Investigate workers’ compensation claims by interviewing injured workers, witnesses, and policyholders to verify coverage and determine compensability and benefits due.
Calculate and set timely financial reserves and proactively manage reserve adequacy throughout claim lifecycle.
Negotiate settlements of claims within designated authority with injured workers and attorneys.
BerkleyNet is an innovative workers compensation insurance provider that does all of its business online. Their goal is to make doing business 'Ridiculously Fast. Amazingly Easy.'
Plan and conduct investigations of claims to determine coverage, liability, and damages.
Engage independent adjusters and experts, assess policy coverage, and establish reserves.
Negotiate settlements and coordinate litigation activities to ensure timely and cost-effective resolution.
Liberty Mutual is a global insurance company providing property and casualty insurance. They are a large employer with a culture focused on inclusion, professional development, and comprehensive benefits.
Supervise and support workers' compensation claims staff to ensure quality, compliance, and customer service objectives are met.
Provide technical and jurisdictional guidance on complex claims matters including compensability, litigation, and case management.
Coach, train, and develop team members through performance evaluations and targeted development initiatives.
The company provides workers' compensation claims management services. They emphasize a collaborative, remote culture with opportunities for professional development.
Manage complex workers' comp claims from setup to closure, including high-dollar cases.
Conduct investigations, set reserves, and ensure statutory compliance.
Mentor junior adjusters and collaborate with internal and external partners.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They focus on efficient, objective candidate review and operate in a collaborative, technology-enabled environment.
Make high-volume outbound calls to investigate, bill, and maximize payments on workers' compensation claims.
Submit bills and proper documentation to insurance companies, ensuring maximized payments to clients.
Review payer information to resolve denied claims and participate in special projects to achieve goals.
Revecore helps hospitals recover the revenue they've earned. Trusted by over 1,300 hospitals across 48 states, they combine specialized expertise with proprietary technology and foster a supportive, innovative workplace.
Submit provider bills to health insurance or MedPay carriers accurately and timely.
Follow up with providers and insurance carriers to ensure prompt payment and maximize client recovery.
Verify medical balances and coordinate benefits to facilitate smooth settlement distributions.
Parnall Law Firm is the largest personal injury firm in New Mexico, dedicated to advocating for clients when they need it most. The team is a group of passionate advocates with a culture of learning, growing, and supporting one another.
Assist the claims team and LMVR with tasks related to the ICEP process for Costco, coordinating placement of injured workers.
Communicate effectively with claimants, employers, and claims staff to address return to work barriers and maintain documentation.
Collect data, resolve problems, and identify administrative inefficiencies to enhance workflow and productivity.
Liberty Mutual is a global insurer that helps people protect and insure their assets. The company values inclusion and offers comprehensive benefits, with a large employee base and a culture focused on well-being and professional growth.
Manage and investigate lost time workers' compensation claims, including coverage, liability, and exposure.
Evaluate claims for settlement and negotiate with claimants and attorneys to resolve files timely.
Maintain accurate reserves and document all claim files with appropriate payments and updates.
Acrisure is a global fintech leader that connects clients with customized solutions across insurance, reinsurance, payroll, benefits, cybersecurity, and mortgage services. With revenue of nearly $5 billion and over 19,000 colleagues in 20+ countries, the company emphasizes entrepreneurial spirit, leadership, accountability, and collaboration.
Ensure timely and accurate adjudication and payment of medical claims.
Process appeals and disputes by gathering and verifying claim information.
Work independently and as part of a team to meet daily processing quotas.
Sana is a health plan solution built for small and midsize businesses, designed around integrated primary care. Founded in 2017, Sana is remote-first with a fully distributed team across the U.S., valuing curiosity, ownership, and speed.
Maximize reimbursement by collecting outstanding balances from insurance companies through claim follow-up and appeals.
Resolve aged claims via payer portals and outbound calls, escalating for reconsideration and up to three levels of appeals.
Identify denial trends and collaborate cross-functionally to improve upstream processes and prevent future denials.
CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. The company partners with healthcare providers and biopharma organizations to improve patient outcomes through molecular diagnostics and digital health solutions.
Lead appeals strategy for denials across commercial and governmental payers nationwide.
