- The Walsh Group (Dallas, TX)
- …scenarios and develops contingency plans. + Acts as an experienced resource for claims and mitigations. + Produces complex modeling and ensures scheduling system ... paths, float trending, percent complete, float ownership, and constraints + Claim experience required + Time impact analysis experience required + Significant… more
- HUB International (Melville, NY)
- …+ Day to day contact for client + Develop strong relationships + Resolve claims and administrative issues + Act as liaison with insurance carriers and as an ... + Maintain & manage client information through HUB's Agency Management System & data standards **Typical Additional Responsibilities** + Coordinate health fairs… more
- Health Plans, Inc. (Westborough, MA)
- …staff to communicate service issues; coordinate plan building design; resolves claim payment issues; provides general account service; and provides support to ... and brokers. + Conduct benefit meetings, producing educational materials, resolving claims /service issues. + Communicate with internal staff on any plan design… more
- Robert Half Finance & Accounting (Englewood, CO)
- …utilizing your skills in a diverse set of roles including processing claims , maintaining customer records, and resolving inquiries. Responsibilities: + Manages and ... as applicable + Applies underwriting as needed for trend analysis, high-cost claim analysis, contribution strategy, etc. + Monitor administrative costs of benefit… more
- Adecco US, Inc. (Cary, NC)
- …to serve the patient + Appropriately process pharmacy claims in client system + Recognize and understand pharmacy claim responses + Manage inbound calls ... from patients, clients, physicians, and payors regarding patient updates and services provided + Identify and report adverse events (AEs) and product complaints (PCs) to clinicians + Manage and reply to internal written communications and requests received via… more
- AGCO Corporation (Morton, IL)
- …ID: 101194 Location: Morton, IL, US Brand: PTx Workplace Type: Onsite Not everyone can claim to feed the world, but it is part of our every day. Behind everything ... through resolving product issues and managing issues in the quality management system . This individual will work closely with the Research & Development, Purchasing,… more
- Interior, Bureau of Indian Affairs (Lower Brule, SD)
- …you must enter 60 months, 4 years would be 48 months, etc. Otherwise, the system may screen you out. All qualification requirements must be met by the closing date ... MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts are acceptable,… more
- Robert Half Finance & Accounting (Colorado Springs, CO)
- …ensure accuracy in billing documentation and coding. + Prepare and submit insurance claims for reimbursement in compliance with payer requirements. + Follow up with ... insurance providers to track claim statuses and resolve discrepancies or denials. + Respond...coverage. + Post payments and adjustments in the billing system and maintain accurate account records. + Stay up… more
- Elevance Health (Atlanta, GA)
- …to create predictive impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
- The Cigna Group (Chattanooga, TN)
- …team of up to 15 employees performing a variety of mailroom and claim entry/correction process functions. The supervisor will be responsible for staffing capacity ... productive, and performance driven culture. + Utilizes an Enterprise Management Operating System (eMOS) (as applicable) and other reporting tools daily to review key… more