- Guardian Life (Holmdel, NJ)
- …models and actuarial tools used for reserving, pricing, and FP&A (eg, claims projection model, LTD Reserving model) + Automate manual actuarial/finance processes by ... cleanse, and structure financial and actuarial datasets from multiple sources (eg, Claims systems, Billing and Commissions system) + Implement robust data quality… more
- MyFlorida (Tallahassee, FL)
- …and enforces cases under state and federal antitrust laws, Florida False Claims Act, Florida securities law, Civil Racketeering and as needed civil complex ... documents. Establish guidelines and policies for verifying, allocating and distributing claims against damage recoveries in parens patriae and governmental monopoly… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …determining method of payment for authorized and unauthorized ambulance claims submitted for consideration; investigates authorizations, orders and/or utilizes ... medical records and orders the appropriate mode of special transportation and process claims using the eCams software. Work Schedule: Monday - Friday 7:30am to… more
- AON (Miami, FL)
- …Aon resources to support clients in unusual circumstances such as large claims , etc. + Involves others across geographic (including international), functional and ... Aon resources to support clients in unusual circumstances such as large claims , etc. + Involves others across geographic (including international), functional and… more
- The Cigna Group (Bloomfield, CT)
- …control studies etc. + Derive actionable insights from healthcare data ( claims , clinical, pharmacy, externally sourced) to engage and enable our provider/clinical ... or R + Strong Healthcare data knowledge and hands on experience (medical claims data, clinical data, pharmacy data and eligibility data) + Strong medical economics… more
- CenterWell (Charlotte, NC)
- …filing system updated for multiple procedures/processes. + Assists with pharmacy claims adjudication including calling insurances to assess and correct pharmacy ... claims rejections if appropriate. + Other duties as assigned and modified at manager's discretion. **Use your skills to make an impact** **Required Qualifications:**… more
- ASRC Industrial Services (Central Point, OR)
- …Corporation (ASRC), an Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an ANC all our operating ... new hire reporting. + Handle employment verifications and manage unemployment claims . + Oversee multi-state surveys and Keystyle approvals for payroll documentation.… more
- Wolf Creek Nuclear Operating Corporation (Burlington, KS)
- …quality of work, missed due dates, customer service issues, and property damage claims . Supervisors will ensure that a high quality of work and schedule adherence ... Central Design, Asset Management, Purchasing, Materials, Vegetation Management, Corporate Safety, Claims , Real Estate, Legal, and Accounting. * The effectiveness of… more
- Saia, Inc (Miami, FL)
- …and ensures a positive customer experience. + Investigates freight issues, manages claims processes, and applies policies to resolve disputes fairly and efficiently. ... issues promptly in accordance with company procedures to minimize potential claims . + Identifies recurring service issues and recommends improvements to enhance… more
- Truecare Homecare Agency (Brooklyn, NY)
- …all documentation to centralized location + Participate in data retrieval for claims appeals and requests for payment + Liaison between the insurance companies ... phone/fax management skills, computer documentation of codes and information for claims Required Qualifications: + High School Graduate/ GED equivalent +… more