- SpartanNash (Byron Center, MI)
- … claims , Workers Compensation claims and Equal Employment Opportunity claims . + Participate in unemployment compensation claim hearings representing the ... may be assigned as needed. **Here's what you'll need:** + Bachelor's Degree ( preferred ) in Business Administration or other related field or combination of education… more
- EMCOR Group (Manchaca, TX)
- …with Purchasing Manager for inclusion of terms and discounts. + Coordinate claims issues and legal activity with EMCOR Construction Services legal counsel by ... and all other documentation that may be necessary to address a claim . + Participate and coordinate internal/external audits schedule and requirements. + Conduct… more
- Centene Corporation (Jefferson City, MO)
- …and administrative philosophy. Experience in claims coding analysis or medical claim review/research preferred . Knowledge of Amisys claims payment system ... role. Preferred candidate has experience and knowledge of Duals claims processing. _** **Position Purpose:** Perform various analysis and interpretation to link… more
- Ankura (Phoenix, AZ)
- …Construction Management, or related field from an accredited institution; Advanced degree preferred + 5-7 years of disputes/ claims consulting experience in the ... client relationship manager and technical expert on high-profile construction disputes, claims , and litigation matters Value Proposition: This role is based in… more
- CVS Health (Phoenix, AZ)
- …-Explains member's rights and responsibilities in accordance with contract. -Processes claim referrals, new claim handoffs, nurse reviews, complaints ... -Assists in preparation of complaint trend reports. -Assists in compiling claim data for customer audits. -Determines medical necessity, applicable coverage… more
- Invenergy (Chicago, IL)
- …Company has appropriately structured insurance programs + Support a wide range of claim related activities - claim notice intake, evaluation, and reporting, ... oversee claim handling, support claim investigations, claim payment collections and payment...for employer visa sponsorship now or in the future. Preferred Qualifications + Bachelor's degree in insurance, risk management… more
- Elevance Health (Indianapolis, IN)
- …duties may include, but are not limited to: + Researches and interprets claims issues while ensuring good, accurate and timely customer service for our pharmacy ... to accommodate the needs of our clients; this includes claim processing, customer service, & medical account management. +...custom reports for internal and external clients, such as claims , drug utilization and impact reports to our clients… more
- Harbor Group Management (Norfolk, VA)
- …and system integrity through routine audits and process improvements. + Support claims management by maintaining up-to-date claim files, generating loss runs, ... + Ability to work independently and collaboratively with cross-functional teams. PREFERRED SKILLS: + Knowledge of insurance programs, claims management,… more
- AUI Partners (TX)
- …As soon as possible + Assist HR, Legal and Compliance on Worker Compensation claims and other claims involving the public, vehicles, utilities, and equipment. + ... and job-sites to detect existing or 3) Incident Investigations: + Conduct Utility Claim Investigations within 24 hours and provide report for safety files and… more
- CVS Health (Hartford, CT)
- …the company ** Preferred Qualifications** Strong project management skills are strongly preferred Claim adjudication knowledge is strongly preferred Adept ... to respond, manage, and resolve escalated and complex global issues for Claims /Calls, PSS, and health plan back-office operations. The PSL dedicated role has… more