- Artera (Madison, WI)
- Claims Specialist Summary Title: Claims ... claims . + Responsible for managing all third-party subrogation claims for which the company is not ... about this job > Description JOB PURPOSE: Manage all claims while under the general supervision of the ...claims while under the general supervision of the Claims Director. Provide monthly updates and reporting. Coordination and… more
- Molina Healthcare (Racine, WI)
- …Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine… more
- Molina Healthcare (Kenosha, WI)
- …Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare ... JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No...internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise… more
- Molina Healthcare (WI)
- …experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, subrogation , and ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Festival Foods (WI)
- …and plans to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist . Prepares and delivers ... + Oversees, investigates, and approves reserves for high spend and complex claims . + Oversee investigations process related to subrogation potential +… more