- Firefly Health (Watertown, MA)
- …internal team and answers, and also investigating and resolving billing and claims inquiries all within established service level agreements (SLAs). This role ... plan designs to a member and digging into technical claims adjudication issues with providers. You will: Member &...inquiries from members and providers within SLA. + Research claim details in internal and TPA systems to address… more
- Hormel Foods (Eldridge, IA)
- …maintain productivity data using **AS400** and **HDS** systems. **Human Resources Operations ** + Coordinate the hiring, onboarding, and termination of employees. + ... + Maintain accurate and up-to-date personnel files for all temporary employees. ** Claims Management** + Investigate customer and operational claims using… more
- Delta Air Lines, Inc. (Atlanta, GA)
- …in the education of internal businesspartners of the importance of early claim reporting, early return to workprograms and other appropriate cost containment ... ofvendor performance standards and adherence to contractual requirements. Ensurethat claims handling is conducted in compliance with applicable stateregulations,… more
- TEKsystems (Troy, MI)
- Please see details for the opening: Job Title: Customer Claims Specialist Category: Mortgage, Insurance Pay Range: 17$/hour Location: Office - 700 Tower Drive, Troy, ... 1-2 years of call center experience, preferably in escalations, claims , or insurance + Strong resilience and ability to...+ Navigate multiple systems to research and provide accurate claim information + Serve as a liaison between homeowners,… more
- Genesis Healthcare (MA)
- …and performs day-to-day billing and collection activities associated with resolution on claims for payment from assigned payers. The supervisor directs his/her unit ... to perform daily operations to achieve management goals on a timely basis....following day-to-day billing and collection activities such as preparing claims for payment from Managed Care Carriers and following… more
- Access Dubuque (Dubuque, IA)
- …detailed and accurate claim records, documentation, and communications in the claims system. + Partner with Safety, Maintenance, Operations , and Legal ... for independently managing a broad range of physical damage claims for the company's fleet, including trucks, trailers, and...knowledge and offering guidance. + Monitor and report on claim trends, delays, and cost drivers; suggest and support… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... public related to managed care rules, regulations, compliance, and coordination of operations . Levels of Performance Select the Level of Performance that best… more
- Commonwealth of Pennsylvania (PA)
- …to play a vital role leading a team that is dedicated to safe plant operations and the comfort of residents, staff, and visitors at our long-term care facility, then ... the shift and carry out responsibility for utility plant operations including the regulation of feed water pumps, forced...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- …technical support of Mobile Command Posts, Fixed Command Posts, and Joint Operations Centers. You will independently install and configure all software and hardware ... In addition, you will provide technical assistance to contractors, assist with operations procedures and planning, and review MCP technical manuals and publications.… more
- Towne Park (San Antonio, TX)
- …initiatives and Towne Park cultural perspectives are incorporated within the area's operations . The Senior Account Manager is responsible for escalating issues to ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls… more
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