- Insight Global (Garland, TX)
- …an efficient operation is maintained. - Investigate and process all unemployment insurance claims . - Serve as company representative at hearings, as needed. . ... - Administer and assure compliance of all workers' compensation claims . - Review and ensure appropriate action and make...and Requirements - Bachelor's degree in HR or related field or a minimum of two years related experience.… more
- Target (Riverside, CA)
- …balance proactive protection and real-time mitigation of risks. Our team, including Claims , Insurance, Finance, and Safety allows for a well-rounded approach to ... outcomes including vendor management of onsite (or other) medical representative in collaboration with onsite HR, Sedgwick and the...in collaboration with onsite HR, Sedgwick and the HQ Claims team. Lead and manage all regulatory visits, such… more
- Robert Half Office Team (West Des Moines, IA)
- …delivering top‑notch service? We're looking for a dedicated and enthusiastic Customer Service Representative to join our growing team in West Des Moines, IA! In this ... our clients, ensuring their questions are answered and their claims are handled smoothly and accurately. This long‑term contract...year of experience in customer service or a related field . * Strong attention to detail and the ability… more
- Target (Hampton, GA)
- …balance proactive protection and real-time mitigation of risks. Our team, including Claims , Insurance, Finance, and Safety allows for a well-rounded approach to ... outcomes including vendor management of onsite (or other) medical representative in collaboration with onsite HR, Sedgwick and the...in collaboration with onsite HR, Sedgwick and the HQ Claims team. Lead and manage all regulatory visits, such… more
- Magellan Health Services (Boise, ID)
- …audit samples using various sampling methodologies + Plan and conduct desk audits, field audits and/or site visits + Collect and analyze information to evaluate ... methodologies, and relevant laws to find suspicious patterns in claims data, provider enrollment data, and other sources +...duties as assigned The job duties listed above are representative and not intended to be all-inclusive of what… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Research and analyze case documentation, including benefit coverage, prior authorizations, claims , and regulatory guidance. + Communicate with members, providers, or ... representative to clarify appeal intent and gather missing documentation...and Resolution_** + Collaborate with internal departments such as Claims , Medical Management, Legal, and Compliance to obtain necessary… more
- Queen's Health System (Honolulu, HI)
- …JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and implementing ... minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to...or equivalent. * Bachelor's degree in business or related field preferred. B. EXPERIENCE: * Four (4) years recent… more
- Globus Medical, Inc. (Audubon, PA)
- …Administer Short-term/Long-term Disability and Family and Medical Leave Act (FMLA) claims , including tracking and documentation. + Manage workers' compensation ... claims , including initial assessments, documentation, reporting to carriers, and...+ Bachelor's degree in Human Resources or a related field . + Minimum of five years of experience in… more
- The County of Los Angeles (Los Angeles, CA)
- …evaluation and treatment decisions; participates as the occupational therapy representative on inter-disciplinary treatment/review teams; advises and reports on the ... occupational therapy, public health, special education or a related field may be substituted for one year of the...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- UIC Government Services and the Bowhead Family of Companies (Letterkenny Army Depo, PA)
- …a team WORK ENVIRONMENT: The work environment characteristics described here are representative of the minimum standards an employee encounters while performing the ... not limited to; office space, equipment rooms, warehouse space, construction zones, field conditions, and outdoor environments. Work hours may fluctuate outside of… more
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