- CVS Health (Tallahassee, FL)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate...to non-technical audiences. + 2+ years experience interpreting medical claim data + Advanced experience in SQL & Python… more
- Insight Global (King Of Prussia, PA)
- Job Description Our client is a Healthcare Software company that provides revenue and payment cycle management and connects payers, providers, and patients to the ... customers, as part of the Services Delivery Team, to understand the customers' claim system(s), payment policies, and integration data elements managed using CXT for… more
- Sedgwick (Dallas, TX)
- …**ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Creates accurate installment and per claim invoices for assigned clients; properly allocates revenue to appropriate ... clients and company locations. + Generates and maintains department spreadsheets. +...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- UNUM (Chattanooga, TN)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits… more
- Ardon (Portland, OR)
- …responsibilities: Performs insurance reviews for prescribed medications and submits insurance claims Reviews, interprets, and resolves insurance claim rejections ... and camaraderie. Together, we e njoy team meals and celebrate events and company milestones. Employees like to relax in our lounge equipped with amenities that… more
- Atlantis Casino Resort Spa (Reno, NV)
- …and supplemental) and the administration of Family Leave and ADA Accommodation claims . The Benefits Specialist will assist with new hire health plan enrollment, ... Open Enrollment, resolution of health plan claim issues, monthly vendor billing, and semi-annual health fairs....in the Atlantis Casino Resort Spa support of the company 's Vision, Mission, Values, and consistently performs all functions… more
- WSFS Bank (Philadelphia, PA)
- …Friday Hybrid/Onsite Description: NewLane Finance is a commercial equipment finance company , serving small and mid-size businesses nationwide. Our mantra is ... Pleas, and Municipal Court. + Preparation of Proofs of Claim within the Bankruptcy Court. Review bankruptcy plans for...Bankruptcy Court. Review bankruptcy plans for the treatment of claims . + Preparation of Claims within Probate… more
- Utilities Service, LLC (Queens County, NY)
- …Background checks, etc. + Safety Management Process _(SMP)_ . Monitor and review current claims . + Work with the Home Office Claim Examiners and regional ... to question reserves, return to work status on current claims , surveillance, etc. Inform and communicate with your Safety...+ Must be able to safely drive an approved company vehicle. + Must be able to enter and… more
- Northrop Grumman (Mclean, VA)
- …determining appropriate insurance coverage and loss protection strategies. - Manage insurance claims , monitor progress, and assist with claim adjustments. - ... - ARM and/or CPCU Certifications. - Experience in brokerage, underwriting, or claims adjusting. - Background in aerospace or government contracting. - Familiarity… more
- Ohio Machinery Co (Broadview Heights, OH)
- …Warranty Analysts, providing leadership and support for the processing of warranty claims specific to repair orders within the Truck Group Service departments. + ... will oversee the entire Truck Group warranty process, including submitting claims , organizing receipts, communicating variances, and resolving variances to the… more