- ZOLL Medical Corporation (Houston, TX)
- …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
- Travelers Insurance Company (Salem, OR)
- …Practices. Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management . Promptly manage ... reviewing appropriate records and damages documentation. + Utilize diary management system to ensure that all claims ...Provide mentoring or training as request by field severity management . + COMMUNICATION/INFLUENCE: + Consult with Manager … more
- CareFirst (Baltimore, MD)
- …This position is a critical resource for large accounts within the Account Management Team providing day to day expertise on benefit administration and serves as ... servicing account?s requests related to benefit administration, enrollment, billing, claims , operating procedures, and regulatory compliance. + Applies superior… more
- Dentsply Sirona (Charlotte, NC)
- …are listed in the United States on NASDAQ under the symbol XRAY. **Clinical Research Manager AI** Do you want to work with clinical studies in a world leading dental ... go-to person to provide clinical guidance on product design, claims and validation, including study design for reader and...studies in applicable databases. + Monitoring of site, data management and follow up on time plan and budget.… more
- Walmart (Wintersville, OH)
- …to address audit findings Validates claim records work with workers compensation case managers for investigation of claims Asset Protection Security Possesses ... and waste pollution Supports regulatory visits and prepares audit reports for management review Participates in evaluating pollution control and management at… more
- Walmart (Savannah, GA)
- …plans to address audit findings. Validates claim records work with worker's compensation case managers for investigation of claims . Asset Protection & Security ... and waste pollution. Supports regulatory visits and prepares audit reports for management review. Participates in evaluating pollution control and management at… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Quality Manager leads a team of associates responsible for defining, measuring, analyzing, and evaluating population ... a healthcare, public health, health insurance, quality/process improvement or data management business environment; inclusive of 3 years data analytics experience… more
- Sedgwick (Dubuque, IA)
- …customer-oriented, naturally empathic and solution-focused. **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on ... Refers cases as appropriate to team lead and clinical case management to assist with claim determination....service experience required. One (1) year of benefits or claims management experience preferred. **Skills & Knowledge**… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …alert supervisor of potential problems. + Collaborates with other key departments ( Claims , Customer Service, related care management units) to ensure end-to-end ... Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. + Navigates and utilizes corporate... management programs (systems researched may include: care management system, claims and membership system, MedAi);… more
- Ventura County (Ventura, CA)
- … claims staff to ensure adherence to laws, regulations, contractual obligations, and claims management best practices. + Assists the TPA to facilitate review ... programs. The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement… more