- Rochester Regional Health (Rochester, NY)
- …Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims ... healthcare services. This role plays a critical part in the revenue cycle management of the healthcare organization by identifying trends in denials and taking… more
- Humana (Oklahoma City, OK)
- …Provider Relations Representative is responsible for day-to-day front line relationship management for network providers in Humana's Healthy Horizons in Oklahoma's ... issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …teams as the data science expert supporting pre-launch planning. Exceptional project management , communication skills and ability to deliver high quality insights in ... launch. This role is dynamic, fast paced and requires superior project management skills. **Key responsibilities:** + Manage data acquisition and analytics to… more
- CRC Insurance Services, Inc. (Charlotte, NC)
- …Legal and Regulatory Department by managing a broad range of litigation and claims matters, with a primary focus on insurance broker professional liability, breach ... contract, and related disputes. This role requires strategic litigation management , collaboration with internal teams and external counsel, and...time. **Manage a high volume of active and potential claims .** + Assess new claims and lawsuits,… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …issues presented from across our US pharma business, assess risk related to employee claims , navigate change, and help to build a sustainable ER organization for the ... the effect of business decisions on people and advise management appropriately. This individual must not be afraid to...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Travelers Insurance Company (San Diego, CA)
- …the Opportunity?** Under general direction and as a member of the local management team, this position is responsible for product quality and performance of severity ... Liability team handling serious and complex commercial lines and personal liability claims . Provide direction and technical guidance through a continuous process of … more
- AON (Chicago, IL)
- …is to assess and manage the client's global insurance and risk management program. Responsibilities + Coordinate Risk Management Strategies with Client's ... Work with the broker to assess the existing risk management program to effectively respond to these exposures and...and process premium payments. + Monitor and coordinate current claims reporting procedures, loss data and services. + Support… more
- AON (Los Angeles, CA)
- …part of an industry-leading team, you will be engaged in multinational risk management strategy to deliver innovative and tailored solutions for our retail global ... including technical writing and verbal presentation skills. + Establish understanding of claims administration process and utilize the claims and legal advocacy… more
- AON (Houston, TX)
- …creatively. Position is multi-faceted centered on client services, broking, account management , analytics, QA/QC and financial responsibilities. This is a hybrid ... responsibilities touch on invoicing, routine reconciliations and transactions, collateral management and reporting, monitoring loss sensitive programs including complex… more
- Walmart (Pasadena, MD)
- …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
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