and coordinate RTW efforts Active participation in RTW efforts with examiner and nurse case managers Actively works with physicians... status to increase functional ability before RTW period expires Sets follow-ups to re-review claims where function...
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers... to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers... to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...
claims activity involving personal injury claims, auto property losses, and casualty losses. ESSENTIAL FUNCTIONS... and RESPONSIBILITIES Investigates claims to uncover criminal activity, false claims, staged accidents, or unnecessary medical treatments...
to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make... and effectively in writing and verbally Must have the ability to interface with the claims adjusters, attorneys, physicians...
and maintain a seamless claims payment integrity program. Serve as liaison with other key departments (Medical Management, Network... Management, Data Analytics, Claims & Enrollment Operations) to develop, monitor, and update respective roles, responsibilities...
health care claims data. A CPA is not required; but the position qualifies for CPA accreditation purposes. Additional... Medicaid program provides health coverage to millions of New Yorkers, including low-income persons, children, elderly adults...
, ICD-9 / 10, DRGs) and/or experience analyzing health care claims data. A CPA is not required; but the position qualifies..., long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers...
, and abilities related to white collar crime; money laundering; insurance claims; generally-accepted accounting principle violations.... Preferred Qualifications/Experience One or more certifications: Certified Fraud Examiner, Certified Public Accountant...
, claims of beneficial use, and extensions. Helping implement water right purchases and sales through due diligence...: This position requires OSHA/MSHA health and safety, first aid, and CPR training and medical monitoring, paid for by the firm...
, claims of beneficial use, and extensions. Helping implement water right purchases and sales through due diligence...: This position requires OSHA/MSHA health and safety, first aid, and CPR training and medical monitoring, paid for by the firm...