- Sedgwick (Baltimore, MD)
- …university preferred . One or more of the following professional certifications is preferred : Graduate Safety or Associate Safety Professional (GSP or CSP), ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...with public entities, insurance, or risk pooling is highly preferred . **TAKING CARE OF YOU** + Flexible work schedule.… more
- Omaha Children's Hospital (Omaha, NE)
- …* Review and analyze claims and perform appropriate action for claim resolution. **Education Qualifications** + Associate 's Degree from an accredited college ... **A Brief Overview** Analyzes system and payer issues that hinder claim processing and reimbursement. Coordinates with the Manager/Supervisor to research and… more
- AdventHealth (Maitland, FL)
- …training to ensure staff successfully meets 90-day standards. Coordinate and manage insurance claim event to reduce outstanding AR. + Required to constantly ensure a ... training to ensure staff successfully meets 90-day standards. Coordinate and manage insurance claim event to reduce outstanding AR. + Required to constantly ensure a… more
- Momentive Performance Materials Inc. (Niskayuna, NY)
- …focus on execution. + Receive, enter, and manage customer non-conformance claims , ensuring accurate complaint entry, coding, coordinator assignment, and clear ... and Quality teams. + Proactively keep clients informed about claim status and take appropriate actions to enhance service...and features. + Analyze SAP data to monitor open claims and determine necessary follow-up actions. + Build and… more
- CVS Health (Boston, MA)
- …. + Clinical background a plus. + Experience with Aetna and CVS products, claim systems, and digital member applications. + Associate degree or equivalent work ... 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
- Humana (Honolulu, HI)
- …community and help us put health first** Design and maintain Medicaid claims analytics dataset using Databricks. Conduct in-depth analysis of healthcare claims ... Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. Maintain dashboards to communicate key trends to stakeholders. The… more
- American Water (Camden, NJ)
- …wastewater services to our communities. Effective, efficient, and intelligent insurance claims management, oversight, and forecasting are essential to this mission. ... Retained Losses, Professional Fees, Miscellaneous Expenses. o Reporting on claim metrics: Workers' Compensation, General Liability, Auto Liability, Property, etc.… more
- New York State Civil Service (Albany, NY)
- …operations since 2018, collecting data from 80+ insurers, bringing in 800+ million claim -level transactions a year and warehouses at present 7 calendar years of ... data related to hospital discharge data, insurance coverage, demographics, billing claims and encounters as well as non- claims -based insurance arrangements… more
- Crown Equipment Corporation (New Bremen, OH)
- …than 2 years related experience + High school graduate or equivalent ** Preferred Qualifications** + Associate degree in Business Administration, Office ... estimated return to work dates, transitional work transfers, notification dates, and claim details. Review for accuracy, issues, or concerns. Optimize systems for… more
- Johns Hopkins University (Baltimore, MD)
- …rating and no serious or repeated disciplinary actions or citizen complaints. ** Preferred Qualifications:** + Associate 's Degree in Criminal Justice or related ... and (2) Submit documents to the hiring law enforcement agency that support a claim of: (a) Citizenship; or (b) Permanent legal residency and proof of a pending… more
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