- Adecco US, Inc. (Cary, NC)
- …when Biologics is unable to serve the patient + Appropriately process pharmacy claims in client software + Recognize and understand pharmacy claim responses ... by Supervisor **Qualifications:** + HS Diploma or equivalent + **ACTIVE** Pharmacy Technician license in NC, **_required_** + Minimum 1 year experience working as a… more
- Adecco US, Inc. (Omaha, NE)
- …travel takes place in Kansas, Nebraska and Wyoming. Must have valid drivers license with clean driving record/MVR. **Pay rate** : $54.33 per hour **Shift ... the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing role requires… more
- AmeriHealth Caritas (Newark, DE)
- …processes, ensuring compliance with pricing guidelines, contract standards, and claim payment methodologies. + Drive implementation of electronic strategies to ... improve claims submission, auto-adjudication, and operational efficiency. + Ensure departmental...and project management is preferred. + A valid Driver's License and current Auto Insurance are required. **Our Comprehensive… more
- US Tech Solutions (Richmond, VA)
- …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. + Utilizes case management processes in compliance with regulatory… more
- EMCOR Group (Highland, IN)
- …standards, draft/review training) **Document injury/incident reporting/investigation/ claim management** + Develops/manage injury/investigation reports ... (report to workman's comp, track workers comp cases, maintain reports from claims management) + Submit incidents into EMCOR ACTS system (reporting and tracking… more
- Mass Markets (Wichita, KS)
- …and best solutions to meet their personal financial needs. A Property and Casualty license is required for this role. MCI Company is growing rapidly and this is ... the necessary information and notify business partners regarding messages, inquiries, and claim reporting + Utilize knowledge base and training to accurately answer… more
- Executive Office for Immigration Review (Phoenix, AZ)
- …fall into the general categories of removal proceedings, discretionary relief, claims of persecution, stays of removal, visa petitions, administrative fines, and ... month and year in which you obtained your first license and the State from which it was issued.)...Immigration Judge hiring. Applicants eligible for veterans' preference must claim their status when completing their application in the… more
- Centene Corporation (Tallahassee, FL)
- …not limited to reimbursement strategy, contracting strategy, unit cost management, claims configuration and network operations. + Oversee network development staff ... product lines to network costs and provider contracts. + Oversee analysis of claim trend data and/or market information to derive conclusions to support contract… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + Works hospital claims to assure timely billing and appropriate reimbursement from Non-Governmental Insurance Companies. Primary Position ... tools, software and reports provided. + Perform all activities for billing, claim adjustment, account follow-up processes. + Complete payment review, working Compass… more
- Berkshire Hathaway Automotive (Irving, TX)
- …program design, marketing, procurement, and premium allocation. Manage all claims and litigation matters including mediation, involving workers' compensation, ... companies to accurately set reserves for know exposure. Perform claim audits with TPA/Insurer to validate reserving practices. *...Studies (MLS) in Risk Management. * Current Texas Bar License or the ability become licensed in Texas within… more