- Sedgwick (Boise, ID)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead (Auto) **PRIMARY PURPOSE** : To supervise the operation of… more
- HomeSafe Alliance (Boise, ID)
- **Title:** Assistant Claims Manager (Military Move) **HomeSafe Alliance** is the single global household goods movement manager of over 300,000 Military Household ... motivated **Assistant** **Cl** **aims Manager** to assist in all aspects of claims management, to support and promote process improvement methodologies and best… more
- Sedgwick (Boise, ID)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Liability (Remote) **PRIMARY PURPOSE** : To analyze complex or ... technically difficult auto liability claims to determine liability and exposure; to work with...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Boise, ID)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... surety and surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Boise, ID)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- Carrington (Boise, ID)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims...and requirements that resulted in the loss. + Keep Supervisor informed of all trends and problems including, but… more
- R1 RCM (Boise, ID)
- …AI, intelligent automation, and workflow orchestration. As our **Follo** **w-** **Up** ** Supervisor ** , you will help our Follow-Up team ensure the timely collection ... identifying and rectifying inefficiencies in our workflows preventing non-payment and denials of claims so the hospitals we support can focus on patient care. Every… more
- Highmark Health (Boise, ID)
- …are met. Represent the department in compliance audits as it relates to the supervisor functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- National Express (Boise, ID)
- …events to ensure excellence in customer service. + Ability to Investigate claims and incidents of questionable conduct, accidents etc. + Computer literacy skills ... in word processing and spreadsheets _We offer medical, dental, vision, basic life insurance coverage, holiday pay, and PTO accrual. Additionally, employees are able to enroll in a retirement savings plan. The pay rate range, along with most all of the other… more
- R1 RCM (Boise, ID)
- …as our charge capture specialist, you will work the life of a claim, from claims creation to initial submission to the insurance company. Every day you will work ... caregivers, as well as consultants and leadership of the Professional Documentation and Claims Management department. To thrive in this role, you must enjoy working… more
- Trinity Health (Boise, ID)
- …kiosks or online systems. + Identifies routine issues and escalates to Supervisor , Patient Access. + Processes insurance claim forms. + Reviews claims ... information and translates data into information acceptable to the claims processing system. + Prepares claims for...to the claims processing system. + Prepares claims for return to provider/subscriber if additional information is… more
- Mathematica (Boise, ID)
- …large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide decision-making about ... and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and Medicare or Medicaid...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Trinity Health (Nampa, ID)
- …kiosks or online systems. + Identifies routine issues and escalates to Supervisor , Patient Access. + Processes insurance claim forms. + Reviews claims ... information and translates data into information acceptable to the claims processing system. + Prepares claims for...to the claims processing system. + Prepares claims for return to provider/subscriber if additional information is… more
- Valor Health (Emmett, ID)
- …Apply Description Position Title: Billing Specialist Department: Business Office Supervisor 's Title: Revenue Cycle Manager Position Summary: Process primary and ... secondary claims electronically or paper format with complete information to...when needed. + Electronically bills primary payers. Files secondary claims . Reconstructs claims when necessary or insurance… more
- Idaho Division of Human Resources (Boise, ID)
- …. Investigates code violation cases. . Prepares documentation and submits to supervisor for legal referral. . Responds to technical questions from insurance ... companies, adjusters, agents, etc., regarding claims procedures, underwriting, and insurance laws, regulations, and procedures. . Reviews insurance policies/ annuity… more
- Idaho Division of Human Resources (Boise, ID)
- …found in sketches and design criteria guidance. Under the direction of the supervisor , evaluates project plans to determine quantity of materials to use, prepares ... intent of the project's scope. Actively works to prevent and manage construction claims with the KO and Contracting Officer Representative (COR). As directed, may be… more
- Trinity Health (Boise, ID)
- …problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and ... recommendations for resolutions of the issues and findings for the supervisor . Resolves independently or escalates issues affecting customer complaints and issues… more
- Evolent Health (Boise, ID)
- …for assigned health plan regarding the accurate and timely submission of claims /statements. + Works with management to obtain corporate financial goals and ... to payers and customers in a timely manner. + Researches and resubmits claims without response or denied in established time frame. + Resolves billing payment… more
- Sedgwick (Boise, ID)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- Utilities Service, LLC (Boise, ID)
- …for crew after receiving/interpreting orders from a General Foreperson/Line Clearance Supervisor . + Conducts field training/retraining, instructing crew on new or ... be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims... claims , etc., and to settle minor damage claims . + Maintains accurate records, timesheets and reports related… more