- The County of Los Angeles (Los Angeles, CA)
- MANAGER, AREA CUSTODIAL OPERATIONS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5003829) Apply MANAGER, AREA CUSTODIAL OPERATIONS ... providing outstanding care. WHAT DOES A MANAGER, AREA CUSTODIAL OPERATIONS DO: Plans and directs the work of a...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- UNUM (Portland, ME)
- …home office location* This is an entry level position within the Benefit Operations Organization. Incumbents in this role are considered trainees and are assigned a ... knowledge and behaviors necessary to successfully adjudicate a high volume of assigned claims , in accordance with our claims philosophy and policies and… more
- MyFlorida (Tallahassee, FL)
- …and other expense of vendors. Responsible for the overall maintenance of the claims information contained in the assigned claim files, including the accuracy ... OPPORTUNITY DIVISION: DIVISION OF RISK MANAGEMENT BUREAU: STATE LIABILITY AND PROPERTY CLAIMS CITY: TALLAHASSEE COUNTY: LEON SPECIAL NOTES: Requirements: + One (1)… more
- USAA (Tucson, AZ)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... Special Investigations Unit for handling, if applicable. + Maintains accurate and current claim file documentation throughout the claims process for complex … more
- Sedgwick (Springfield, IL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Operations Support Services Specialist **PRIMARY PURPOSE** : To support Operations ... issues to immediate supervisor. + Maintains high level of knowledge of applicable claim systems, processes, and procedures to assist in a resolution to customer… more
- UNC Health Care (Rocky Mount, NC)
- …a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payers, having claim edits, and/or having ... charge corrections, payment corrections, writeoffs, refunds or other methods. 3. Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …schedule, provider rate, and benefit setup discrepancies. + Collaborate with IT and operations to resolve claims configuration gaps. + Perform routine and ... will oversee contract and benefit configuration to ensure accurate claims processing and network compliance. This is a remote...complex audits of claim transactions processed within our Production and QA regions… more
- Family Dollar (Chesapeake, VA)
- …Oversee and strategically manage Third-Party Administrator (TPA) handled workers' compensation claims , driving initiatives to significantly reduce claim costs ... leveraging in-depth analysis and industry knowledge. + Coordinate with Human Resources, Operations , and Legal departments to enhance claims outcomes, streamline… more
- Corewell Health (Grand Rapids, MI)
- Job Summary A Provider Operations Analyst is responsible for identifying and solving issues relating to the performance of the provider operations business and ... is a subject matter expert to the Provider Operations Associate. To do so, vast amounts of data...systems accurately and timely to ensure the annual multi-million-dollar claims payout and the annual multi-million-dollar Physician Incentive Program… more
- Sedgwick (Dublin, OH)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... & Insurance Workforce Absence Team Lead **PRIMARY PURPOSE** **:** To supervise the operations of multiple teams of examiners and technical staff for disability … more
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