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Medical Case Manager Part-Time - Hybrid

Crawford & Company
Peoria, IL
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at Crawford & Company in Peoria, Illinois, United States Job Description ...
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Summary
About the job:
Medical Case Manager Part-Time - Hybrid Requisition ID 2024-24953 Job Locations US-IL-Champaign | US-IL-Peoria Position Type Regular Part-Time Category Medical Case Management Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary * Great Work Life Balance! * Monthly Bonus Program! * Free CEU's for licenses and certificates * License and national certification reimbursement This is a work from home position requiring local field case management travel. Candidates must reside within the Central IL...
Location:
Peoria, IL
Job Type:
Part-Time
Permanent
Occupation:
Mental Health and Substance Abuse Social Workers
Career Level / Education:
Associate's degree
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Contact Center Lead

Crawford & Company
Lake Zurich, IL
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Performs as the senior team Contact Center Agent, supporting the day-to-day ...
Details
Summary
About the job:
monitoring of paper claim volume and distributing claims accordingly. Assists supervisor and Quality Assurance Specialist with monitoring quality and data integrity. - Assists with fax/email claim intake as needed on a daily basis concentrating on the more complex claims. - Handle NOL fax/email distribution. - Handles escalated phone calls and fax/email escalated claims for quick handling. - Monitor the Command Center workstation for specialized claim handling that may require special decrypting. - Depending on the...
Location:
Lake Zurich, IL
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Office and Administrative Support Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Senior Medical Case Manager

Crawford & Company
Lubbock, TX
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To provide quality case management services in an appropriate, cost ...
Details
Summary
About the job:
effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Quality Improvement Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability and Disability. - May assist supervisor/manager in review of reports, staff development. - Reviews case records and reports, collects and analyzes data, evaluates client's medical and vocational status and defines...
Location:
Lubbock, TX
Job Type:
Full-Time
Permanent
Occupation:
Clinical Nurse Specialists
Career Level / Education:
Associate's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Driver's License
Therapeutic pharmaceutical agents license
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Medical Case Manager - Hybrid

Crawford & Company
Wilkes-Barre, PA
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• Great Work Life Balance! • Monthly Bonus Program! • Free CEU’s for ...
Details
Summary
About the job:
licenses and certificates • License and national certification reimbursement This is a work from home position requiring local field case management travel to cover the Wilks-Barre, PA region. - National Certification such as CCM, CRC, COHN, CRRC preferred. - RN degree required. - Prior Workers Compensation Case Management preferred. To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of...
Location:
Wilkes-Barre, PA
Job Type:
Full-Time
Permanent
Occupation:
Clinical Nurse Specialists
Career Level / Education:
Associate's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Driver's License
Certified Disability Management Specialist
Certified Occupational Health Nurse
Certified Rehabilitation Counselor
Certified Rehabilitation Registered Nurse
Certified Registered Nurse
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Duplicate Payment Collection Specialist

Crawford & Company
Chicago, IL
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Monitors and analyzes six monthly duplicate payment reports daily, in order ...
Details
Summary
About the job:
to assist the client in receiving reimbursement of the amounts that were issued twice in error. Makes contact with Payees and processes refunds where necessary. - Maintains monthly log of potential duplicate payments issued on claim files by adjusters and medical management and amounts to be collected - Reviews monthly claim reports for existing and new potential duplicate payments that requiring reimbursement - Confirms that claim has a true duplicate payment - Analyzes systems/documentation, and gather all necessary...
Location:
Chicago, IL
Job Type:
Full-Time
Permanent
Occupation:
Bill and Account Collectors
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Team Manager - Disability

Crawford & Company
California
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Under general direction, supervises the investigation, management, and ...
Details
Summary
About the job:
timely disposition of Disability claims within account, carrier and/or company guidelines, and assists the Director of Disability and Absence Management in managing the department. - Establishes and communicates performance standards and objectives and conducts performance appraisals. Administers corrective action with regards to any performance deficiencies in line with human resource policies and procedures. Recommends/approves salary adjustments, promotions, transfers and dismissals. Administers all company human...
Location:
California
Job Type:
Full-Time
Permanent
Occupation:
Human Resources Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Property Casualty Underwriter
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Team Manager - WC - Broadspire

Crawford & Company
Lake Zurich, IL
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Under general direction, supervises the investigation, management, and ...
Details
Summary
About the job:
timely disposition of Workers Compensation claims within account, carrier and/or company guidelines, and assists the VP and/or Assistant VP of Claims in managing the Service Center. - Establishes and communicates performance standards and objectives and conducts performance appraisals. Administers corrective action with regards to any performance deficiencies in line with human resource policies and procedures. Recommends/approves salary adjustments, promotions, transfers and dismissals. Administers all company human...
Location:
Lake Zurich, IL
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Office and Administrative Support Workers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Certified Property Casualty Underwriter
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Senior Account Administrator

Crawford & Company
Peachtree City, GA
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The Senior Account Administrator sets up and maintains client account ...
Details
Summary
About the job:
information in the PeopleSoft financial system and CMS2 claims system. The Senior Account Administrator also organizes, writes, and disseminates administrative information for client accounts via the Accounting Data Reporting Form (ADR), service fee billing parameter documents, and other instructional memoranda. In addition, the Senior Account Administrator assists the manager with the review of work completed by the Account Administrators, end of month processing, and oversees training. - Analyzes extensive client account...
Location:
Peachtree City, GA
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Office and Administrative Support Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Medical Case Manager - Hybrid

Crawford & Company
Portland, OR
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To provide effective case management services in an appropriate, cost ...
Details
Summary
About the job:
effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management. - Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual’s medical status, identifies needs and obstacles to...
Location:
Portland, OR
Job Type:
Full-Time
Permanent
Occupation:
Clinical Nurse Specialists
Career Level / Education:
Associate's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Driver's License
Certified Disability Management Specialist
Certified Occupational Health Nurse
Certified Rehabilitation Registered Nurse
Certified Registered Nurse
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Administrative Coordinator-GTS

Crawford & Company
Seattle, WA
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Under direct supervision, the Administrative Coordinator provides ...
Details
Summary
About the job:
administrative assistance and performs administrative related functions in conjunction with other GTS personnel in the maintenance of daily activities. Ensures that daily administrative support functions are carried out effectively; provides support services for business unit employees. - Acts as a team lead; organizes support staff functions and coordinates workflow - Checks, verifies and analyzes work of staff. - Develops reports and performs system queries as requested - Evaluates workflow processes to insure compliance with...
Location:
Seattle, WA
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Office and Administrative Support Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information
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