analysis skills
- Dental insurance
- Paid time off
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Residential Clinical Therapist Part- Time Hybrid
AK Child & Family —Anchorage, AK
- $32 an hour
- Part-time
- Mid-level
- Residential
- Driver's License
- AD&D insurance
- Paid holidays
Senior Specialist, ACH Risk
Valley National Bank —Clifton, NJ
- $23.75 - $39.62 an hour
- 5 years
- Finance
- High school diploma or GED
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Asset Protection Manager
Ace Hardware Corporation —Rocklin, CA
- $102,900 - $128,600 a year
- Full-time
- Microsoft Word
- CPR Certification
- Microsoft Excel
- Paid holidays
- Disability insurance
Retail Associate
Ross Stores —Bozeman, MT
- Merchandising
- Sanitation
- Ability to lift 25 pounds
General Manager (Bilingual)
Community Choice Financial Family of Brands —Fort Worth, TX
- $19.25 an hour
- Weekends as needed
- Background check
- 18 years or older
- Spanish
- Paid training
- Health savings account
Registered Nurse Progressive Care Unit
HCA Florida Capital Hospital —Tallahassee, FL
- Full-time
- Surgery
- Mid-level
- Perioperative Care
- Employee stock purchase plan
- Disability insurance
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General Manager (Bilingual)
Community Choice Financial Family of Brands —Wichita Falls, TX
- $19.25 an hour
- Weekends as needed
- Background check
- 18 years or older
- Spanish
- Paid training
- Health savings account
Oncology Registered Nurse
HCA Florida Capital Hospital —Tallahassee, FL
- Full-time
- Surgery
- No experience needed
- No travel
- Employee stock purchase plan
- Disability insurance
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General Manager (Bilingual)
Community Choice Financial Family of Brands —Odessa, TX
- $19.25 an hour
- Weekends as needed
- Background check
- 18 years or older
- Spanish
- Paid training
- Health savings account
RN Clinical Nurse Coordinator Emergency Room
HCA Florida Capital Hospital —Tallahassee, FL
- Full-time
- Surgery
- Mid-level
- Pediatrics
- Employee stock purchase plan
- Disability insurance
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Program Manager- RTH
KAIROS —Eugene, OR
- $76,273.60 - $92,684.80 a year
- Full-time
- LMFT
- Nursing
- Clean driving record
- AD&D insurance
- Paid holidays
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Registered Nurse Neuro ICU
HCA Florida Ocala Hospital —Ocala, FL
- Full-time
- No experience needed
- Critical & Intensive Care
- Neurology
- Employee stock purchase plan
- Disability insurance
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RN Critical Care Float
HCA Florida Capital Hospital —Tallahassee, FL
- Full-time
- Mid-level
- Critical & Intensive Care
- Perioperative Care
- Employee stock purchase plan
- Disability insurance
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Registered Nurse Behavioral Health Med Surg
HCA Florida Largo West Hospital —Largo, FL
- Full-time
- Surgery
- Mid-level
- Medical-Surgical
- Employee stock purchase plan
- Disability insurance
Quick Apply
PCU RN Clinical Nurse Coord
HCA Florida Capital Hospital —Tallahassee, FL
- Full-time
- Surgery
- Mid-level
- 2 years
- Employee stock purchase plan
- Disability insurance
Quick Apply
RN Medical Surgical Oncology
HCA Florida Capital Hospital —Tallahassee, FL
- Full-time
- Surgery
- No experience needed
- Medical-Surgical
- Employee stock purchase plan
- Disability insurance
Quick Apply
Clinical Nurse Coordinator Inpatient Surgery
HCA HealthONE Rose —Denver, CO
- $40.15 - $58.58 an hour
- Full-time
- Surgery
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply

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Claims Processor

MICHIGAN CONFERENCE OF TEAMSTERS WELFARE FUND -
Detroit, MI

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Job Details

Full-time
9 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Insurance claim adjustments processing
Medical claims
Medical collection
Medical coding
Insurance claim appeals processing
Dental insurance
High school diploma or GED
Health insurance knowledge
EMR systems
Insurance claim processing
Quality data entry

Full Job Description

The Michigan Conference of Teamsters Welfare Fund has an immediate availability for a Claims Processor. This is an hourly, unionized position, represented by the Office and Professional Employees Union, Local 42. Essential functions of the position include, but are not limited to:

Process Medical Claims

· Review medical claims submitted electronically to ensure completeness and accuracy.

· Authorize claim for payment or reject payment and update the claim with the appropriate rejection code.

· Place in hold status any claim that requires review or correction.

· Update system to document status of claims sent to Blue Cross Blue Shield (BCBS) for reversal.

Process Dental Claims

· Return to Delta Dental or the provider those claims that cannot be processed by MCTWF staff.

· Update basys system to reflect that a participant and/or dependent is not eligible for coverage of claims for services covered by a work, auto, or third-party claim.

· Notify Benefit Recovery of update for pursuit of overpayment as appropriate.

Process Loss of Time (LOT) claims

· Review each submission for accuracy and updated information.

· Verify eligibility and perform system updates. Notify Benefit Recovery of changes in eligibility for pursuit of overpayment as appropriate.

· Review and update responses in basys to letters requesting additional information Monitor all incoming faxes for distribution to staff. Send claims to the appropriate area for processing.

· Process initial Total and Permanent Disability (TPD) claims in the basys system and maintain related files. Gather all necessary information and documents to process these claims.

· Complete various claim reports, such as 835 errors or open correspondence, on a regular cadence.

Perform other duties as assigned.

The successful candidate will possess the following skills and knowledge:

· High School diploma; Associate degree in related discipline preferred.

· A minimum of 2 years of experience processing medical, dental, and disability claims.

· Exceptional attention to detail.

· Ability to enter data into various electronic systems accurately.

· Familiarity with claims and billing software systems.

The successful candidate must live within a reasonable driving distance from the office located at 2700 Trumbull, Detroit, Michigan

While working a remote assignment, the successful candidate must have access to internet with sufficient speed and stability.

Job Type: Full-time

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Experience:

Claims Processing: 2 years (Required)
Medical, Dental Claims: 2 years (Required)

Ability to Commute:

Detroit, MI 48216 (Required)

Ability to Relocate:

Detroit, MI 48216: Relocate before starting work (Required)

Work Location: Hybrid remote in Detroit, MI 48216

Quick Apply

Refine Your Search

Loss Recovery Associate jobs

Claims Processor

Residential Clinical Therapist - $1,500 Sign-On Bonus!!

Subrogation Litigation Associate Attorney

Residential Clinical Therapist Part- Time Hybrid

Senior Specialist, ACH Risk

Asset Protection Manager

Retail Associate

General Manager (Bilingual)

Registered Nurse Progressive Care Unit

General Manager (Bilingual)

Oncology Registered Nurse

General Manager (Bilingual)

RN Clinical Nurse Coordinator Emergency Room

Program Manager- RTH

Registered Nurse Neuro ICU

RN Critical Care Float

Registered Nurse Behavioral Health Med Surg

PCU RN Clinical Nurse Coord

RN Medical Surgical Oncology

Clinical Nurse Coordinator Inpatient Surgery

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