- Bank OZK (Little Rock, AR)
- …Compensation carrier within the appropriate timeframe and follows through with claims to ensure medical payments and employee payrolls are accurately resolved. ... + Ensures that monthly, special and annual open enrollments are completed successfully. + Assists in developing and maintaining an audit plan to ensure internal and external compliance requirements are met regarding relevant government rules and regulations… more
- Lyric (Newtown Square, PA)
- …guidelines with strong leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with clients to assist in ... their interpretation of Lyric's claim edits while using our software. The Senior Manager's...subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid, MUEs,… more
- Lyric (Newtown Square, PA)
- …and governmental references, specialty society guidance, industry trends and paid claims data, the New Opportunity Consultant identifies areas where claim ... This team member recommends solutions to limit and reduce claim overpayments. This position is instrumental in the support...to provide clients with incremental savings. + Analyze paid claims data for the purpose of identifying overpayments and… more
- USAA (Charlotte, NC)
- …Special Investigation Unit (SIU) referrals, when appropriate. Maintains accurate and current claim file documentation throughout the claims process for low ... and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate… more
- Commonwealth Care Alliance (Boston, MA)
- …provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including ... with key providers; orient providers on CCA's policies related to: Claims and service recovery; Program benefits; Clinical initiatives; Referral and authorization;… more
- Commonwealth Care Alliance (Boston, MA)
- …Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with ... + **Operational Excellence:** + Collaborate with cross-functional teams (eg, Claims , Credentialing, Clinical Care Management, Member Services, Provider Services,… more
- Morley (Lansing, MI)
- …work with car, truck or SUV parts as a car enthusiast, or as an auto retail specialist at a parts store or dealership? This could be a great career move for you - ... Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 8 am...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- International (Lisle, IL)
- …a few years to take on this strategic challenge or an experienced generalist or specialist within one of the TRATON brands with a strong track record and the ability ... 1831, to the 15,000-person-strong company we are today,?few companies can lay claim to a history like International. Based in Lisle, Illinois, International Motors,… more
- Hartford Steam Boiler Inspection and Insurance Company (Atlanta, GA)
- …Apply to join our growing team! **Internal Job Title** : Principal Risk Specialist **Key Responsibilities** + Write evaluations of insured accounts and potential new ... a consultative approach with the insured to reduce the potential for an insurance claim . Write a report about the location, to provide HSB or Munich Re underwriters… more
- Morley (Lansing, MI)
- …**_Questions Before You Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 8 am - 5 pm Eastern ... help desk + Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will) services **_About Morley_** Our… more
