- Molina Healthcare (Traverse City, MI)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
- Elara Caring (Broken Arrow, OK)
- …providing the Right Care, at the Right Time, in the Right Place. **Job Description:** ** Claim Specialist ** At Elara Caring, we care where you are and believe the ... holidays, family, and pet bereavement + Pet insurance As Claims Specialist , you'll contribute to our success...Performs claims audits for Medicare and non-Medicare claims through completion of claim audit Workflow.… more
- Spurwink Services (Portland, ME)
- …| Full Time Spurwink's Finance department is seeking an experienced Senior Collections Representative with a minimum of five years medical/behavioral health ... accounts receivable experience. The Senior Collections Representative will work to resolve outstanding accounts...funders. This includes follow ups, corrections and resubmissions of claims for all denials. Develop tools to measure trends… more
- Burns & McDonnell (Kansas City, MO)
- **Description** The Senior Insurance Administrator is responsible for managing the requirements and execution of Burns & McDonnell's insurance program. This position ... the firm, the insurance brokers, adjusters and attorneys involved on insurance claims . + Consult with various individuals internal and external to the company… more
- Medtronic (Irvine, CA)
- …of US and International promotional labeling material, including the creation of a claims matrix database and claims objects. + Lead AI/ML adoption in ... content and claims management to support automation and enhance process efficiency....Promotional labeling + Proficiency with Veeva PromoMats, Ad Promo/MLR claims , and material review and approval systems + Excellent… more
- Beth Israel Lahey Health (Burlington, MA)
- …or problems in the most effective and positive manner possible. + Researches claim edits and payment denials related to financial clearance and works closely with ... the Lahey Patient Financial Services staff to resolve these denials. Communicates resolution to patients. **Minimum Qualifications:** Education: High School Diploma or equivalent Experience: + At least two years prior experience in a business/health care… more
- Zurich NA (Sacramento, CA)
- …or Arizona. This position offers a hybrid/virtual setup based on your location. The Senior Workers Compensation Claims Specialist will handle single and ... Sr. Claims Specialist , Workers Compensation 125899 Zurich...of damages allowed by law. + Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available… more
- Access Dubuque (Dubuque, IA)
- …**Similar Jobs** Senior Filling & Closing Technician Simmons Pet Food Senior Controls Specialist Simmons Pet Food Environmental Health and Safety (EHS) ... Senior Food Technologist **Simmons Pet Food** 1 Positions...to assure finished product nutritional adequacy (label and nutrition claim ) applying statistical data from key raw materials (z… more
- The County of Los Angeles (Los Angeles, CA)
- …Board Specialist Management Assistant Operation Assistant Personnel Assistant Senior Board Specialist Senior Departmental Personnel Assistant ... County's Class of Staff Assistant I**, Administrative Assistant I , or Senior Departmental Personnel Assistant analyzing and making recommendations for the solution… more
- The Hartford (San Antonio, TX)
- …too. Join our team as we help shape the future. As a Claim Specialist for Primary and Excess Liability Claims in the Hartford Global Specialty (HGS) ... Specialist Claims - CH07DE We're determined...initiatives; + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy… more