- CVS Health (Austin, TX)
- …**Provider Advocate** will work within Meritain, primarily with providers and claims . This person oversees various relationships with Meritain's high-profile groups ... reimbursements or settlements. + Attends and participates in daily dedicated Claims Touchpoint calls, specific to addressing complex provider concerns. + Works… more
- AeroVironment (Simi Valley, CA)
- …growing organization. Workers' Compensation Administration + Administer workers' compensation claims from initial incident through closure, ensuring compliance with ... carriers or TPAs within mandated timeframes. + Track all WC claims -medical-only and lost-time-and monitor ongoing treatment, restrictions, and follow-up visits… more
- Hackensack Meridian Health (Edison, NJ)
- …management with a tool to provide education, increase the overall number of clean claims , and decrease the rework necessary to generate clean claims . Performs ... as specified by certain payors. Education, Knowledge, Skills and Abilities Required: + Associate 's Degree or equivalent relevant HMH experience. + Minimum 5 years of… more
- Crown Equipment Corporation (New Bremen, OH)
- …+ Receive, review, interpret and prepare data for US Customs import claims . Interact with suppliers outside the United States to streamline document submission ... and freight forwarders, to determine, maintain, and audit import claims prior to arrival and after completion. Provide data...method to track return items from initial shipment to claim US Goods Return advantage. Report metrics regarding refund… more
- CareFirst (Baltimore, MD)
- …and procedures, including experience with providers, training, customer service, and claims processing. ** Preferred Qualifications:** + Bachelor's Degree in ... scores, STAR ratings, HEDIS measures, and CAHPS program. **QUALIFICATIONS:** **Education Level:** Associate 's Degree OR in lieu of an Associate 's degree, an… more
- CareFirst (Baltimore, MD)
- …and procedures, including experience with providers, training, customer service, and claims processing. ** Preferred Qualifications:** + Bachelor's Degree in ... outcomes in business operations and provider satisfaction. **QUALIFICATIONS:** **Education Level:** Associate 's Degree OR in lieu of an Associate degree,… more
- UIC Government Services and the Bowhead Family of Companies (Everett, WA)
- …+ Education + Associate 's degree or higher in IT or Cybersecurity ( preferred ). + Years of experience + 2 years of experience required. 5 years ... preferred . + Prior experience within DoD networks. + Required...Level II (per DoD 8570.01-M) + Cisco Certified Network Associate (CCNA) + Red Hat Certified System Administrator (RHCSA)… more
- Zurich NA (Washington, DC)
- …Resolve technical issues for company. + Provide expertise on coverage issues with claims . + Develop u/w manuals, programs and guidelines. + Handle & review ... and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship...support areaOR + Zurich approved Apprenticeship program including an associate degree and 3 or more years of experience… more
- LA Care Health Plan (Los Angeles, CA)
- …courteous manner. Perform other duties as assigned. Duties Continued Education Required Associate 's Degree in Nursing Education Preferred Bachelor's Degree in ... Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims medical review. Monitors and oversees the collection and transfer of… more
- Humana (San Juan, PR)
- …**Key Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support Humana's ... and measurable value realization, especially when navigating complex, high-volume claims environments. + Partner closely with architecture, operations, compliance,… more