- CVS Health (Lansing, MI)
- …customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… 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 ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- ManpowerGroup (Plymouth, MI)
- …Free Trade Agreement Reconciliation program. This involves identifying and quantifying post entry claims , working with external service provider to file timely ... **Overview:** The Customs Specialist will be part of the Global Customs...program. + Help determine the workload of an external service provider that provides origin services - including the… more
- Walgreens (Ypsilanti, MI)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive and delightful… more
- CVS Health (Lansing, MI)
- …and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. ... other departments to influence and promote change, to continually deliver quality service to both internal and external customers. Performs regular quality audits… more
- CDM Smith (Detroit, MI)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- Trinity Health (Howell, MI)
- …by service departments and physicians to assure accuracy for claims submission and adjudication of reimbursement. Verifies insurance eligibility with payors. ... Interviews patients and gathers information to assure accurate and timely claims submission. Interprets information collected to determine and create comprehensive… more
- Army National Guard Units (Lansing, MI)
- Summary THIS IS AN ARMY NATIONAL GUARD TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a TITLE 32 HUMAN RESOURCES SPECIALIST (MILITARY) ... You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof… more
- Molina Healthcare (Warren, MI)
- …**R** **I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service /provider service experience ... to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues… more
- Prime Therapeutics (Lansing, MI)
- …drives every decision we make. **Job Posting Title** Business Intelligence Specialist - Sacramento, California market **Job Description** Delivers against business ... mentors user communities on use of business intelligence/analytical tools, such as self- service capabilities and standard report packages. May lead efforts to create… more