- State of Colorado (Denver, CO)
- …capacity to facilitate the resolution of disputes between two parties; and to support other units with the Division of Workers' Compensation by fielding questions ... regarding their area of expertise. Support is provided through the DOWC Customer Service Call...line staff at the public facing service desk. Fulfill claim copy requests to claim parties. Fulfill… more
- Tennessee Valley Authority (Brownsville, TN)
- …assigned. Job Summary Fully performs both standard and non-standard transactions in support of management support services job family. Selects, applies, and ... research information sources, and document and coordinate results. Multi-functional support may include business planning, budget/accounting, facilities and equipment… more
- DriveTime (Fort Worth, TX)
- …all inbound calls in a timely manner + Handle customer complaint claims resulting from repossession activity through customer calls, research, and appropriate vendor ... communicate accurate information to customers, vendors, and third parties to resolve claims and invoice disparities + Work independently with customers and vendors… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …Accurately document benefit verification results in pharmacy systems. . Troubleshoot rejected claims and perform necessary claim adjustments. . Assist in ... SUMMARY: Polaris Specialty Pharmacy is seeking a Benefits Verification specialist to support patient access to specialty medications. This role is essential in… more
- New York State Civil Service (New York, NY)
- …include, but are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, Claims Service ... Representative 1, Claims Services Representative 1 (Disability Benefits); OR* Six years of experience*...as the use of supported employment, individual placement with support services, customized employment, the civil service sections 55/b… more
- Justice, Bureau of Prisons/Federal Prison System (Florence, CO)
- …performs similar functions. Evaluates and prepares proposed disposition letters for more complex claims submitted under the Federal Tort Claims Act, the Civilian ... a supplemental investigation if the initial investigation of the claim so warrants. Prepares difficult interrogatory responses, litigation reports, requirements… more
- HUB International (Nashville, TN)
- …career that helps local businesses in the community + Strong community support and involvement through HUB Gives **SUMMARY:** The Strategic Account Executive, ... experience and in-depth knowledge of insurance markets, policy provisions, claim processes, business environment, and risk mitigation, applies independent and… more
- Tidelands Health (WV)
- …proper reimbursement of service rendered and to maintain an industry standard clean claim rate. May assistant with writing appeals letters. Assist with training to ... with written appeal letters, dispute determination responses, and redetermination to support reimbursement of services rendered. + Gathers and verifies all… more
- Fallon Health (Worcester, MA)
- …and Provider Appeals Department. This position will also provide administrative support to the departments. Serves as liaison between Fallon Health members ... acknowledgement of the grievance/appeal, educating the member and/or member representative about the grievance/appeal, gathering all pertinent and relevant… more
- General Dynamics Information Technology (Fairfax, VA)
- …on NY Medicaid billing and enrollment practices to the provider community, including claim resolution support + Provide technical training to NY Medicaid ... None **Public Trust/Other Required:** None **Job Family:** Program Instruction Support **Skills:** Health Care,Microsoft Applications,Training Techniques **Experience:** 2 +… more