- World Insurance Associates, LLC. (Philadelphia, PA)
- …collaborating with the team to resolve issues (eligibility, carrier coverage and claims issues, compliance; health care reform, HIPAA). + Lead the delivery of ... enrollment, benchmarking, financial and utilization data based on financial review standards and make recommendations as appropriate. + Support the renewal process, including marketing activities, underwriting and renewal development, and negotiating on behalf… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …with cross-functional teams, including clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk management solutions. Contribute ... to the development and implementation of sales strategies, marketing campaigns, and product enhancements. Actively participate in team meetings, providing input to contribute to the team's overall success. Travel required. EDUCATION AND EXPERIENCE The… more
- Providence (Tukwila, WA)
- …experience in health care or pharmacy billing, collections or medical claims processing. **Preferred Qualifications:** + Bachelor's Degree in Business, Healthcare ... Administration or related field. + 3 years of work experience in as a pharmacy technician in specialty setting (eg long term care, infusion or specialty pharmacy). **Why Join Providence?** Our best-in-class benefits are uniquely designed to support you and… more
- CRC Insurance Services, Inc. (Charlotte, NC)
- …administer corporate welfare and retirement benefits. Effectively coordinates all cases/ claims to include general administration, comprehensive case management and ... program compliance with ERISA, HIPAA, and all related laws. Provides superior service and guidance to teammates, executives, and HR Business Partners. **KEY RESPONSIBILITIES** Following is a summary of the essential functions for this job. Other duties may be… more
- HUB International (Fort Worth, TX)
- …liaison between clients and carriers, proactively resolving service, billing, and claims issues. + Identify opportunities for program improvement, account rounding, ... and cross-selling to enhance client relationships and support departmental growth goals. **Qualifications** + 5+ years of experience in Personal Lines Account Management, with at least 3 years in the high-net-worth or Private Client segment. + Experience with… more
- Walmart (Bentonville, AR)
- …budget reports; working with contractors and estimating department to resolve claims ; reviewing and approving contractor payments, change orders, and invoices; and ... managing project scope and contingency. + Monitors and enforces compliance with laws and regulations for construction projects by establishing, communicating, and monitoring standards of performance for contractors and suspending noncompliant work;… more
- World Insurance Associates, LLC. (Syosset, NY)
- …cases + Create monthly financial reporting packages including detailed premium, claims , membership, commission, and cash reconciliation information + Create weekly, ... monthly and quarterly financial statements and/or projections + Assist in quarterly presentation to clients on financial performance of insurance programs + New Business Financial Evaluations, as needed by sales team + Provide timely, courteous and accurate… more
- Centene Corporation (Carson City, NV)
- …opportunities + Oversee provider set-up and contract configuration to ensure accurate claims adjudication and facilitate the organization of provider focus groups + ... Evaluate and monitor providers' performance standards and financial performance of contracts + Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception process and use of model contract language +… more
- NCR VOYIX (Atlanta, GA)
- …commercial contract, employment, competition-related, environmental and intellectual property liability claims and lawsuits, from inception to trial and appeal or ... settlement, and collaborates with outside counsel on case strategies and budget management. The successful candidate must be able to identify and lead litigation strategies, and when called upon, advocate for and represent the company in such matters. The… more
- Spire Energy (St. Louis, MO)
- …and periodic regulatory filings, as well as monthly processing of claim reimbursement requests. Duties and Responsibilities Insurance Programs + Accountable for ... recommendations for appropriate coverage, annual renewals at favorable rates, and claim notification and reimbursements + Manage the insurance renewal process,… more