- CVS Health (Hartford, CT)
- …to respond, manage, and resolve escalated and complex global issues for Claims /Calls, PSS, and health plan back-office operations. The PSL role has responsibility ... to respond, manage, and resolve escalated and complex global issues for Claims /Calls, PSS, and health plan back-office operations. The Plan Sponsor Liaisons serve… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Orlando Utilities Commission (Orlando, FL)
- …enrollments, terminations, changes, beneficiaries, disability, accident and death claims , rollovers, distributions, loans, hardships and compliance testing. + ... Assist in reviewing routine claims and auditing employee contributions and related payroll deductions;...payroll deductions; Prepare reports and support audits related to claims , leave requests, STD/LTD processes managed by third-party vendors.… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Invenergy (Chicago, IL)
- …and reporting, oversee claim handling, support claim investigations, complex claims and coverage determination and disputes, claim payment collections and ... experts as needed. + Maintenance of accurate records of claims across all lines of coverage in internal claim...systems. + Oversee regular claim reporting and maintain open claims status by working closely with the insurance team,… more
- US Tech Solutions (Columbia, SC)
- …health management program interventions. + Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, monitor, ... data collection/input into system for clinical information flow and proper claims adjudication. + Demonstrates compliance with all applicable legislation and… more
- MetLife (Omaha, NE)
- …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, ... knowledge and an understanding of company products as well as administrative, claims , underwriting and marketing functions. * A passion for serving customers and… more
- Centene Corporation (Nashville, TN)
- …up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting ... and directories as well as claims payment resolution as it relates to provider set...provider contracts by researching and partnering to resolve provider claims and data issues. + Act as department subject… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Centene Corporation (Jefferson City, MO)
- …clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess the business ... Microsoft PowerBI. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more