- FM (Malvern, PA)
- …agents/brokers. FM Boiler Re, a division of FM, is currently seeking a claims intern for our Malvern, PA headquarters. This position provides administrative support ... responsible for ensuring proper maintenance and data quality of claim records, providing phone support coverage during FM Boiler...normal hours of operation, and providing support for the claims staff. + Computer skills + Excellent writing skills… more
- USAA (Philadelphia, PA)
- …for determining settlement amounts outside of authority limits and accurately manages claims outcomes. Maintains accurate, thorough, and current claim file ... and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage,… more
- Lyric (Newtown Square, PA)
- …guidelines with strong leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with clients to assist in ... their interpretation of Lyric's claim edits while using our software. The Senior Manager's...subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid, MUEs,… more
- Lyric (Newtown Square, PA)
- …and governmental references, specialty society guidance, industry trends and paid claims data, the New Opportunity Consultant identifies areas where claim ... This team member recommends solutions to limit and reduce claim overpayments. This position is instrumental in the support...to provide clients with incremental savings. + Analyze paid claims data for the purpose of identifying overpayments and… more
- Lyric (Newtown Square, PA)
- …variety of business processes including but not limited to processing medical insurance claim overpayments through recovery (40%) + Review claims for missing or ... as well as advanced excel experience + 1+ Years' experience auditing medical claims to identify improper payments as a Payment Integrity Vendor or within a… more
- Merck & Co. (North Wales, PA)
- …data or other large-scale datasets (eg, clinico-genomic databases, EHR, claims , registries)Strong quantitative skills with experience conducting statistical analyses ... in a clinical research settingProficiency in statistical programming (SAS and/or R)Proven ability to complete research projects resulting in peer-reviewed scientific publications and conference presentationsStrong organizational, problem solving, and… more
- Merck & Co. (North Wales, PA)
- …with electronic healthcare databases (electronic medical records and insurance claims ); efficiently manipulates large databases including complex data preprocessing, ... filtering, and manipulation; experience with sampling strategies for large databasesSolid RWE and RWD domain knowledgeExpertise in SAS and R Real World Evidence programming including data processing, statistical procedures and graphing and tabulation… more
- Towne Park (Philadelphia, PA)
- …- 10% Explains parking rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects claim checks ... information including key tag, guest folio, location of vehicle, damage survey and claim check receipt from all vehicles taken into the valet system. Consistently… more
- Eisai, Inc (Pittsburgh, PA)
- …(eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state ... transparency and disclosure laws) preferred.Demonstrated skills at building and maintaining professional relationships with key customers and others in the customer influence network, preferred.Experience in business analytics to understand and analyze… more
- Lyric (Newtown Square, PA)
- …client growth initiatives. + Provide expertise on health plan payment policies, claims editing methodologies, and their downstream impact on provider networks and ... code edit frameworks. + Deep expertise in health plan payment policies and claims editing, with a strong understanding of their impact on provider networks and… more
