- Covenant Health Inc. (Crossville, TN)
- …Crossville, Tennessee is part of Covenant Health, East Tennessee's largest nonprofit health system and a Becker's "Top 150 Places to Work in Healthcare." Fully ... compliance findings including state surveys, eg, EMTALA. Actively participates in system activities to support shared learning and regulatory compliance throughout… more
- Quality Technology Services, LLC (Irving, TX)
- …operations and conducts a routine and ongoing assessment of the building systems , operations, and performance. This role performs tests, rounds, and analyzes data ... telephone, performing customer equipment installs, managing tickets within the ticketing system , communicating and escalating alerts and customer requests to … more
- Allied Universal (Alpharetta, GA)
- …team that provides 24-hour monitoring and response of technology and physical security systems . The role is to detect, analyze, and alert others regarding any ... Tools:** Access to our exclusive technology to view and claim additional shifts to earn more. + **Career Growth:**...to coordinate the initiation of incidents in case management system + Document information and actions taken in case… more
- Walmart (Shrewsbury, MO)
- …3: 1 year's experience in one of the following areas: accounting, claims , inventory control, systems /UPC, personnel, or loss prevention/asset protection in ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- LA Care Health Plan (Los Angeles, CA)
- …Domain Specific Experience and Skills: Domain Focus: Authorization & Claims Operations Analytics Required: Experience with Utilization Management (UM) authorization ... workflows and prior authorization metrics. Knowledge of claims operations, including receiving, adjudication, and provider dispute resolution. Knowledge of clinical… more
- LA Care Health Plan (Los Angeles, CA)
- …acumen transforming complex, multi-domain data (membership, encounters, providers, claims , quality metrics) into interpretable and actionable insights used ... Domain Specific Experience and Skills: Domain Focus: Authorization & Claims Operations Analytics Required: Experience with Utilization Management (UM) authorization… more
- GE Aerospace (Evendale, OH)
- …lifecycle of construction projects. You will draft and negotiate contracts, manage claims and disputes, provide risk guidance during project execution, and support ... accelerations, differing site conditions, payment applications, lien issues, and closeout. + ** Claims & Disputes:** Support the resolution of claims , REAs, and… more
- Zurich NA (Washington, DC)
- …of opportunities 90 to 120 days prior to effective date. + Update required systems with details of broker / client visits and account status within specified time ... for company. + Provide expertise on coverage issues with claims . + Develop u/w manuals, programs and guidelines. +...and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship… more
- Wabtec Corporation (Pittsburgh, PA)
- …the company's insurance and risk management programs through detailed analysis, claims coordination, and policy administration. You'll work closely with internal ... related role * Strong understanding of insurance principles, policy structures, and claims processes * Proficiency with Microsoft Excel and risk management software… more
- BrightSpring Health Services (Englewood, CO)
- …basis; perform Quality Assurance to ensure accurate and timely creation of new claims and generic invoices; ensure submitted claims meet payer guidelines. + ... make necessary demographic changes to reduce rejections of submitted electronic and paper claims . + Work "resolved" unbilled tickets within 24 hours to "ready" or… more