- Travelers Insurance Company (Detroit, MI)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
- CVS Health (Lansing, MI)
- …And we do it all with heart, each and every day. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists ... use multiple systems and screens to obtain and record claim information + Review claims information to...quality and production standards + Assist team members in support of achieving team, office, regional, and national goals… more
- Eaton Corporation (Galesburg, MI)
- …based at our Galesburg, MI facility. The Customer Experience Digital Tools Specialist (DTS) will provide direct support for Eaton's ServiceRanger4 Diagnostic ... authorization and assistance, account management assistance, billing verification, and support engineering with application update testing. This individual will help… more
- Sedgwick (Lansing, MI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- GAP Solutions Inc (Lansing, MI)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... SES programs, work life programs, policy and employee and labor relations. In support of the Dept. of Homeland Security (DHS), US Immigration and Customs Enforcement… more
- Cognizant (Lansing, MI)
- …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... claims utilizing payer specific policies and procedures. Provide support to claims and client for issues...* Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or… more
- Evolent (Lansing, MI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding ... Support Manager to be a core member of the...and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure… more
- Molina Healthcare (MI)
- …agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and ... response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments...relating to claims payment and requests for claim adjustments or to requests from outside agencies **JOB… more
- CDM Smith (Lansing, MI)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Henry Ford Health System (Jackson, MI)
- …teams for reimbursement and billing purposes. The CBO Coding Certified Specialist accurately abstracts information from the electronic health record for compilation ... PRINCIPLE DUTIES AND RESPONSIBILITIES: + Successfully executes resolving accounts in SVC, claim edit, charge review, follow up, and denial work queues. + Identifies… more