- AbbVie (North Chicago, IL)
- …health insurance payors and providers to investigate benefits and transmit test claims (if applicable) to verify prescription coverage. + Identifies and recommends ... process/system improvements that increase efficiency and productivity of pharmacy operations functional areas and communication of ideas with supervisors. + Interact professionally and efficiently with other internal and external teams to assure accurate… more
- HNTB (New York, NY)
- …+ Creates complex cost models for cost estimating elements. Prepares claims analysis and estimates. + Performs parametric order-of-magnitude estimating by ... establishing a project's probable cost before any graphical representation of a facility has been developed. + Analyzes specifications, sketches, drawings, bills of material or sample layouts and estimates costs for labor, material and equipment using pricing… more
- CVS Health (Austin, TX)
- …setups on MFT tools and handles file transformations for formats like Eligibility, Claims , EDI, and Client reports. The right candidate will have a passion for ... data mapping, secure file transfers and quality assurance. In this role you will: + Execute on File Transfer Management to seamlessly integrate new clients in the pharma space + Create maps to convert file feeds into the required format. + Maintain high… more
- AIG (Chicago, IL)
- …American Commercial, and Specialty portfolios. + Work closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into day-to-day ... business, and portfolio optimization strategies. + Carry out other modelling business activities including event response, business planning, budgeting, profit studies, portfolio optimization, reinsurance purchasing, and other exercises where catastrophe risk… more
- Molina Healthcare (Columbus, OH)
- …Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS ... measure deep dive to support HEDIS audit and revenue at risk reporting. + Calculate and track HEDIS rates for all intervention outcome and for overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex as… more
- MetLife (Minneapolis, MN)
- …knowledge and possess in-depth knowledge of plan designs, benefit features and how claims are paid * Strong focus on customer satisfaction and obtaining results * ... Excellent relationship-building, presentation, communication, critical-thinking and problem-solving skills * Must already hold or be able to obtain State Life, Accident and Health license within 90 days of date of hire * Regular travel in local market (10% -… more
- Ferguson Enterprises, LLC. (St. Louis, MO)
- …by the Training & Technical Support Manager + Assist with filing warranty claims + Attend trainings to becomeRheem Mfg.Field Service Representative (FSR) + Become a ... Mitsubishi Diamond Service Group member (DSG) + Other duties as assigned by Manager **Qualifications:** + 5 + years of Technical HVAC Experience. Either in Service, Install or Technical Support + EPA Certification and other HVAC licenses strongly preferred +… more
- Utilities Service, LLC (Willow Grove, PA)
- …401(k) contributions and loans, hardship withdrawal applications, retirement related death claims and the defined benefit contributions. + Ensure compliance with ... ERISA, IRS, and DOL requirements; support annual audits, Form 5500 filings, and nondiscrimination testing. + Maintain plan documentation, summary plan descriptions, and participant notices in collaboration with Legal and external counsel. + Partner with… more
- Fluor (Irving, TX)
- …with other members of the Law Department on legal hold notices related to claims and litigation. * Perform data entry and retrieval of information through docket ... management and reporting systems and update/maintain department databases as appropriate, including to collaborate with other paralegals in the Law Department on corporate registrations and contracts recordkeeping. * Legal research as may be directed by… more
- Brink's (Coppell, TX)
- …+ Act as the final escalation point for customer service issues, cases, and claims across multiple regions. + Drive root cause analysis and resolution planning in ... partnership with Continuous Improvement and Product teams. + Champion customer journey mapping and continuous improvement across all service touchpoints. + Collaborate cross-functionally to optimize back-office and service delivery processes. + Lead internal… more
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