- City of Lakeland (Lakeland, FL)
- …the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and ... initiatives/clinic. Responsibilities include directly supervising Safety, Health Benefits, and Claims Team Leaders; Risk Management support staff and Wellness… more
- South County Hospital (Wakefield, RI)
- …new employees, and other staff to promote patient safety and minimize claims exposure. + Provide on-call support and timely consultation on risk-related issues ... + Prepare and present reports and data related to risk, patient safety, claims , and regulatory compliance to committees, leadership, and medical staff. + Manage the… more
- The County of Los Angeles (Los Angeles, CA)
- …of filing in order to be appointed to fill any vacancies related to this recruitment. LICENSE : A valid California Class C Driver License or the ability to ... this Supplemental Questionnaire completely, correctly, and accurately.The experience you claim in this Supplemental Questionnaire must be consistent with the… more
- MD Anderson Cancer Center (Houston, TX)
- …management, and utilization review to request reconsideration and/or appeal of claims requiring clinical intervention, ensuring comprehensive data is provided to ... appeal or audit processes and maintain appropriate follow-up on appealed/audited claims . * Update and document patient accounting system accurately and efficiently,… more
- Banco Popular Puerto Rico (San Juan, PR)
- …partners and second line of defense to define corrective actions. Complaint or Claim Support + Support in analyzing compliant issues or topics escalated for ... investigation and guidance. + Coordinates, investigates, and responds to customer claims from regulatory agencies within established deadlines (CFPB, FRB & OCIF… more
- Interior, Bureau of Indian Affairs (Sacaton, AZ)
- …or copies of agency approved certification letters based upon individual claims for coverage. Failure to provide this documentation with your application ... MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts are acceptable,… more
- Colorado State University (Fort Collins, CO)
- …when designated by position in pharmacy workflow + Navigates insurance requirements, claim submission, and troubleshooting rejected claims + Handles prescription ... a one-stop shop for the continuing education you need to maintain your license and certification requirements, plus monthly updates about new meds, OTCs, safety,… more
- Hannaford (Manchester, NH)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms if needed. * Maintain organized filing system for invoices, manual ... insurance claims , daily reports, etc.. in accordance with Standard Practice...testing as required. Maintain current PTCB certification and state license as required. Excellent communication and customer service skills.… more
- PeaceHealth (Vancouver, WA)
- …clinical risk management risk investigations and response to events, potential claims , and grievances presented against caregivers, physicians and the organization ... for potential or actual liability and damages. Collaborating with Claims , collects documents and evidence and maintains work product in accordance with state legal… more
- The Hartford (Lake Mary, FL)
- …the state. The selected individual will be required to work closely with our claim centers and insureds to deliver the best possible result in pending litigation. ... and co-counsel with professional diplomacy and discretion. + Participate in claims file reviews. + Independently conduct trials, depositions, arbitration, and… more