- AON (New York, NY)
- …language; Project Insurance Manual; Project Safety Standards; Project reports, eg Monthly/Quarterly/ Claims ; Stewardship Report; and Fee and premium invoices. + Acts ... evaluate program progress and issues. + Reviews periodic program claims reports and participates in periodic claims ...is highly desirable + Must have an active P&C license or obtain one within 90 days of being… more
- Molina Healthcare (Bowling Green, KY)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... the Medicaid and Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems. +… more
- Defense Health Agency (Silver Spring, MD)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired… more
- Louisiana Department of State Civil Service (Bossier City, LA)
- …+ Liaison between Athletic Department and student athlete insurance provider; file new claims , submit accurate documentation and manage claim status. + Manage ... / or weekends as needed. + A valid driver's license required. PHYSICAL REQUIREMENTS: + Must have use of...Maintain NATA Board of Certification, Louisiana State Athletic Training License and CPR/AED Certifications. + Other duties assigned by… 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