- CVS Health (Largo, FL)
- …in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related ... and Resolve:** Handle member inquiries and escalations related to benefits, claims , eligibility, and policy interpretation by identifying root causes, coordinating… more
- Vail Resorts (Broomfield, CO)
- …Resorts network. This includes a Litigation Team that (1) actively manages litigation and claims on a wide array of matters ranging from general liability claims ... commercial matters and guest liability matters, which includes investigating claims , interviewing witnesses, drafting answers, drafting briefs/motions, drafting/responding to… more
- Duquesne Light Company (Pittsburgh, PA)
- …to manage the full litigation lifecycle including high-value and complex claims . This role requires advanced knowledge of Pennsylvania civil procedure, particularly ... Duties and Responsibilities:** + **Case Evaluation & Intake** + Review incoming claims files to assess eligibility for litigation and identify disqualifying factors.… more
- Robert Half Legal (Oakland, CA)
- …in employment law cases, with a focus on plaintiff-side matters and disability claims . * Conduct thorough legal research and draft compelling briefs to support case ... and trials. * Collaborate with clients to assess their claims and provide strategic legal guidance. * Utilize case...skills to work effectively with clients. * A valid license to practice law in the state of California.… more
- HUB International (Santa Barbara, CA)
- …not limited to, Pre-Renewal Strategic Planning, Risk ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management), Market Analysis, ... value-added services being provided by our Risk Services and Claims Management Divisions. + Acts as liaison between clients...combination of education & experience + Property & Causality License **Knowledge / Skills / Abilities** + Ability to… more
- The Cigna Group (Tempe, AZ)
- …insurances and/or patients. + Accurately enter prescriptions into our system, run test claims , run test claims and support patients with their medication orders. ... problem-solving skills and support from your team to accurately process prescription claims so they will be dispensed accurately. + Associate and add… more
- Geisinger (Danville, PA)
- …position provides daily support for coding and reimbursement needs across negotiations, claims processing, and provider setup. A minimum of one certification is ... financial impact. Oversees daily coding and reimbursement support to negotiations, claims processors and provider set-up representatives. A minimum of one… more
- Billings Clinic (Bozeman, MT)
- …law and within the scope of practice of the Provisional Pharmacy Technician license . Essential Job Functions + Answers the telephone and assists customers seeking ... with prescribed tablets/capsules, processing prescriptions and emergent prescriptions, adjudicating claims , performing point of sale functions, proper utilization of… more
- Commonwealth Care Alliance (Boston, MA)
- …team. Cross-Functional Collaboration * Work closely with network contracting, credentialing, claims , IT, customer service, compliance, and quality teams to address ... Knowledge, Skills & Abilities (must have): * Strong understanding of claims processing, reimbursement methodologies, and payment policies, with the ability to… more
- Basin Electric Power Cooperative (Bismarck, ND)
- …for use by management and the Board of Directors. + Manage the claims handling process, settlement strategy, investigative process, and reserve setting; manage the ... negotiations with insurance claims personnel; and manage the loss recovery process against...insurance markets. + Occasional travel. + A valid Driver's license . **PREFERRED QUALIFICATIONS** + Chartered Property Casualty Underwriter or… more