- UIC Government Services and the Bowhead Family of Companies (Letterkenny Army Depo, PA)
- …rooms, warehouse space, construction zones, field conditions, and outdoor environments. Work hours may fluctuate outside of normal duty hours . Travel is ... other protected characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Corewell Health (Grand Rapids, MI)
- …(external medical records, internal documentation from enterprise-wide systems including: claims payments, billing and enrollment, care management, medical, pharmacy ... and behavioral health authorizations, customer service interactions, prescription claims , medical policies, and plan documents).Evaluate information gathered to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …state and federal mandates + Partners with organizations legal and insurance claims , ensuring that appropriate steps are taken to resolve disputes, minimize ... and external counsel on corporate, regulatory and liability issues + ** Claims Management:** + Oversee investigations of potentially compensable incidents and… more
- PPL Corporation (Louisville, KY)
- …or obtaining parental guarantees. + Analyze and develop company position on claims and disputes, and subsequently consult with senior management to resolve/negotiate ... claims and disputes associated with complex procurements. + Lead...service. This role may necessitate the need to work after- hours , outside of your normal schedule. + Maintains complete… more
- Highmark Health (Pittsburgh, PA)
- …Allegheny General Hospital Department: Case Management, Emergency Status: Full Time Shift: 72 hours every two weeks Night shift, 36 hours per week, with ... employees. **GENERAL OVERVIEW** This job oversees, develops, and manages the end-to-end claims functions and operational inputs including but not limited to the… more
- Hoffman Construction Company (Boise, ID)
- …issues, reviewing draft documents, managing all project related correspondence and resolving claims on behalf of the Company. This position will report to the ... more of the corporate regional offices regularly. The position may require extended hours or travel depending on project needs and deadlines. This position will be… more
- Medtronic (Irvine, CA)
- …of US and International promotional labeling material, including the creation of a claims matrix database and claims objects. + Lead AI/ML adoption in ... content and claims management to support automation and enhance process efficiency....are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health… more
- Iowa Department of Administrative Services (Newton, IA)
- …paperwork and prepare memos for PCR hearings. Receives and investigates tort claims submitted and makes recommendation to deny or approve payment. This position ... reports; organizing files; scheduling meetings/appointments; arranging travel; processing travel claims ; ordering supplies/equipment) or technical support work (eg, determining… more
- The County of Los Angeles (Los Angeles, CA)
- …employe's name and address, job title, beginning and end dates, number of hours worked per week, and description of work performed. We may verify information ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...this format: From: (mm/dd/yr) To: (mm/dd/yr) * Number of hours worked per week * Provide a detailed and… more
- Humana (Springfield, IL)
- …data mining, detects anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and our financial recovery. ... provider contract payments in our payer systems, and by ensuring correct claims payment. Begins to influence department's strategy. Makes decisions on moderately… more