- State of Massachusetts (Boston, MA)
- …deliver program integrity. *What you'd do:* Lead Claims Examiner/Job Service Representative II , who reports to the Senior Manager of Benefit Operations & ... *Lead Claims Examiner/Job Service Representative II | Department...Job Service-Representative I's on fact-finding and the resolution of case issues. Interpret and explain relevant laws, regulations, policies… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Claims Examiner II **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part ... document incidents involving damages up to $20,000 (greater than $20,000 with manager approval/discretion). Manage claims made under our auto liability, general… more
- Elevance Health (Denver, CO)
- **Telephonic Nurse Case Manager II ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Cincinnati, OH)
- **Nurse Case Manager II ** **Work...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of ... for employment, unless an accommodation is granted as required by law. The **Nurse Case Manager ** II is responsible for care management within the scope of… more
- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Elevance Health (Louisville, KY)
- **Nurse Case Manager II ** **Location** : Kentucky Candidates Only **Virtual:** This role enables associates to work virtually full-time, with the exception ... accommodation is granted as required by law. The **Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- City of New York (New York, NY)
- … who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and distribute cases in ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
- AO Smith (Lebanon, TN)
- Regional Field Service Manager II Date: Aug 10, 2025 Location(s): Lebanon, TN, US, 37090 Company: A. O. Smith Corporation PRIMARY FUNCTION: Regional field ... SCOPE OF RESPONSIBILITY: Position reports to the Field Service Engineering Manager SPECIFIC DUTIES/ACCOUNTABILITIES(List in order of importance) + Aligned with… more
- Baylor Scott & White Health (Dallas, TX)
- …Summary** + Under the Safe Choice Claims Manager , the Safe Choice Claims Specialist II reviews, studies, and processes assigned claims within their ... efficient service while protecting the organization's assets. + The Claims Specialist II 's main duty involves using...and coordinate training with HR team. + Work with Claims Manager for improvements in processes to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and ... the Health Plan Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. + Navigates and utilizes corporate applications; core claims… more