- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the ... understanding of current data & environment and modeling of future events. This role is amongst the group that is responsible for providing a range of experience working to establishing rates, rating structures and systems and reserves. The Actuarial Analyst… more
- CareFirst (Cumberland, MD)
- …**PURPOSE:** The MSP COB Representative I focus on Medicare Secondary Payer (MSP) claims, Coordination of Benefits (COB) Claims or both. Investigates Medicare ... Secondary Payer and/or COB cases to resolve quickly. Investigate and analyze Medicare Secondary Payer demands for coordination of benefits with Medicare. Update/maintain accurate file information regarding OPL to ensure correct coordination occurs with… more
- Equitable (Roanoke, VA)
- …**Equitable Advisors** is dedicated to making a positive impact in the lives of its clients. Our network of over 4,300 financial professionals across the US is ... committed to fostering relationships that help people achieve meaningful financial wellness. In total, Equitable Advisors serves 2.4 million clients nationwide. Our mission is simple: to make a difference in the lives of others. If you are passionate about… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …Ensure you meet the Minimum Qualifications listed on the job opening by the job closing date. You must specify your qualifications on your application. The minimum ... experience and training requirements listed must be met by the close date on the job opening, unless otherwise specified. + Educational Credits: List your earned credits and degrees from accredited institutions accurately on your application. To receive… more
- MyFlorida (Tallahassee, FL)
- …for this position include the following REQUIRED ENTRY LEVEL KNOWLEDGE, SKILLS AND ABILITIES: + Knowledge of the principles and techniques of effective communication. ... + Ability to examine and evaluate data relating to a workers' compensation program. + Ability to understand and apply applicable rules, regulations, policies and procedures relating to a workers' compensation program. + Ability to handle telephone calls in a… more
- AON (New York, NY)
- …over corporate transactions at the intersection of mergers & acquisitions, legal risk assessment and insurance underwriting. Candidates should possess the ability to ... get along with and advise business, financial and legal persons throughout the deal cycle. Candidate must have a strong academic record, excellent analytical and oral communication skills and the ability to work independently with clients and colleagues. In… more
- Protective Industrial Products (Latham, NY)
- …working with the Company's Finance, Operations and Legal staff. This individual contributor role leads the administration and strategic oversight of the company's ... corporate insurance programs, ensuring comprehensive protection of assets, operations, and personnel. This role manages the end-to-end insurance lifecycle-from underwriting and coverage analysis to claims resolution-while collaborating cross-functionally with… more
- The Cigna Group (Bloomfield, CT)
- …+ Makes coverage determinations only on retrospective administrative OP claims/appeals such as bundling reviews using standard NAO and claims policies and procedures ... The Clinical Coder conducts outpatient post-service administrative claims or appeals coverage determinations (such as bundling reviews) for which they are empowered outside of our company's clinical unit manager program requirements. This role applies all… more
- Centene Corporation (Jefferson City, MO)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. THIS IS A HYBRID ROLE FOR ... THE STATE OF MISSOURI OCCASIONAL TRAVEL TO PROVIDERS OFFICES **THE IDEAL CANDIDATE WILL RESIDE IN:** **Greene, Webster, Polk, Christian, Lawrence, Dade and Dallas Counties** **Position Purpose:** Provides support with identifying, overseeing, and managing the… more
- Allied Solutions (Plano, TX)
- …This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This will include ... researching and investigating EZ Claim Total Loss, GAP, CPI and others as assigned. This position will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim documentation is thoroughly reviewed and… more
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