2 complex claims director excess jobs found in Lansing

SUMMARY Medical Bill Review Specialist I Primarily responsible for analyzing bills for multi-state Workers Compensation medical claims to determine appropriateness of services billed. Responsible for analyzing simple billings by utilizing our Medical Bill Review (MBR) software to determine appropriateness of codes. Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing technical review of more complex medical bills, including modifiers, anesthesia, & psychiatric. Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software to determine appropriateness of codes and excessive charges. Also responsible for analyzing assigned medical bills to determine compliance with business rules, client specific requirements and multiple state rules, regulations and...

OBJECTIVE Director of Property Claims Objective To drive claims performance for the entire property team. To assure compliance and successfully balance adjusted loss expense, loss cost and customer satisfaction.  Directly responsible to ensure the prompt, efficient and consistent handling, operation, control and disposition of all first and third party personal and commercial property claims. To plan, organize and direct the implementation and usage of tools and emerging technology needed through innovation and the simplification of business processes.  To provide direction, leadership and technical services for property claims.  Responsible for ensuring quality and customer service standards are achieved.  Develop and be responsible for assigned division and corporate projects that contribute and support strategic goals. RESPONSIBILITIES Director of Property Claims Responsibilities Promote and champion corporate/divisional...