- Sedgwick (Lansing, MI)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- LG Energy Solution (Holland, MI)
- Title: Occupational Health Nurse, Specialist (Part Time or Full Time) Reports to: Health & Safety Manager Location: Holland, MI LG Energy Solution Michigan Inc. ... such items as physicians' reports on employee health, workers' compensation insurance claims , medical restrictions on employee work, and the policies and procedures… 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
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- University of Michigan (Ann Arbor, MI)
- Outpatient Authorization Specialist Apply Now **Job Summary** The Authorization Specialist is responsible for facilitating and successfully procuring outpatient ... insurance authorizations. The Authorization Specialist will be accountable to one or more designated...thoroughly. + Obtain retro authorizations on billed and rejected claims and denied procedure codes for facility and professional… more
- Molina Healthcare (Detroit, MI)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- Sedgwick (Lansing, MI)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... demands, wages and benefits, and availability. + Thoroughly reviews contested claims . + Assists as needed with submission of accommodation recommendations to… 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
- Walgreens (Grandville, MI)
- …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
- ManpowerGroup (Plymouth, MI)
- **Overview:** The Customs Specialist will be part of the Global Customs & International Trade Compliance organization (GCTC) that is responsible for the company's ... Trade Agreement Reconciliation program. This involves identifying and quantifying post entry claims , working with external service provider to file timely claims … more