- Wells Fargo (Charlotte, NC)
- …within Consumer, Small Business Banking (CSBB) Operations and Fraud and Claims Management (FCM) with analytic insights, data visualization, risk, regulatory and ... and drive a common approach to reporting in support of the Fraud and Claims Management team. + Partners in the development of moderately complex dashboards and… more
- Humana (Raleigh, NC)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Wells Fargo (Charlotte, NC)
- …actionable and tangible strategies Partner with Card Operations, Product, Fraud Claims , Compromise Management, and Strategy Implementation teams to understand and ... processes including transaction decisioning, post-decision customer contact/analysis, and fraud claims processing + Support authorization systems / score migration… more
- Sedgwick (Greensboro, NC)
- …promotional growth opportunities. + A diverse and comprehensive benefits offering including medical , dental, vision, 401K, PTO and more. The statements contained in ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Evolent (Raleigh, NC)
- …of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable ... experience with Testing, Writing Test cases, Test Plans, and good understanding on what needs to be tested + Demonstrable experience in verbal and written communication with domain teams and program leadership + Demonstrable experience working concurrent… more
- UIC Government Services and the Bowhead Family of Companies (Camp Lejeune, NC)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- City of Asheville (Asheville, NC)
- …and manage data through department work order systems to support FEMA claims , including force account labor. + Identify potential compliance risks, duplications of ... access to the City of Asheville's benefit suite including Medical , Dental, and Life insurance options + Enrollment in...Ability to evaluate and analyze data to support funding claims and compliance reporting. + Capable of coordinating across… more
- The Robison Group (Greensboro, NC)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... pass a drug test with negative results (except when undergoing documented medical treatment). + College Degree preferred. TRAINING The Robison Group provides remote… more
- Truist (Greensboro, NC)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance...the division of Truist offering the position. Truist offers medical , dental, vision, life insurance, disability, accidental death and… more
- Evolent (Raleigh, NC)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... + 2+ years of analytics & reporting experience in healthcare, including medical economics, cost/utilization analysis, and membership trend reporting. + 2+ years of… more