- Ices Inc (Naugatuck, CT)
- …questions. + Assist employees with health, dental, life and other related benefit claims . + Verify the calculation of the monthly premium statements for all group ... insurance policies and maintain statistical data relative to premiums, claims and costs. Resolve administrative problems with the carrier representatives. +… more
- VetsEZ (CA)
- …care teams, payers, and providers to improve how patients experience care, how claims are processed, and how care coordination is managed across the continuum. By ... we enable smarter decisions, seamless patient engagement, and more efficient claims management. Together, we are shaping a healthcare ecosystem that delivers… more
- Point32Health (Boston, MA)
- …in curating and using electronic health system data including health insurance claims , medical records, and surveys. HPI areas of interest include public and ... maternal health, and/or safety-net health systems * Experience using claims data preferred * At least one first author...using large, complex data from multiple sources, such as claims data (All Payer Claims Data, CMS… more
- Sedgwick (Newark, NJ)
- …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Sedgwick (Pierre, SD)
- …assist customer service representatives in expediting the application by providing claims general information; to track trends; to investigate client feedback both ... workflow and workload assignments for the team. + Communicates claims process with claimant and client either by phone...and claim status either by phone, written correspondence and/or claims system. + Participates in and maintains a quality… more
- Offices, Boards and Divisions (Washington, DC)
- …oversees the work of the RECA Staff, which is responsible for administering claims for benefits filed under the Radiation Exposure Compensation Act. The Act provides ... RECA Staff. Major duties include: Personally handling difficult and precedent-setting claims of unusual complexity. Supervising and directing the work of attorneys,… more
- Healthfirst (Enfield, NY)
- …correctly. + Resolve configuration issues by identifying root causes in order to prevent claims denials and to ensure claims are paid correctly. + Facilitate ... billing and authorization requirements, utilization of Healthfirst's Provider portal, claims submission, etc., via various methods (telephonic, face-to-face, webinar,… more
- Walmart (Hastings, NE)
- …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Enterprise Mobility (St. Louis, MO)
- …as a Risk Litigation Paralegal, where you'll play a key role in supporting claims litigation. **What You'll Do:** + Partner with Risk Counsel to support all aspects ... of claims litigation and potential litigation + Conduct legal research...legal research and respond to internal inquiries + Coordinate claims reporting and monitoring with excess carriers + Manage… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and maximum payer reimbursement. They prioritize ... and enhance our services. DUTIES/RESPONSIBILITIES: + Manage and Identify Claims Portfolio: + Review and evaluate insurance claims... Claims Portfolio: + Review and evaluate insurance claims to determine the extent of the insurer's liability,… more