- Zurich NA (Madison, WI)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- CVS Health (Madison, WI)
- …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( ... and interpersonal skills. + Previous experience with DG system claims processing. **Education** + Associate 's degree or...with DG system claims processing. **Education** + Associate 's degree or equivalent experience (high school diploma or… more
- Molina Healthcare (Kenosha, WI)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- Elevance Health (Waukesha, WI)
- **Recovery Specialist Associate ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... care cost containment company offering subrogation recovery services. The **Recovery Specialist Associate ** is responsible for identifying, tracking, and… more
- Generac Power Systems (Waukesha, WI)
- …energy technology solutions company, we continue to push new boundaries. The Associate Industrial Technical Support Specialist is responsible for providing ... new dealer personnel on how to navigate Generac's warranty systems and submit claims electronically. + Troubleshoot with the dealer technician to resolve issues with… more
- Molina Healthcare (Milwaukee, WI)
- …to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues ... **I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a managed… more
- Molina Healthcare (Milwaukee, WI)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist (Remote in WI)) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly Hours:** ... **Job Description:** **JOB SUMMARY** The Security Health Plan (SHP) Pharmacy Benefit Specialist is responsible for the daily administration of the SHP pharmacy… more
- Walgreens (Stoughton, WI)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Kohler Co. (Kohler, WI)
- **EHS Plant Specialist , WI Campus** _Work Mode: Onsite_ **Location: ** Onsite -Kohler, WI **Opportunity** Identify, develop and participate in the implementation of ... (EHS) programs and related projects through risk identification, working with management, associate teams and EHS staff to promote significant EHS improvements at… more