- Sedgwick (Grand Rapids, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Veterinary Claims | Professional Liability | ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- CVS Health (MI)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Cognizant (Lansing, MI)
- ** Sr . Facets Dental Configuration Specialist ** **Location: Remote** **Employment Type: Full-Time** **Job ID: 00067013861** **About the role** As a Technical ... optimizing benefit , pricing, and configuration solutions that directly enhance claim processing accuracy and auto‑adjudication rates. You will be a valued member… more
- Zurich NA (Lansing, MI)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr . Supplier Medical Process Specialist to join our team in ... work arrangements, commitment to work/life balance, and outstanding culture. As a Sr . Supplier Medical Process Specialist , you will manage supplier performance… more
- Prime Therapeutics (Lansing, MI)
- …the future of pharmacy with us. **Job Posting Title** Client Concierge Specialist Sr - Remote **Job Description** The Senior Client Concierge Specialist ... and documenting relevant information relating to the case in both the claims processing system and case management systems within pre-determined timelines + Act… more
- Sedgwick (Grand Rapids, MI)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance IT Systems Analyst Specialist Sr **PRIMARY PURPOSE OF THE ROLE** : To lead the business ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- Sedgwick (Lansing, MI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Professional Liability Claims Specialist **PRIMARY PURPOSE** **:** To ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Molina Healthcare (Ann Arbor, MI)
- …Experience working in a Medicare environment is highly preferred. + Claims adjudication experience is highly preferred. **Job Qualifications** **Required Education** ... encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's… more
- Zurich NA (Lansing, MI)
- Marine Claims Senior Claims Specialist 126574 We are excicted to share that Zurich North America is hiring a Marine Claims Senior Claims ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- Molina Healthcare (St. Clair Shores, MI)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
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