• Prepayment Review Coding Specialist

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …state guidelines, and policies. + Provide instructions to the claims operations department prepayment reviews to initiate claim adjustments + Provide coding ... of health care fraud, waste, and abuse and to facilitate accurate claim payments. The Prepayment Review Coding Specialist will conduct pre-payment reviews of… more
    Blue Cross Blue Shield of Massachusetts (10/17/25)
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  • Trial Attorney I

    MAPFRE Insurance (Westborough, MA)
    …report high-exposure cases to the Managing Attorney + Provide onion letters/memos to the Claims Department to guide claim disposition + Monitor and analyze new ... legislation and court decisions to inform the Law Office, Claims Department, and broader company operations **Qaulifications:** + Master's degree or equivalent… more
    MAPFRE Insurance (10/15/25)
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  • Risk Management Specialist

    Love's Travel Stops & Country Stores (Oklahoma City, OK)
    …claimant if appropriate. + Develop a plan of action to monitor and accurately document claim details. + File new claims with proper carrier or state agency. ... plan of action to satisfactorily and efficiently resolve each claim . **Job Functions:** + Communicate consistently with all relevant...as a claims adjuster, working in insurance claims , customer service, or retail operations is… more
    Love's Travel Stops & Country Stores (08/16/25)
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  • Payment Integrity Auditor II

    Premera Blue Cross (Mountlake Terrace, WA)
    …office. This role will support the execution of Premera's corporate wide claim payment accuracy strategy through conducting claim audits, identifying trends ... billing investigation. This role requires a deep understanding of medical claims adjudication, coding compliance, and regulatory guidelines. You will be responsible… more
    Premera Blue Cross (09/24/25)
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  • Regional Operations Manager, Parks…

    The County of Los Angeles (Los Angeles, CA)
    REGIONAL OPERATIONS MANAGER, PARKS AND RECREATION Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5079630) Apply  REGIONAL OPERATIONS ... Recreation and support the overall management of regional park operations , including grounds maintenance, recreation programs, golf course ...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
    The County of Los Angeles (10/02/25)
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  • Highway Maintenance Coordinator

    Commonwealth of Pennsylvania (PA)
    …the preparation of plans and estimates for a variety of work operations such as paving, surface treatment, widening, construction, joint sealing, snow removal, ... employees, local groups, officials, and property owners to explain operations , resolve problems, and foster cooperative working relationships. Work Schedule… more
    Commonwealth of Pennsylvania (10/20/25)
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  • Assistant Highway Maintenance Manager

    Commonwealth of Pennsylvania (PA)
    …estimates, and plans for various highway, bridge, and tunnel maintenance operations . Excellent critical thinking skills are employed to construct preliminary drafts ... questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are… more
    Commonwealth of Pennsylvania (10/14/25)
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  • Liquor Store Assistant Manager 3 - Jonestown Road,…

    Commonwealth of Pennsylvania (PA)
    …Group LS12 Bureau / Division Code Store #2210 Bureau / Division Retail Operations , Store Region 2 Worksite Address 5070 Jonestown Road City Harrisburg, Pennsylvania ... Manager, you will oversee and direct daily store activities, ensuring efficient operations and exceptional customer service. You will supervise a shift; participate… more
    Commonwealth of Pennsylvania (10/14/25)
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  • Liquor Store General Manager 2B - Ogontz Avenue,…

    Commonwealth of Pennsylvania (PA)
    …Group LS16 Bureau / Division Code Store #4640 Bureau / Division Retail Operations , Store Region 1 Worksite Address 8156 Ogontz Avenue City Wyncote, Pennsylvania Zip ... results-driven Liquor Store General Manager 2B to lead the operations of our Fine Wine & Good Spirits Store...PerformanceSelect the "Level of Performance" which best describes your claim . + A. I have supervisory or management experience… more
    Commonwealth of Pennsylvania (10/13/25)
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  • Service Center Representative - Bartlesville, OK…

    Sedgwick (Bartlesville, OK)
    …people through important life events + Gain valuable experience in insurance operations and customer service + Work in a supportive, team-oriented environment with ... a vital role at the heart of the insurance claims process. As a Customer Experience Specialist, you'll be...multiple communication channels about documentation required to process a claim , required time frames, payment information, and claim… more
    Sedgwick (10/02/25)
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