- Sedgwick (Lansing, MI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Zurich NA (Lansing, MI)
- 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 (Lansing, MI)
- …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 ( ... you will:** + Perform adjustments across all dollar amount levels on customer service platforms, specifically by using technical and claims processing expertise.… more
- Cognizant (Lansing, MI)
- …of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...for reviewing medical records when necessary to determine if service rendered was medically appropriate and criteria have been… more
- Trinity Health (Ann Arbor, MI)
- …demographic and financial information for the purpose of establishing the patient and service specific record for claims processing and maintenance of an ... demographic and financial information for the purpose of establishing the patient and service specific record for claims processing and maintenance of an… more
- Travelers Insurance Company (Detroit, MI)
- …field and our business partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Trinity Health (Ann Arbor, MI)
- …they come on service . + Process any required third party billing claims in Towers Pharmacy program and coordinate with home infusion pharmacy program. + Assist ... Type:** Part time **Shift:** Day Shift **Description:** **Pharmacy Tech Specialist - Home Infusion** **Department:** Home Infusion **Location:** Trinity Health… more
- Trinity Health (Howell, MI)
- …demographic and financial information for the purpose of establishing the patient and service specific record for claims processing and maintenance of an ... information to patients concerning regulatory requirements. At point of service , provides estimated costs and patient responsibility, facilitating collection of… more
- University of Michigan (Ann Arbor, MI)
- …are met and authorizations are obtained timely and appropriately prior to service . The Authorization Specialist will provide subject matter expertise in ... Outpatient Authorization Specialist Apply Now **Job Summary** The Authorization ... will be accountable to one or more designated service lines across all sites of service … more
- Prime Therapeutics (Lansing, MI)
- …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible ... support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned....Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more