- Sedgwick (Baton Rouge, LA)
- …Coverage Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- Sedgwick (Baton Rouge, LA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims ... CANDIDATE?** Do you have experience as a **Bodily Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are… more
- Sedgwick (Baton Rouge, LA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY PURPOSE** ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Cognizant (Baton Rouge, LA)
- …**Experience:** A minimum of 2 years of claim processing is required. ** Travel :** None required **About the role:** As Claims Adjudication Specialist, you ... HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered...of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/quality… more
- Sedgwick (Baton Rouge, LA)
- …total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to mid-level… more
- Sedgwick (Baton Rouge, LA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto Bodily Injury (Litigation Required) **PRIMARY PURPOSE** : To analyze ... and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of… more
- Humana (Baton Rouge, LA)
- …industry + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing , system navigation, payment ... to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in...at a time that is best for your schedule. Travel : While this is a remote position, occasional … more
- Canon USA & Affiliates (Baton Rouge, LA)
- **Mgr Medical Affairs - Clinical Development Sr - HIT - req1494** **OVERVIEW** Works independently and as part of a dynamic and fast-paced team of clinical and ... and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business,… more
- Otsuka America Pharmaceutical Inc. (Baton Rouge, LA)
- **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ... Affairs goals and initiatives + Up to 25% travel is required, based upon business needs + Position… more
- Otsuka America Pharmaceutical Inc. (Baton Rouge, LA)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... with internal and external customers + Proficient in delivering training and presentations ** Travel Requirements** + Ability to travel up to 60-70% domestically… more