- Sedgwick (Lansing, MI)
- …Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Professional Liability | Medical Malpractice **PRIMARY PURPOSE** **:** To analyze ... cost for our clients. + Identifies and investigates for possible fraud, subrogation , contribution, recovery, and case management opportunities to reduce total claim… more
- Sedgwick (Lansing, MI)
- …Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , Professional Liability (Medical Malpractice) **PRIMARY PURPOSE** **:** To analyze ... cost for our clients. + Identifies and investigates for possible fraud, subrogation , contribution, recovery, and case management opportunities to reduce total claim… more
- Molina Healthcare (Grand Rapids, MI)
- …experience. * Health claims processing experience, including coordination of benefits, subrogation and eligibility criteria. * Experience with Medicaid and Medicare ... claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. * Strong customer service experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal… more
- Molina Healthcare (MI)
- …* Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims ... denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. * Customer service experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines. *… more
- Prime Therapeutics (Lansing, MI)
- …This role is responsible for mentoring and training the Eligibility Specialist . **Responsibilities** + Serves as subject matter expert representing eligibility on ... in peak season planning and execution + May manage Medicaid subrogation activities including monitoring batch claim files, outgoing eligibility files, verification… more