- Sedgwick (St. Paul, MN)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you ... trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. **ARE YOU AN IDEAL CANDIDATE?** We are… more
- Metropolitan Council (Minneapolis, MN)
- Construction / Owner's Representative : Principal Contract Administrator / Contract Administrator Print ... (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4983729) Apply Construction / Owner's Representative : Principal Contract Administrator / Contract Administrator Salary See… more
- Otsuka America Pharmaceutical Inc. (St. Paul, MN)
- **Job Summary** The Associate Director, Global Product Quality - Biologics is responsible for directing quality oversight of clinical and commercial products at CMOs ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Towne Park (Rochester, MN)
- …and may be subject to a specific plan or program terms. **SUMMARY** The Associate Manager is responsible for ensuring high levels of client, customer and ... associate satisfaction at a designated Towne Park location. Key...15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately… more
- Walmart (Hibbing, MN)
- …are aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides ... your chance to be part of it. A Walmart Associate Optometrist is the clinical partner to the Vision...reputation in the community. Serves as a credible spokesperson, representative , and sponsor of the company to the public… more
- Robert Half Legal (Bayport, MN)
- …complex matters and contributing directly to business success. Responsibilities: * Manage claims and lawsuits related to specific business units or product lines, ... * Partner with insurance providers and adjustors to address claims effectively. * Collect, analyze, and organize internal and...in trial preparation and case management activities. Requirements * Associate degree with 2-7 years of experience as a… more
- Highmark Health (St. Paul, MN)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
- Highmark Health (St. Paul, MN)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built on values of succeeding ... responsible for answering customer questions pertaining to product information, benefits, claims resolution and eligibility in a call center environment. This… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built on values of succeeding ... synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it… more