- USAA (San Antonio, TX)
- …assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer ... to collect and analyze data. **What sets you apart:** + P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager, Claims Operations… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …of benefit/risk profile. + Ensure that deliverables are met, and labeling claims are consistent across programs. + Develop and implement strategies to enhance ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- University of Southern California (Pasadena, CA)
- …by the physician as needed. Reviews and codes charge slips, submits insurance claims . Returns patient phone calls. Performs various office and clerical duties. Must ... by the physician as needed. Reviews and codes charge slips, submits insurance claims . Returns patient phone calls. Performs various office and clerical duties. Must… more
- AmeriHealth Caritas (Charleston, SC)
- …+ Requests/runs queries to identify root causes of claim denials, incorrect payments and claims that are not correctly submitted for payment. + Act as the resource ... education and experience preferred. + Required ability to focus on technical claims processing and Provider data maintenance knowledge. + Required understanding of… more
- LS Power Development, LLC (St. Louis, MO)
- …key contract metrics and requirements. + Identify, report, document and track contract claims , elevating claims and briefing management as necessary. + Evaluate ... counterparty claims relative to applicable contract terms and internal objectives....experience with the intake, analysis and response to counterparty claims , including with respect to assessing and processing project… more
- The County of Los Angeles (Los Angeles, CA)
- …applicant's responsibility to take steps to view correspondence, and we will not consider claims of missing notices to be a valid reason for re-scheduling an exam ... to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …datasets from IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary). + Strength in one ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- DriveTime (Fort Worth, TX)
- …all inbound calls in a timely manner + Handle customer complaint claims resulting from repossession activity through customer calls, research, and appropriate vendor ... information to customers, vendors, and third parties to resolve claims and invoice disparities + Work independently with customers...to problem solve and identify root cause of alleged claims to ensure satisfactory resolution withing SLAs + Work… more
- Highmark Health (Little Rock, AR)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of medical documentation,… more
- Sedgwick (Naperville, IL)
- …of education and experience required to include three (3) years legal and/or claims adjuster experience. Skills & Knowledge: + Good knowledge of customer service and ... one of the following: workers compensation, liability claims management, or insurance litigation + Excellent oral and written communication, including presentation… more