- Travelers Insurance Company (New York, NY)
- …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… more
- TEKsystems (Dallas, TX)
- …providers, health plan and members as they relate to eligibility, benefits, claims , coverage and authorization of services. This position will also problem-solve and ... explain programs and procedures to callers and will answer/address claim payment questions with providers. Job Duties: - Answering incoming phone calls via ACD phone… more
- Gerber Collision & Glass (Fife, WA)
- …FIfe, WA Glass America is a respected leader in the auto glass industry. As a Claim Specialist, you are a key member of Glass America's shop operations team and ... + Have a sense of urgency when filing insurance claims with and/or without customers on the line. +...Process driven with the understanding of how to manage Claim Spreadsheets. Glass America is an Equal Opportunity Employer.… more
- Omaha Children's Hospital (Omaha, NE)
- …Preferred **Skills and Abilities** + In-depth knowledge of Revenue Cycle Operations including third-party reimbursement, payer relations, claims adjudication, ... the most current X12 HIPAA transactions including the 835 Health Care Claim Payment/Advice Transaction Set, using HIPAA-compliant ANSI-standard codes. * Partner with… more
- Southeast Health (Dothan, AL)
- …Performs daily activities involved in the reimbursement process, ie, claims filing/follow-up, entry of payments/adjustments, follow-up on non-payment or payments ... variety of support services in connection to the day-to-day operations in a health care environment; + Maintains working...working knowledge of regulatory guidelines for billing; + Provides claim submission for services provided at SEH; + Provides… more
- Boehringer Ingelheim (Ridgefield, CT)
- …goals. For Medicaid, this is accomplished by managing the Medicaid rebate operations for BIPI which includes claim processing, dispute resolution, quarterly ... are evaluated with the changing regulatory environment and are applied properly to claim payments. + Aggressively strive to settle all disputed rebate claims .… more
- CVS Health (Hartford, CT)
- …workflow to respond, manage, and resolve escalated and complex global issues for Claims /Calls, PSS, and health plan back-office operations . The PSL role has ... manage, and resolve escalated and complex global issues for Claims /Calls, PSS, and health plan back-office operations ....+ Strong project management skills are strongly preferred + Claim adjudication knowledge is strongly preferred + Adept at… more
- Paradigm Enterprises, Inc. (Overland Park, KS)
- …for the Company and regularly interact with the Company's operations , finance, insurance, and supply chain management departments. **JOB DUTIES/RESPONSIBILITIES:** ... to project management teams in the areas of contract interpretation and claims . Assist the supply management department with negotiating commercial terms with… more
- Corewell Health (Grand Rapids, MI)
- …manager in planning, leading, collaboration and representation for the day-to-day operations , meetings, calls, special projects, internal and external audits for ... and seeks out positive resolutions on escalated or abnormal activities within a claim . Responsible for case management of executives and litigated claims in… more
- Commonwealth of Pennsylvania (PA)
- …and handling materials efficiently. If you excel at supervising teams and transforming operations , we want you to join us and make a significant impact! DESCRIPTION ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....as reports and memos regarding invoices, inventory, or storeroom operations . I was responsible for the final document that… more