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claims Las Vegas, NV

32 claims jobs found in Las Vegas, NV

Gallagher
03/16/2023  
Claims Adjuster Senior Workers Compensation
Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater. Essential Duties & Responsibilities: Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the...
Gallagher Las Vegas, NV, USA
Gallagher
03/15/2023  
Claims Supervisor Workers Compensation
Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Under moderate management, supervises a team of claims adjusters. Actively drives adjuster hiring and leads adjuster training. Actively manages assigned adjuster workloads and performance. Participates in compliance and best practice reporting. Demonstrates a thorough understanding of corporate policies and procedures. Essential Duties & Responsibilities: Uses various metric driven tools such as FOCUS, the Claim Operation Tool Kit to evaluate performance and identify problem areas in advance of them becoming service issues. Reviews findings with manager to jointly develop a plan for...
Gallagher Las Vegas, NV, USA
Gallagher
03/15/2023  
Claims Adjuster Senior Workers Compensation
Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater. Essential Duties & Responsibilities: Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the...
Gallagher Las Vegas, NV, USA
Gallagher
03/06/2023  
Service Assistant - Claims Acknowledgement
Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures! What will you be doing? The Service Assistant for our Claims Acknowledgement department assists with acquiring and processing claims information from our Carriers. Compiles source data for computer entry by compiling and sorting information, utilizing a strong attention to detail and time management skills Receives and responds to customer service inquiries both written and verbal. Follows-up on carrier/client issues, researches problems and processes documents necessary to ensure a successful resolution. Handles calls and correspondence in a professional manner What you'll...
Gallagher Las Vegas, NV, USA
UnitedHealth Group
02/09/2023  
Senior Pharmacy Claims Quality / Audit Representative - Remote in California
If you are located within the state of California, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. The health care system is still evolving at a rapid pace. Technology is driving new advances in how patient care is delivered and how it's reimbursed. Now, UnitedHealth Group invites you to help us build a more accurate and precise approach to claims adjudication. In this role, you'll be responsible for the implementation and day to day performance of process activities related to claims research and resolution. This includes the review of claims, contracts, and fee schedules to identify processing, procedural, systemic and billing errors. Join us and build your career with an industry leader. This is a challenging role with serious impact. You'll be providing a senior level of support to a fast paced, intense and high-volume claims operation where accuracy and quality are essential. This position is full - time (40...
UnitedHealth Group Las Vegas, NV, USA
Gallagher
03/18/2023  
Managed Care Coordinator/Claim Line Coordinator
Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Responsible for managing Claim Line operational programs that may include working with internal stakeholders and managed care vendors. Responsible to build and maintain continuous communication and processes between internal and external clients. Accurate entry of information into multiple platforms. Recording of cases for performance tracking and daily status updates. Attend meeting with vendors, IT delivery teams, branch and CSM stakeholders. Essential Duties: Build trust, collaboration and support through open communication in different environments Manage and prioritize tasks with...
Gallagher Las Vegas, NV, USA
Gallagher
03/24/2023  
Client Service Manager
Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. We are seeking a Client Service Manager to join our growing team. Can you deliver exceptional customer service? Are you interested in helping a range of clients through issues that vary from relatively simple to moderately complex? We are looking for people who are passionate about building relationships with clients, will collaborate with the sales team to achieve goals, constantly seek improvement and will demonstrate the value Gallagher can provide. How will you affect the business? Take a leadership role in the renewal process to ensure the best possible solutions are delivered to clients...
Gallagher Las Vegas, NV, USA
Gallagher
03/22/2023  
Client Service Executive - Aviation
Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. We are seeking an experienced Client Service Executive to join our growing team. Can you lead a team to deliver exceptional customer service? Are you interested in developing the talent on your team? We are looking for people who are passionate about building relationships with clients, will collaborate with their team to achieve goals, constantly seek improvement and will demonstrate the value Gallagher can provide. How will you lead the business? Service an average book of business of $1MM plus in revenue. Collaborate with designated sales person responsible for the book of business...
Gallagher Las Vegas, NV, USA
Gallagher
03/22/2023  
Clinical Concierge Nurse Consultant
Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Key Responsibilities: Provides medical management to workers compensation injured employees. Performs case management through telephonic contact with all medical providers, employers, claims professionals and ancillary service providers. Manage medical care in order to return injured employee to preinjury status. Reviews services of medical and rehabilitation providers and arranges for and coordinates appropriate evaluation, treatment, and counseling. Communicates with physician, injured worker, employer, referral source, and any other resource involved in worker's rehabilitation program....
Gallagher Las Vegas, NV, USA
Gallagher
03/07/2023  
Equipment Handling Specialist
Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Equipment handling specialist will be responsible for handling all returned equipment, collaborating with various teams to ensure GB gets assigned equipment back and same can be refurbished and dispatched to be used by new hires. Key Responsibilities: Receipt of returned equipment Sanitization and functionality validation of all received equipment Reimaging and maintenance of received equipment Packing and dispatching of equipment Maintaining inventory logs for incoming and outgoing equipment Required: High school diploma or GED Minimum 3 years of relevant work experience....
