- GuideOne Insurance (Chicago, IL)
- We are building a next-generation Cloud Data Platform to unify data from Policy, Claims , Billing, and Administration systems into a single source of truth. We are ... standardization of data models, pipelines, and quality frameworks across Policy, Claims , Billing, and Administrative data assets. + Evaluate and implement emerging… more
- MetLife (Bloomfield, CT)
- …to appropriately determine liability. * Maintain active oversight of leave claims from initiation to closure following appropriate policies and procedures around ... Prior experience with PFML, FMLA, Absence Management or Disability Claims . * Experience handling insurance claims (auto,...or Disability Claims . * Experience handling insurance claims (auto, home, life, etc.) * College Degree /… more
- City of New York (New York, NY)
- …The role is responsible for overseeing staff responsible for the reconciling of claims payments within the City's self-funded health plan effective January 1, 2026. ... with contractual obligations, regulatory requirements, and internal policies related to health claims and monthly admin fee payments. o Oversee the performance of… more
- Stantec (Nashville, TN)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... written communications, including Change notifications, Change Requests, responses to Claims notifications, etc. within the timeframes required by the Contract… more
- Robert Half Legal (Minneapolis, MN)
- …litigation related to employee benefits, retirement plans, fiduciary duties, and claims administration. Key Responsibilities: + Assist attorneys with all aspects of ... + Summarize depositions, medical records, and plan documents relevant to benefit claims and fiduciary litigation. + Coordinate with clients, plan administrators, and… 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
- Health Care Service Corporation (Chicago, IL)
- …regarding the delegated entity reporting requirements to include claims delegation, utilization management delegation and credentialing delegation.8.Respond to ... provider inquiries in an effective and timely manner and assist in claims resolution and payment problems. Must work closely with the Pricing, Full Service Units,… more
- Otsuka America Pharmaceutical Inc. (Boise, ID)
- …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
- Otsuka America Pharmaceutical Inc. (Augusta, ME)
- …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
- HUB International (Morton, IL)
- …coverages, and appropriate/available risk management/control solutions. + Work with the client as claims liaison as needed on day to day issues that may arise and ... be able to prepare and coordinate claims review with client, producer and markets. + Establish...stewardship reports, delivery of risk control services, carrier meetings, claims reviews, preparation of coverage outlines, and marketing of… more