- Molina Healthcare (Lexington, KY)
- …timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- Alight (IL)
- …training. + Working collaboratively with stakeholders to identify trends in service/ claims . + Attending Client Services and Operations meetings and calls and ... as needed. + Serving as a liaison to assist members filing claims and navigating internal resources for high-priority employees. **Requirements** + Demonstrate… more
- Walmart (Bentonville, AR)
- …journals and invoices compiling and reporting budget information submitting warranty claims complying with Occupational Safety and Health Administration OSHA and ... Environmental Protection Agency EPA regulations and guidelines ensuring quality work is completed that complies with federal state and local regulations developing relationships with local parts suppliers and contractors ensuring contractors follow Walmart… more
- Ross Stores, Inc. (Fort Mill, SC)
- …knowledge of transportation, cross\-docks, contracts, pricing formats, contractual language, claims , RFP processes and insurance requirements \- preferred * Must ... possess excellent written and oral communications skills and be able to communicate with all levels and departments both within and outside of the organization * Strategic & proactive thinking: Ability to proactively identify long\-term issues and develop… more
- CRC Insurance Services, Inc. (ID)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... information and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with insurance carriers to ensure claims … more
- Axis (New York, NY)
- …coverage, investigation, damages, reserve rationale, negotiations, etc. associated with claim *Investigates potentially fraudulent claims and takes appropriate ... claims *Identifies opportunities for contribution, subrogation and contribution to the claim *Prepares required reports to senior management *Travels to… more
- Axis (Red Bank, NJ)
- …selection process. 'Key Duties and Responsibilities: * Excels in best practices claim environment, thoroughly documenting the claim process * Conducts ... and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the… more
- Philadelphia Insurance Companies (Pasadena, CA)
- …staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work ... one of the top 20 insurance providers worldwide. Job Summary This very senior technical position will primarily handle litigated and/or complex general liability and… more
- Johns Hopkins University (Middle River, MD)
- …and rejections processes to resolve standard issues or escalate to a more senior specialist . **Principal Duties and Responsibilities** + Uses A/R follow-up ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more
- Johns Hopkins University (Middle River, MD)
- …rejections processes to resolve standard issues or escalate to a more senior specialist . **Principal Duties and Responsibilities** _Procedural Knowledge_ + Uses ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more