Develop evidence-based appeal packages including letters of medical necessity and clinical summaries.
Collaborate with physicians, field teams, and revenue cycle to improve reimbursement outcomes and patient access.
Advanced Oxygen Therapy, Inc. (AOTI) transforms wound care through breakthrough technologies like TWO2 therapy and NEXA NPWT system. The company is backed by a world-class international leadership team and a robust global infrastructure, offering a unique opportunity to make a meaningful impact in healthcare.
Draft pleadings, motions, discovery responses, and correspondence for attorney review.
Build medical chronologies, case timelines, and wage-loss summaries.
Handle e-filing through eJCC and assemble trial preparation materials.
Kelley Kronenberg is a law firm that defends workers' compensation claims. They are a well-established South Florida firm with a remote working culture emphasizing independent work and accountability.
Investigate, analyze, and resolve highly complex provider disputes involving reimbursement methodologies, contractual interpretation, and regulatory requirements.
Serve as a subject matter expert providing technical guidance to Provider Dispute Resolution Analysts.
Identify trends, prepare reports, and make recommendations for process improvements and corrective actions.
Gold Coast Health Plan is a health plan focused on disrupting the healthcare industry with innovative solutions to meet the whole person's needs. They seek collaborators and innovators who are passionate about addressing society's healthcare challenges.
Resolve disputed medical claims and investigate billing discrepancies.
Work with medical staff, payers, and external agencies to resolve claim issues.
Maintain accurate billing records and ensure compliance with Medicare, Medicaid, and third-party payer requirements.
The company is a healthcare organization seeking a Biller to handle medical billing and claims resolution. The culture emphasizes accuracy, professionalism, and organization in a remote setting.
Prepare and file stop loss claim submissions, assessing eligibility against policy terms and gathering required documents.
Build and maintain claimant files, ensuring accurate and audit-ready records throughout the claim lifecycle.
Track and recover outstanding reimbursements, monitoring requests and following up with carriers to drive resolution.
Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. The company serves employers, health plans, and health systems with data-driven solutions and is on a mission to empower people to lead healthier lives.
Support front-end and back-end billing operations for a fully virtual care delivery model.
Ensure accurate charge entry, claims submission, and denial resolution.
Serve as a billing point of contact for families, explaining insurance processes with empathy.
InStride Health delivers specialty anxiety and OCD care for children, teens, and young adults through a combination of research-backed clinical care and innovative technology. The team is mission-driven, focused on expanding access to insurance-based care, and values heart, smart work, humility, and community.
Investigate and analyze Motor Vehicle Accident accounts to coordinate insurance benefits and resolve outstanding balances for clients.
Conduct online medical research, review medical records, and manage claim life cycles using proprietary systems and tools.
Communicate with payers, attorneys, and clients to resolve claims, handle denials, and identify trends for prevention.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its E360 RCM intelligent automation platform. The company is a multi-year recipient of the Top Workplaces award, ranked #1 by Black Book in 2024, and has been on the Inc. 5000 fastest-growing companies list for eleven years, fostering a culture centered on professional growth and employee investment.
Manage insurance follow-up and accounts receivable resolution for assigned accounts.
Handle patient billing inquiries and review Explanation of Benefits (EOBs) for accurate resolution.
Identify trends and recommend process improvements to reduce denials and improve revenue flow.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. We focus on efficient and fair recruitment processes, leveraging technology to streamline applications while supporting a collaborative and growth-oriented culture.
Manage patient account activities to optimize reimbursement and reduce accounts receivable.
Perform billing, follow-up, collections, and denials resolution to improve financial outcomes.
Ensure accuracy of charge, claim, and payment data through reviews and targeted corrections.
The University of Kentucky is a public land-grant university dedicated to advancing education, research, and healthcare. It promotes a supportive culture that values employee well-being and professional growth.
Manage billing and receivables for home safety assessments and modifications.
Submit invoices to payers, track payments, and manage denials and disputes.
Ensure documentation compliance with payer policies and accurate billing codes.
Rosarium Health provides home safety assessments and home modifications performed by physical or occupational therapists. The company is a small, collaborative team focused on compliance and detail-oriented billing.