- The Auto Club Group (Milwaukee, WI)
- …contractors exceeding goals and member expectations Resolves member complaints and claims received from member service representatives or other ACG staff Conducts ... investigations on high priority claims Conducts required mediation and arbitration necessary to ensure effective resolution Completes administrative duties related… more
- The Auto Club Group (Lake Mary, FL)
- …ideas for improving financial performance as needed. Resolve member complaints and claims received from member service representatives or other ACG staff Identifying ... delegating resolution to relevant staff Conducting investigations on high priority claims Conducting required mediation and arbitration necessary to ensure effective… more
- Skill (Boston, MA)
- …extended teams to ensure awareness of updates to references that impact claims libraries Specific Reference Steward responsibilities include: * Triage and process ... etc.) members, as needed * Provide support to Label Operations Team and Claims team, as needed Required Qualifications: * Pharmaceutical industry experience * 3 to… more
- Spectraforce Technologies (Columbia, SC)
- …Software and Tools: Standard office equipment. Team : VS (Validation Service) Claims and Data Analytics Team (We support testing of work efforts/projects for ... Testing Department 69 People. We are working on numerous projects related to claims processing, onboarding new plans to services and managed care work. Required… more
- UnitedHealth Group (Omaha, NE)
- …involved in identifying and remediating operational short-falls and researching and remediating claims . If you reside in Nebraska, you will have the flexibility to ... team/project leadership or mentoring General level of knowledge of claims /systems processes, contracting and reimbursement methodologies Ability to understand the… more
- Selective Insurance (Indianapolis, IN)
- …in court and/or participates in the taking of depositions as needed on claims or coverage issues. Maintain administrative records and administer the following for ... Underwriting experience preferred; 3-4 years' experience in rating, inspections, and claims preferred. Total Rewards Selective Insurance offers a total rewards… more
- Aon (Atlanta, GA)
- …presentation skills. Utilize effective negotiation skills. Establish an understanding of the claims administration process and utilize the claims and legal ... advocacy group for claim administration and counsel as per established protocols and as advised by senior team members Drive utilization of all available technology throughout broking process and client service process Replicate effective products/solutions… more
- UnitedHealth Group (Minnetonka, MN)
- …the performance of utilization management programs Use SAS/SQL to construct claims -based datasets Construct polished MS Excel models to satisfy analytical requests ... or MS Experience with Medicare Advantage Experience working with medical claims data. Experience presenting analytical summaries to key stakeholders Proven… more
- Dollar Bank, FSB (Canton, OH)
- …handles optional insurance balancing for the billing, upgraded customer issues, loss claims processing and research. This position also monitors loans for flood ... updates and send appropriate letters when necessary. Process loss draft claims according to investor and bank guidelines. Handle research on questions/problems… more
- Medica (Madison, WI)
- …coordinates and guides cross-functional teams-including network, Technology, and claims operations-from concept and requirements through delivery, ongoing ... Visio, Onenote, Teams, etc.) and experience with other Program functions (workflow, eligibility, claims , etc.) Ability to lead and be a good role model, influence… more
