Insurance Jobs

Medical Claims Auditor - Franklin, TN-335005 Description Position Description: The primary role of the Claims Auditor is to review, identify and validate claim overpayments. Types of overpayment reviews will include, but are not limited to: duplicate payments, contract compliance, authorizations, eligib ...

Job Title: Project Manager II City: Memphis State/Province: Tennessee Position Type: Full Time Description: Project Manager II CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Servic ...

Job Title: Operations Manager IV City: Memphis State/Province: Tennessee Position Type: Full Time Description: Operations Manager IV - Managed Care CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick C ...

Manager of Case Management (RN) - LTC CHOICES - Davidson, Sumner and Wilson Counties Area-331635 Description Purpose of Job: The Manager of Case Management will manage the TN Long Term Care Choices care management team, including Registered Nurses and Social Workers, with responsibility for clinical opera ...

Senior Appeals and Grievances Coordinator - Phoenix, AZ, Pittsburgh, PA or Nashville, TN-334181 Description Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances Analyze and identify ...

Job Title: Claims Examiner III - WC City: Memphis State/Province: Tennessee Position Type: Full Time Description: Claims Examiner III - Workers' Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices mak ...

Claims Supervisor - Franklin, TN-334505 Description Position Description: Manage the AIM Medicare Advantage Coders to ensure reimbursement accuracy. Perform ongoing analysis of charts and claims for the appropriate CMS coding compliance. Research and resolve assigned coding projects. Perform coding audit ...

Recovery/Resolution Representative - Franklin, TN-330335 Description Position Description: Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May inc ...

CRG (Customer Service Representative Lead) AMC - Kingsport, TN-330532 Description Position Description: Positions in this function are responsible for providing expertise and customer service support to members, customers, and/or providers. Direct phone-based customer interaction to answer and resolve a ...

Job Title: Utilization Review RN City: Memphis State/Province: Tennessee Position Type: Full Time Description: Utilization Review Registered Nurse CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Clai ...


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	Date	Activity	Job Title Relevance	Company	Job Location	Salary

	9/5/2010		Medical Claims Auditor - Franklin, TNView Similar Jobs	UnitedHealth Group	Franklin, TN	Not Provided
			Medical Claims Auditor - Franklin, TN-335005 Description Position Description: The primary role of the Claims Auditor is to review, identify and validate claim overpayments. Types of overpayment reviews will include, but are not limited to: duplicate payments, contract compliance, authorizations, eligib ...
			Categories: Insurance - Management, Insurance - Claims
	9/5/2010		Project Manager II - National Bill ReviewView Similar Jobs	Sedgwick Claims Management Services, Inc	Memphis, TN	Not Provided
			Job Title: Project Manager II City: Memphis State/Province: Tennessee Position Type: Full Time Description: Project Manager II CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Servic ...
			Categories: Project Management , Insurance - Admin/Clerical
	9/5/2010		Operations Manager IV- Managed CareView Similar Jobs	Sedgwick Claims Management Services, Inc	Memphis, TN	Not Provided
			Job Title: Operations Manager IV City: Memphis State/Province: Tennessee Position Type: Full Time Description: Operations Manager IV - Managed Care CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick C ...
			Categories: Management and Supervision, Insurance - Management
	9/5/2010		Manager of Case Management (RN) - LTC CHOICES - Davidson, Sumner and Wilson CounView Similar Jobs	UnitedHealth Group	Nashville, TN	Not Provided
			Manager of Case Management (RN) - LTC CHOICES - Davidson, Sumner and Wilson Counties Area-331635 Description Purpose of Job: The Manager of Case Management will manage the TN Long Term Care Choices care management team, including Registered Nurses and Social Workers, with responsibility for clinical opera ...
			Categories: Healthcare - Nursing, Insurance - Management
	9/5/2010		Senior Appeals and Grievances Coordinator - Phoenix, AZ, Pittsburgh, PA or NashvView Similar Jobs	UnitedHealth Group	Nashville, TN	Not Provided
			Senior Appeals and Grievances Coordinator - Phoenix, AZ, Pittsburgh, PA or Nashville, TN-334181 Description Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances Analyze and identify ...
			Categories: Insurance - Management, Insurance - Claims
	9/5/2010		Claims Examiner III, Workers' Compensation - Memphis, TNView Similar Jobs	Sedgwick Claims Management Services, Inc	Memphis, TN	Not Provided
			Job Title: Claims Examiner III - WC City: Memphis State/Province: Tennessee Position Type: Full Time Description: Claims Examiner III - Workers' Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices mak ...
			Categories: Insurance - Claims
	9/2/2010		Claims Supervisor - Franklin, TNView Similar Jobs	UnitedHealth Group	Franklin, TN	Not Provided
			Claims Supervisor - Franklin, TN-334505 Description Position Description: Manage the AIM Medicare Advantage Coders to ensure reimbursement accuracy. Perform ongoing analysis of charts and claims for the appropriate CMS coding compliance. Research and resolve assigned coding projects. Perform coding audit ...
			Categories: Insurance - Management, Insurance - Claims
	9/2/2010		Recovery/Resolution Representative - Franklin, TNView Similar Jobs	UnitedHealth Group	Franklin, TN	Not Provided
			Recovery/Resolution Representative - Franklin, TN-330335 Description Position Description: Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May inc ...
			Categories: Healthcare - Administration/Billing, Insurance - Claims, Insurance - Risk/Loss Control
	9/2/2010		CRG (Customer Service Representative Lead) AMC - Kingsport, TNView Similar Jobs	UnitedHealth Group	Kingsport, TN	Not Provided
			CRG (Customer Service Representative Lead) AMC - Kingsport, TN-330532 Description Position Description: Positions in this function are responsible for providing expertise and customer service support to members, customers, and/or providers. Direct phone-based customer interaction to answer and resolve a ...
			Categories: Customer Service - General, Insurance - Management
	9/1/2010		Utilization Review RNView Similar Jobs	Sedgwick Claims Management Services, Inc	Memphis, TN	Not Provided
			Job Title: Utilization Review RN City: Memphis State/Province: Tennessee Position Type: Full Time Description: Utilization Review Registered Nurse CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Clai ...
			Categories: Quality Assurance/Safety, Insurance - Management
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