- Sedgwick (Dubuque, IA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr . (Repair Solutions) **PRIMARY PURPOSE:** To review all estimates ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your… more
- Fujifilm (Des Moines, IA)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... + Keep abreast of new legislation and enforcement matters relevant to the medical device industry as well as industry and compliance best practices. + Perform… more
- CVS Health (Des Moines, IA)
- …handle 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
- Deloitte (Davenport, IA)
- …the following services, Wage Theft Notices, Workers Compensation, Unemployment Claims , OSHA (Occupational Safety & Health Administration) reporting, Employment Law ... postings, Department of Labor Surveys and Massachusetts Department of Family Medical Leave requirements. This role also provides support to the approval process for… more
- Highmark Health (Des Moines, IA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- United Therapeutics (Des Moines, IA)
- …you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible ... team members, consultants and stakeholders + Manage Corporate Compliance Operations Specialist II, who is responsible for administration of compliance training and… more
- Banner Health (IA)
- …award-winning patient care. POSITION SUMMARY This position leads a designated medical coding team across multiple locations. The position has shared responsibility ... with regulatory requirements and data integrity. The position works collaboratively with Sr . Coding Leaders and Directors to achieve designated financial and revenue… more
- Highmark Health (Des Moines, IA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more
- Access Dubuque (Dubuque, IA)
- …ID: 4647791008 Posted On 04/24/2025 Refreshed On 05/25/2025 **Job Overview** SISCO, our medical claims TPA, is looking for an experienced sales professional to ... "One Roof" service model includes expert claim adjudication for both self-funded medical and insured ancillary benefits. Optional services include a suite of… more