Gallagher Las Vegas, NV, USA
Gallagher
03/01/2023  
Customer Service
Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way! Introduction Our Claims Customer Service Representatives are responsible for handling claims inquiries in a fast-paced environment while helping our customers when they have questions and concerns. You won't need a license because your primary responsibilities will be limited to inquiries on claim statuses and forwarding calls to appropriate claim staff. We have a hybrid office model (part-time in office, part-time from home) with all training to be onsite. We are located at 777 N. Rainbow Blvd., Las Vegas, NV 89107 What will I be doing? Working Monday to Friday - no weekends! Doing an 8 hour shift...
Gallagher Las Vegas, NV, USA
Gallagher
03/01/2023  
Resolution Manager
Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Investigates, evaluates, disposes and settles less complex claims with moderate supervision and includes the investigation, determination and evaluation of coverage, liability and damages and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $5,000 liability and/or $10,000 workers compensation or greater. Essential Duties & Responsibilities: Exercises proper judgment and decision making to analyze the claims exposure to determine the proper course of action and to appropriately settle the claim. Interacts...
Gallagher Las Vegas, NV, USA
Gallagher
02/15/2023  
Equipment Handling Specialist
Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Equipment handling specialist will be responsible for handling all returned equipment, collaborating with various teams to ensure GB gets assigned equipment back and same can be refurbished and dispatched to be used by new hires. Key Responsibilities: Receipt of returned equipment Sanitization and functionality validation of all received equipment Reimaging and maintenance of received equipment Packing and dispatching of equipment Maintaining inventory logs for incoming and outgoing equipment Required: High school diploma or GED Minimum 3 years of relevant...
Gallagher Las Vegas, NV, USA
Gallagher
02/10/2023  
Customer Service
Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way! Introduction Our Claims Customer Service Representatives are responsible for handling claims inquiries in a fast-paced environment while helping our customers when they have questions and concerns. You won't need a license because your primary responsibilities will be limited to inquiries on claim statuses and forwarding calls to appropriate claim staff. We have a hybrid office model (part-time in office, part-time from home) with all training to be onsite. We are located at 777 N. Rainbow Blvd., Las Vegas, NV 89107 What will I be doing? Working Monday to Friday - no weekends! Doing an 8 hour shift...
Gallagher Las Vegas, NV, USA
UnitedHealth Group
02/10/2023  
Accounts Receivable Clerk - DME Services - Las Vegas, NV
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) The A/R Billing Clerk position is responsible for validating patient’s insurance coverage, processing recurring rentals, claims coding, claims billing including price validation, assisting patient accounts with billing discrepancies, payment posting and working denials in CareTend management software.  They are responsible for follow up with payers for more information or payment.  Southwest Medical Pharmacy and HME...
UnitedHealth Group Las Vegas, NV, USA
UnitedHealth Group
02/10/2023  
Medical A/R Clerk - Optum NV Hybrid
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)  This position prepares and edits medical claims for submission, both hard copy and electronically, to various 3rd party payors and clearinghouses. **This is a Hybrid Position in Las Vegas where we work 3 Days in office and 2 Days remote Mon-Fri** Primary Responsibilities: Interact with customers gathering support data to ensure invoice accuracy and also work through specific billing discrepancies Provide input to policies, systems, methods, and procedures for the effective management and control of the premium billing...
UnitedHealth Group Las Vegas, NV, USA
UnitedHealth Group
02/09/2023  
Community Outreach Representative, IESNP - Telecommute in Philadelphia, PA
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) As a Community Outreach Representative (COR) you'll utilize innovative strategies and programs to ensure access to health care coverage for the underserved and impact millions of lives. You'll use your energetic, empathetic approach to marketing and add value to our team. Through community marketing and outreach efforts, you will have direct impact on membership growth and retention. You'll use your creativity, strategic lens, and outspoken attitude to be part of an elite team to rewrite the history of UnitedHealth Group....
UnitedHealth Group Las Vegas, NV, USA
UnitedHealth Group
02/08/2023  
Recovery & Resolutions Clerk - Las Vegas, NV
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing  your life's best work . SM 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 include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases. This position is full-time, Monday -...
UnitedHealth Group Las Vegas, NV, USA
UnitedHealth Group
02/07/2023  
Accounts Receivable Clerk - DME Services - Las Vegas, NV
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) The A/R Billing Clerk position is responsible for validating patient’s insurance coverage, processing recurring rentals, claims coding, claims billing including price validation, assisting patient accounts with billing discrepancies, payment posting and working denials in CareTend management software.  They are responsible for follow up with payers for more information or payment.  Southwest Medical Pharmacy and HME...
UnitedHealth Group Las Vegas, NV, USA
UnitedHealth Group
02/07/2023  
Medical A/R Clerk - Optum NV Hybrid
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)  This position prepares and edits medical claims for submission, both hard copy and electronically, to various 3rd party payors and clearinghouses. **This is a Hybrid Position in Las Vegas where we work 3 Days in office and 2 Days remote Mon-Fri** Primary Responsibilities: Interact with customers gathering support data to ensure invoice accuracy and also work through specific billing discrepancies Provide input to policies, systems, methods, and procedures for the effective management and control of the premium billing...
UnitedHealth Group Las Vegas, NV, USA
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