- CVS Health (Cumberland, RI)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... by maintaining quality control over individual enrollment applications and resolving claims issues within the corporate billing system. This role maintains… more
- Access Dubuque (Dubuque, IA)
- …Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) and accommodation efforts through ... or client directed documentation, notification, or reporting; and documents client contact in claim notes as per Sedgwick CMS standards. + Adheres to medical and… more
- Humana (Columbus, OH)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- Maloney Properties, Inc. (Wellesley, MA)
- …reporting. + Collaborate with Human Resources on benefits administration. + Coordinate claims management by responding to claim questions/issues from agents, ... tenure of more than 10 years. We are a company with a human focus and feel passionately and...needed. Assist with preparation of interrogatories and documents when claims are in suit. Ensure Summons and Complaints are… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …maintain effective working relationships with client contacts. + Perform advanced claims processing, including professional, facility, and ancillary claims . + ... assigned. + Utilize self-help tools to generate approved member claim history reports. + Stay current and adapt to...in computer systems with high technical aptitude. + Advanced claims processing expertise preferred but can be trained +… more
- CareFirst (Baltimore, MD)
- …+ Oversees the end-to-end process of the billing vendors and dispute resolution claim submission and payment requests. This includes the maintenance of the NSA ... tracking database and claims resolution from start to finish. Monitors claims...in professional societies. + Contributes to NSA IDR and company success by welcoming related, different, and new requests;… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …assistance programs. This includes call center services (inbound and outbound) and claims processing operations. They are part of a highly concierge 'white glove' ... for a degree. + Minimum three years leading a claim /customer service or related team in a production or...call center needs with expertise in insurance verification and claims + Ability to effectively evaluate performance, resolve complaints,… more
- Gerber Collision & Glass (Hawthorne, CA)
- Company : Glass America CA Hawthorne - 300195 We put...respected leader in the auto glass industry. As a Claim Specialist, you are a key member of Glass America's ... Dental & Vision Insurance + 401(k) Retirement Plan with company match. + Employer Paid Short-Term Disability & Life...+ Have a sense of urgency when filing insurance claims with and/or without customers on the line. +… 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
- Westminster Management (Florham Park, NJ)
- Our company remains guided by its experience and ability to create long-term value in strategically focused markets. We continue to attract the best talent in the ... The position's responsibilities and interests encompass a broad perspective across the company that involves the safety of employees and visitors, protection of… more