- GE Vernova (Schenectady, NY)
- …Management + Ability to handle many complex issues concurrently + 5+ years claims management experience + Construction claims negotiation experience + ... teams remotely located + Contract reading and writing experience + Claims and contract management experience + Excellent English speaking and writing skills +… more
- Sedgwick (Elgin, IL)
- …that meets both the internal and external customers' requirements accurately into the claims management system. + Contacts the customer by telephone, written ... Service Center Associate **PRIMARY PURPOSE** **:** To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as… more
- Sedgwick (Sacramento, CA)
- …PURPOSE** **:** To provide analysis and legal support to the litigation and claims management team. To be responsible for maintaining and updating client ... comprehensive, complex, and accurate reports to assist the litigation management team in analysis of claims to...the litigation management team in analysis of claims to meet client-specific, program or company senior … more
- Inner Parish Security Corporation (Hammond, LA)
- …safest possible environment for all employees. This position will oversee the safety, risk management , and claims management aspects of the company. The Risk ... the Risk Management Committee; Conduct weekly, monthly and quarterly review meetings Claims Management : + Report Claims + Claims Review / … more
- Aflac (Farmington, CT)
- …to be successful in this role? * Strong understanding of disability claims management concepts. * Solid understanding of medical terminology/pathology/anatomy. * ... field + 4 or more years of experience in disability management industry managing claims Principal Duties & Responsibilities * Makes timely, accurate, and… more
- New York State Civil Service (Endicott, NY)
- …but are not limited to:* Perform claimant outreach* Perform catastrophic and/or high-cost claims management * Review and process PARS for surgeries and DME* ... Perform claims management * Participate in utilization review audits* Review and calculate payments for pharmaceutical bills* Facilitate and negotiate claimant… more
- Covenant Health Inc. (Knoxville, TN)
- …required (ie, medical billing, insurance/percert verification, registration, Health Information Management (HIM), coding, claims management /insurance ... and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims . This position is responsible for billing and follow-up functions for… more
- Sedgwick (Knoxville, TN)
- …+ Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service ... Third Party Administrators. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Designs and coordinates management and oversight of third party administrator claims .… more
- Mondelez International (Ontario, CA)
- …(iDoc management , stock reconciliation), interfaces monitoring, track and trace, claims management , invoice management , compliance execution (HSE, ... and external (third-party logistics vendors) business partners to ensure effective management , timely solutions and execution. You will also be responsible for… more
- HCA Healthcare (Hermitage, TN)
- …clinical risk management program, including the functions of clinical risk management , claims management , and program administration. + Provide ... are seeking a Vice President of Quality & Risk Management with TriStar Summit Medical Center to promote growth...We are seeking a VP of Quality & Risk Management for our team to be an innovator. HCA… more
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