- Commonwealth of Pennsylvania (PA)
- …training. Special Requirement: + You must possess an active motor vehicle license . Other Requirements: + You must meet the PA residency requirement ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....01 Special Requirement- Do you possess a valid driver's license which is not under suspension? + Yes +… more
- Brightstar Lottery (Providence, RI)
- …This position actively assists in the daily administration of insurance, surety, claims and risk management activities. This includes but is not limited to ... and external partners; billing of monthly invoices; issuance of new bonds ** Claims Administration** + Provides support to the Director of Risk Management with… more
- Sedgwick (Cedar Rapids, IA)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all ... claims to ensure information substantiates disability. + Provides clear...preferred. RN, LCSW, LPC, LMHC or CRC required. Current license , registration and/or professional designations as required within the… more
- Avera (Sioux Falls, SD)
- …Monitor and resolve Discharged Not Billed (DNB) accounts to ensure timely claim submission. + Investigate denials and underpayments, identify root causes, and ... recommend process improvements. + Manage appeals for underpaid claims , track outcomes, and report on recovery efforts and payment trends. + Review high-dollar… more
- Centene Corporation (Sacramento, CA)
- …+ Review benefit/formulary setup and testing (new and year over year). + Conduct claims analysis + Performs other duties as assigned + Complies with all policies and ... years of pharmacy experience in managed care environment preferred ** License /Certification:** Current state's Pharmacy Technician license preferred **Preferred… more
- The County of Los Angeles (Los Angeles, CA)
- …BY THE LAST DAY OF FILING . NO WITHHOLDS WILL BE ALLOWED FOR THIS EXAMINATION. LICENSE : A valid California Class C Driver License or the ability to utilize an ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late… more
- World Insurance Associates, LLC. (Brockton, MA)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... all applications, policies, endorsements and audits for accuracy + Complete loss/ claim analysis and summaries + Coordinate expiration list with department manager… more
- Molina Healthcare (Cincinnati, OH)
- …abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare ... the Medicaid and Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- Indiana Farm Bureau Insurance (Fort Wayne, IN)
- …any walk-in customers. + Collects payments. + Makes policy changes. + Assists with claims paperwork that is requested by the claim 's representatives. + Provides ... of customer service experience. + Property & Casualty insurance license required or must be able to obtain this... required or must be able to obtain this license within 2 years. + Proficient in Microsoft Suite.… more
- The County of Los Angeles (Los Angeles, CA)
- …evaluating employee performance, approving leaves of absence, counseling, and recommending discipline. LICENSE : A valid California Class C Driver License or the ... this Supplemental Questionnaire completely, correctly, and accurately.The experience you claim in this Supplemental Questionnaire must be consistent with the… more