- State of Massachusetts (Taunton, MA)
- …work and provides recommendations to the Resident Engineer; Reviews contractor claims for compensation and provides information required for preparing a defense ... of the claim ; Reviews contractor procedural submittals for constructability issues and...Headquarters (Planning & Enterprise Services) provides business and administrative support and policy leadership for each of the four… more
- Carrington (Providence, RI)
- …forms, IT access and change forms, and FedEx labels. + Conduct pre- claim title review including reviewing title records, organizing documents, creating chronologies, ... preparing and submitting title claims , monitoring for response from insurers and working with...attorneys, and other stakeholders. + Provide legal and administrative support to departmental staff, including scheduling meetings, managing phone… more
- University of Rochester (Rochester, NY)
- …party payer issues. **ESSENTIAL FUNCTIONS** + Reviews reports of unbilled cash claims , self-pay plans not final billed, hold bill worklists, statement edits, credit ... the collection agency liaison to provide cross coverage, including estate claim verification, settlement offers for collection agency accounts, bankruptcy filings… more
- Lowe's (Mooresville, NC)
- …applying expertise in discrete legal areas, and conducting legal research in support of the Lowe's Legal Department. This includes responsibility for overseeing ... + Performs specialized paralegal tasks based on attached practice area including claim review and issue recognition, investigating and responding to Notices of… more
- Unum Group (Chattanooga, TN)
- …to volunteer!) + Up to 9.5% 401(k) employer contribution + Mental health support + Career advancement opportunities + Student loan repayment options + Tuition ... reviewing, analyzing and interpreting medical information. Works collaboratively with claims professionals, on-site physicians and other resources in multiple… more
- Sharp HealthCare (San Diego, CA)
- …Plan operational data sets including, but not limited to, eligibility, claims , provider, billing, capitation, financial and structural. The Systems Analyst-EDI Mgmt ... identify root cause, communicate options and propose solutions. **Preferred Qualifications** + Associate 's Degree + 2 Years Direct experience in project planning and… more
- PPL Corporation (Allentown, PA)
- …a positive force in the cities and towns where we do business, providing support for programs and organizations that empower the success of future generations by ... job is to facilitate the strategic procurement of materials and services in support of business lines throughout all PPL operating companies. This position will also… more
- US Tech Solutions (Columbia, SC)
- …provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, ... medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness.… more
- Robert Half Legal (Bayport, MN)
- …complex matters and contributing directly to business success. Responsibilities: * Manage claims and lawsuits related to specific business units or product lines, ... litigation progress. * Partner with insurance providers and adjustors to address claims effectively. * Collect, analyze, and organize internal and external documents… more
- LA Care Health Plan (Los Angeles, CA)
- …for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Customer ... manner. Coordinates multi-departmental (Member Services, Product Network Operations (PNO), Claims , Utilization Management (UM), Pharmacy, Medicare Enrollment/Disenrollment, Sales and… more