- Avera (Sioux Falls, SD)
- …process to ensure timely claims processing.) Identifies the need to rebill claims through account review and completes claim refiling as well as submits ... **Location:** Avera Downtown Building-Sioux Falls ** Worker Type:** Regular **Work Shift:** Day Shift (United...and follow up of unpaid, overpaid/over adjusted and denied claims . + Reviews, analyzes, and appeals denials received relative… more
- State of Massachusetts (Boston, MA)
- …on current claims to determine claimant eligibility on the new claim . Also responsible for overseeing staff who determine adequacy for monetary determinations by ... (UI) program which provides temporary income assistance to Massachusetts workers who are unemployed through no fault of their...with MGL Chapter 151A, 430 CMR, the Job Service Representative 's Handbook, Revenue Procedures as well as the Code… more
- State of Massachusetts (Boston, MA)
- …the Unemployment Insurance (UI) program which provides temporary income assistance to Massachusetts workers who are unemployed through no fault of their own and who ... to work, available for work and looking for a job. The Job Service Representative is responsible for making determinations on eligibility for benefits in disputed … more
- CVS Health (Trenton, NJ)
- …+ Clinical background a plus. + Experience with Aetna and CVS products, claim systems, and digital member applications. + Associate degree or equivalent ... as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to… more
- Towne Park (Tucson, AZ)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates ... an environment that retains talented associates + Responds proactively to associate feedback and suggestions, including satisfaction surveys and exit interviews +… more
- Towne Park (Kansas City, MO)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... an environment that retains talented associates. Responds proactively to associate feedback and suggestions, including satisfaction surveys and exit interviews.… more
- Avera (Sioux Falls, SD)
- **Location:** Avera Downtown Building-Sioux Falls ** Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for ... Monitor and resolve Discharged Not Billed (DNB) accounts to ensure timely claim submission. + Investigate denials and underpayments, identify root causes, and… more
- Insight Global (Garland, TX)
- …or documentation to appropriate agencies. - Administer and assure compliance of all workers ' compensation claims . - Review and ensure appropriate action and make ... recommendations with each claim . - Establish and promote maintenance of safe and...is maintained. - Investigate and process all unemployment insurance claims . - Serve as company representative at… more
- Sunrise Senior Living (Troy, MI)
- …reconciliation per Sunrise internal business controls. + Process and manage unemployment and worker 's compensation claims and update claim activity as ... duty satisfactorily. The requirements listed throughout this job description are representative of the knowledge, skills, and abilities required. + Associate… more
- University of Rochester (Rochester, NY)
- …Elmgrove Rd, Rochester, New York, United States of America, 14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: ... that the process conforms to federal and state regulations. The Collections Representative will represent the department and Strong Memorial Hospital (SMH), Highland… more