- JE Dunn Construction Company (Atlanta, GA)
- …with the external insurance company contacts in reporting and managing safety-related claims and assists Safety team members in monitoring medical treatment of ... Zone' program and in the management of Workers' Compensation claims . + Acts as a liaison between the employees,...status on all safety and workers' compensation and related claims to senior management. + Attends various operational meetings… more
- Lyric (Newtown Square, PA)
- …and governmental references, specialty society guidance, industry trends and paid claims data, the New Opportunity Consultant identifies areas where claim ... pre-payment claim edits to provide clients with incremental savings. + Analyze paid claims data for the purpose of identifying overpayments and areas for incremental… more
- Entrust (Shakopee, MN)
- …law compliance, investigations, and immigration matters, as well as managing employee-related claims and litigation, with opportunities for legal work in other areas ... law compliance, investigations, and immigration matters, as well as managing employee-related claims and litigation, with opportunities for legal work in other areas… more
- Stanford Health Care (Palo Alto, CA)
- …identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The ... analyzes pharmacy billing data, including but not limited to charges and claims , to identify discrepancies, trends, and compliance gaps. + Participates in/leads… more
- FM (Johnston, RI)
- …of money from reinsurers and ensuring accurate billing and timely collection of claims to minimize aging. This candidate will work closely with internal and external ... parties. + Work with many internal parties such as claims , accounting, staff underwriting, EMEA Treasury, Agile, and legal...Access, PowerPoint, and Word) + Familiarity with URS, RATS, Claims Connect, and OnBase a plus + Reinsurance /… more
- Commonwealth Care Alliance (Boston, MA)
- …with key providers; orient providers on CCA's policies related to: Claims and service recovery; Program benefits; Clinical initiatives; Referral and authorization; ... other CCA departments, including Clinical Management, Member Services, Regulatory Affairs, Claims and Outreach and Marketing, to resolve provider issues. +… more
- Commonwealth Care Alliance (Boston, MA)
- …+ **Operational Excellence:** + Collaborate with cross-functional teams (eg, Claims , Credentialing, Clinical Care Management, Member Services, Provider Services, ... with other CCA departments, including Clinical Management, Member Services, Claims , Regulatory Affairs, Outreach and Marketing, to resolve provider issues.… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Work collaboratively with CHLAMG related to shared risk and claims management. **Minimum Qualifications/Work Experience:** _Required:_ 5+ years' risk management, ... claims , professional liability and/or clinical experience including 2+ years of Director, Risk Management experience. Or, 7+ years' risk management, claims ,… more
- Zoltek-Toray Group (St. Louis, MO)
- …of contact for all workers' compensation matters. Responsible for managing claims , coordinating with insurance providers, ensuring compliance with state and federal ... regulations, and supporting employees through the claims process. Conduct and analyze exit interviews to identify trends, uncover root causes of employee turnover,… more
- Sul Lee Law Firm, PLLC (Dallas, TX)
- …Responsibilities: Lead litigation strategy for partnership/shareholder disputes, derivative claims , fiduciary duty litigation, and business divorce cases. Handle ... TRO and TI hearings, including emergency filings, expedited discovery, evidentiary hearings, and enforcement actions. Manage all aspects of case development: pleadings, discovery, depositions, motion practice, mediation, arbitration, and trial. Advise business… more
