- Fluor (Greenville, SC)
- …**Job Description** This position manages the workers' compensation (Defense Base Act) claims process for Mission Solutions, acting as a liaison between the broker, ... insurance carriers, claim adjusters, and other stakeholders. Defense Base Act provides...Resources services with specific responsibility around defense base act claims policies and regulations; addressing a variety of issues… 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
- Ford Motor Company (Dearborn, MI)
- …improvement focused on customer requirements. **What you'll do ** + Bin warranty claims in GSAR daily. Manage VRT Form-4, link projects, coordinate Parts Returns. + ... emerging functional issues. + Contact Dealerships to investigate GSAR claim details and part returns. + Working with QOSC/MPEP...you think you can bring value to Ford Motor Company , we encourage you to apply! As an established… more
- CVS Health (MA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... and external customers. + Track requests, maintain status reports, and investigate claim /file failure trends. + Configure EDI setups and support implementation leads… more
- Elevance Health (Plano, TX)
- …period of time. + Inputs appropriate progress/billing note (test claim , real claim OOP, payment plan). + Adjudicate real claims daily and ensure credit ... Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and...and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry,… more
- The Cigna Group (Bloomfield, CT)
- …advise others. Recognized internally as a subject matter expert Knowledge and experience with claims data and Cigna's claims systems are a plus. Advantages of ... coding (HCPCS/CPT) experience required + At least 5 years' healthcare insurance claim editing/analysis background required + Strong attention to detail to include… more
- CVS Health (Boston, MA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... 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
- CVS Health (Phoenix, AZ)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... of CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit Programs, review… more
- Sedgwick (Austin, TX)
- …Services & Insurance Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... + Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim . + Consults police and hospital records and inspects property damage… more
- Sedgwick (Eden Prairie, MN)
- …payroll administration services for claimants receiving payments from outside of company systems. + Coordinates recovery activity on assigned cases. + Refers ... agencies as applicable. + Notifies employees verbally and in writing of claim overpayments. + Responsible for manual calculations of employee benefit overpayments.… more