Manager, Claims Salary at Bristol West BETA

The Claims Specialist works with and reports to the Department Manager. The position is located in person/ onsite at 75 Valencia Ave, Coral Gables, FL 33134. Job Essential Duties and Responsibilities: To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Minimum one year of medical claims processing experience. Medical, dental and vision claims adjudication. Utilize MWG Administrators Policy Administration System and Claims Management Software to verify eligibility and review members accounts based on the policy assigned. Input data into MWG Administrators Claims Management Software. Handle incoming mail, provider appeals, inquire, and racers. Review member correspondence and process or direct to the appropriate department. Main

Summary: The Senior Director of Reimbursement develops and implements departmental goals, plans, standards, policies and procedures for managing governmental reimbursement and for ensuring timely and accurate cost reporting, consistent with the clinical, administrative, legal, and ethical requirements/objectives of Memorial Healthcare System (MHS). Responsible for systemic approaches that contribute improvements in Medicare and Medicaid funding, including designing, supporting, and implementing payment innovations. Responsibilities: Oversees Corporate Finance functions for State Medicaid Agency reporting (Florida Hospital Uniform Reporting System, Inpatient and Emergency Department/Ambulatory Surgery Quarterly Reports, Low Income Pool and Disproportionate Share Hospital reports) to ensure timely and accurate reporting. Develops strategies for improving payment from various governmental programs in compliance with all relevant rules and regulations. May include operational changes, crea

Introduction Discover a world of endless possibilities at Gallagher Benefit Services, where you'll have the power to shape the future of workplaces across industries. As a member of our team, you become the driving force behind positive change, helping clients build environments where employees thrive. Embrace the opportunity to impact lives, unlock potential, and create a legacy of remarkable transformation. We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply. How you'll make an impact The Client Service Executive is accountable for expanding existing relationships and delivering high quality and efficient service to both internal and external clients through the day-to-day account management of an assigned group of client accounts within a Branch. This role directly contributes to key business outcomes such as revenue growth, client retention, client satisfaction

Introduction Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND. We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply. Overview Role specifics: Jurisdictions: FL, GA, NC, SC, and TN Licenses: FL preferred (or any combination of the above jurisdictions) Location: This role is eligible for fully remote work. How you'll make an impact Apply claims management experience to execute decision-making to analyze claims exposure, plan

About the job Director - Risk Management (PE-Risk) Responsibilities: Assist Executive Director as outsourced risk manager for global infrastructure and private equity clients Work with insurance brokers, acquisition teams, asset management teams and portfolio company management teams to obtain and organize information needed to quote and bind comprehensive insurance placements Support M&A processes from an insurance perspective including insurance due diligence, risk review, deal document review and transactional insurance placements Manage brokerage RFPs for global infrastructure and private equity clients Assist in the management and negotiation of complex insurance claims Support clients in annual insurance budgeting and premium allocation methodologies Track, maintain and prepare reports on policy information in risk management information systems (as needed) Ongoing review of insurance requirements in contracts, agreements etc. Field day to day questions from internal and external

Introduction Indulge your passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of diverse minds, united by a relentless pursuit of excellence. As part of our team, you'll be the architect of protection, safeguarding businesses and empowering their ambitions. Together, we'll build a legacy of trust and triumph in the dynamic world of risk management. We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply. Overview We are seeking a Client Service Manager to join our growing team! The ideal candidate is someone who is passionate about building relationships with clients, will collaborate with the team to achieve goals, constantly seek improvement, and will demonstrate the value Gallagher can provide. How you'll make an impact Take a leadership role in the renewal process to ensure the best possi

Manage the receipt of new legal matters including claims, subpoenas, and lawsuits to ensure proper handling. Closely monitor all deadlines and communicate status of subpoenas and discovery requests with Claims Manager and General Counsel. Review and Legal, Paralegal, Corporate, Claims Manager, General Counsel, Healthcare, Counsel

Job Description Job Description Billing specialists for a busy podiatry practice in South Florida with a minimum of 3-5 years of medical billing experience are required. Must be knowledgeable with Medicare, Private Insurance, Workers Comp, as well as surgical billing, DME, and Network billing. Also must have basic business skills including EMR software and Microsoft Office Responsibilities include charge entry, obtaining authorizations and referrals, insurance verification, customer service, and claim management until resolution. Must work independently and with a billing team and physicians. Multi-tasking and excellent organizational skills are required.