- MetLife (Omaha, NE)
- …of MetLife. The customers who call into our call center call to file their claims , or to service their active claims . Call types include callers with disability, ... needs. * Research requests regarding various product aspects, policy provisions, claim status, basic procedures, etc. * Efficiently process transactions and refer… more
- Caterpillar, Inc. (Peoria, IL)
- …As a **Senior Warranty Service Engineer** , you will lead Caterpillar's Global Warranty Claims team to improve the Quality and Velocity of our claim ... to solve problems and improve collaboration. * Lead and represent the Warranty Claims team on various continuous improvement projects * Lead our dealer training *… more
- Centene Corporation (Carson City, NV)
- …managed care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations . + Project ... reside in Nevada, specifically in Elko County & neighboring counties. Strong claims background, experience with issue resolution or client interaction is highly… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Consultant uses industry knowledge, research skills, payment policy and business operations knowledge to become a trusted subject matter expert on professional ... operational impacts, inquiries and implementation efforts. + Assist in developing new claim editing logic and maintenance of existing rule logic to support payment… more
- Insight Global (South Jordan, UT)
- …valid claim identification and documentation (letter writing). Identifies potential claims outside of the concept where additional recoveries may be available. ... is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …for the evaluation of Veterans and Service Members who have filed VA Disability claims . The incumbent will be located at VA Palo Alto Health Care System (VAPAHCS). ... Clinical: Evaluates Veterans and Service Members who have filed VA Disability claims with the Veterans Benefits Administration (VBA) and/or Service Members being… more
- UHS (Binghamton, NY)
- …this role, you will investigate, analyze, and resolve denied insurance claims -ensuring timely reimbursement and supporting the financial integrity of our ... collaborate with payers, providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join a team where your work strengthens not… more
- Southland Industries (Carrollton, TX)
- …to Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **What you'll do:** + Provide administrative support to group ... supervisor's first report of injury. Set-up and maintain w/c claim filing system. + Assist with case management of...filing system. + Assist with case management of open claims through to closure; notify safety director of safety… more
- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... Inspections: + Report Safety Inspection findings to the Project Superintendent and Operations team. + Ensure recommended changes have been implemented. + Routine… more
- Alabama Oncology (Birmingham, AL)
- …for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action, including completion of submissions, ... explanations of benefits and exercises all options to obtain claim payments. + Reviews credit balance reports for correct...manner. + Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends… more