- Southland Industries (Carrollton, TX)
- …tool box talks. + Process supervisor's first report of injury. Set-up and maintain w/c claim filing system . + Assist with case management of open claims ... to Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **What you'll do:** + Provide administrative support to group… more
- City of New York (New York, NY)
- …personnel for all contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates. - Maximize agency ... reimbursement by ensuring all expenditures are captured and reported accurately in claims . - Reconcile DOHMH submitted claims after state approval. - Handle the… more
- Cognizant (Plano, TX)
- …and Responsibilities:** . Ability to analyze, design and build NetworX system Configuration requirements to maintain provider contracts, Benefits, Fee schedules, ... groups, etc. . Understand and build solutions for Medicaid - NetworX system Benefit configuration matrix. . Conduct requirements discovery sessions with clients to… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …and procedures + Develop and maintain accurate information management and filing systems to ensure compliance with records retention policies + Develop, streamline ... and enhance staffing systems , tracking reporting and analysis as necessary + Ensure...offer letters + May administer the organization-s learning management system + May manage performance review cycles including 60-day,… more
- Amrize (Nashville, TN)
- …roofing applications for no-dollar-limit warranty coverage, performing warranty claim investigations, and for providing on-site technicalconstruction assistance to ... installation deviations and make acceptance determinations within authority level based on system performance requirements for a given project, system , warranty… more
- PeaceHealth (Vancouver, WA)
- …and safety. Job Summary Responsible for leading and overseeing the health system 's clinical risk management program. This role provides strategic and operational ... daily operations of the Clinical Risk Management team across the health system . Handles day-to-day risk management operations and tasks including on call coverage,… more
- HUB International (Nashville, TN)
- …experience and in-depth knowledge of insurance markets, policy provisions, claim processes, business environment, and risk mitigation, applies independent and ... responsible. These include non-routine coverage issues and questions, denial of claims , renewal strategies for key accounts, and interpretation of non-routine… more
- Medical Mutual of Ohio (OH)
- …including HEDIS audit submission, Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS). Supports data capture and ... Produces in depth, and customized trend reporting across multiple systems and delivers recommendations to improve quality metrics.Collaborates with multiple… more
- MetLife (Oriskany, NY)
- …of MetLife. The customers who call into our call center call to file their claims , or to service their active claims . Call types include callers with disability, ... needs. * Research requests regarding various product aspects, policy provisions, claim status, basic procedures, etc. * Efficiently process transactions and refer… more
- Sedgwick (Columbus, OH)
- …worker's injury, medical treatment, psychosocial needs, cultural implications and support systems . + Effectively communicates and builds relationships with the ... claims ' examiner, client, injured worker, attorney and supervisor. +...+ Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes… more