- First Student (Cincinnati, OH)
- …transportation industry has to offer.** Serves as the third party liability claims administrator (GLICRS) and the technical examiner for the workers compensation ... claim section. Manages all data associated with the GLI...data integrity purposes, state regulators for self- insurance purposes, claims vendors for financial data integrity purposes, and RMIS… more
- Elevance Health (Atlanta, GA)
- …in order to recover corporate and client funds paid on fraudulent Medicaid claims . **How You Will Make an Impact:** + Responsible for identifying and developing ... more than one company health plan, line of business and/or state + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and… more
- CVS Health (Hartford, CT)
- …plans. Responsibilities may include: Querying and analysis of complex provider claim , financial and other data to support VBC negotiations/renegotiation and ideation ... and communicate effectively to varied audiences including health plan senior leadership and a multitude of internal business partners....querying and working with large data sets such as claims data. + Prior experience handling financial data -… more
- City of Norfolk, Virginia (Norfolk, VA)
- …+ Organizes trial schedule for appeals of City criminal (misdemeanor) cases. Maintains claim and litigation records concerning all claims and suits filed against ... will involve civil litigation, personal injury and property damage claims , administrative proceedings, worker's compensation matters, and transactional matters. The… more
- Boehringer Ingelheim (Ridgefield, CT)
- …Human Pharma business and to help Sr. AD provide strategic recommendations to Senior Management in the Managed Markets of Federal and Medicaid, consistent with ... by managing the Medicaid rebate operations for BIPI which includes claim processing, dispute resolution, quarterly CMS pricing compliance and systems development.… more
- Southern Company (Atlanta, GA)
- …including Family Medical Leave Act (FMLA), sick pay, and Short-Term Disability claims . This position works closely with the Southern Company FMLA Management Center ... appropriate return to work for employees. As a subject matter expert, the Senior Disability Specialist demonstrates advanced capabilities in all areas of sick pay,… more
- Fortrex (Atlanta, GA)
- …and report on key metrics and trends related to workers' compensation claims . Prepare periodic reports for senior management. + **Compliance Oversight:** ... crucial role in supporting insurance renewals, managing auto-liability and general liability claims , and overseeing certificates of insurance. In this role, you will… more
- City of New York (New York, NY)
- …departmental requirements. - Oversee Revenue Analysts to ensure accurate analysis of claims data, claim submissions and reports are processed timely based ... programs that positively impact youth and communities. Under the supervision of the Senior Director of the Grants Management & Revenue (GMR), The Director, with… more
- Syensqo (Alpharetta, GA)
- …will largely focus on managing legacy asbestos liabilities and handling employee claims , as well as assist with general commercial and environmental litigation ... matters. The position will work closely with our Senior Litigation and Regulatory Counsel and collaborate with colleagues in other functions such as Human Resources… more
- BrightSpring Health Services (Phoenix, AZ)
- …for data entry. + May produce reports and keep management informed of unpaid claims and claims pending follow-up. + Processes prescriptions by triaging and ... inputting into computer systems. + Maintains current knowledge of Medicaid claim regulations and processes. + Ensure technician adherence to local, state, and… more
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