- Unum Group (Chattanooga, TN)
- …reviewing, analyzing and interpreting medical information. Works collaboratively with claims professionals, on-site physicians and other resources in multiple ... and completes other required educational activities **Job Specifications** + Associate Degree in Nursing and active RN License is...Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA -… more
- Walmart (Spring, TX)
- …* _Schedules are subject to change to meet business need and due to associate availability._ _*Must have flexibility to work any day during the week between shift ... customer queries and forward complex queries to the pharmacist. + Process insurance claims and manage payments. + Comply with all security measures and quality… more
- Lactalis American Group Inc. (Buffalo, NY)
- …Lactalis USA, part of the Lactalis family of companies, is currently hiring an Associate Supply Chain Optimization Analyst based in Buffalo, NY. As an Assoc. Supply ... overall process management and end-to-end transacting of the freight claims work stream. The freight claims scope...guidance of Supply Chain Optimization Manager to further improve operations . + Use data analysis tools such as Access,… more
- City of Lakeland (Lakeland, FL)
- …the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and ... initiatives/clinic. Responsibilities include directly supervising Safety, Health Benefits, and Claims Team Leaders; Risk Management support staff and Wellness… more
- CareFirst (Baltimore, MD)
- …with areas such as Medical Policy, Legal and Legislative Affairs, Claims Processing Areas, Customer Service Operations , Provider Representatives, Credentialing, ... of losses to CareFirst through the clinical review of medical records and claims , resulting in the savings and/or recovery of funds. Responsible for providing… more
- Molina Healthcare (Kearney, NE)
- …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides ... and special initiatives as appropriate. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience… more
- Walmart (Plainfield, IN)
- …offered. *Schedules are subject to change to meet business need and due to associate availability. *Must have flexibility to work any day during the week between ... rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and… more
- Walmart (Plainfield, IN)
- …* _Schedules are subject to change to meet business need and due to associate availability._ _*Must have flexibility to work any day during the week between shift ... rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …Specialist II will be responsible for reviewing, submitting, and tracking claims for VOALA-s Health Supportive Services division, consisting of Community Supports ... CalAIM program inclusion. The role will monitor assigned CS and ECM program claims for errors and flag appropriate parties for billing corrections. The CalAIM… more
- Humana (San Juan, PR)
- …delivery, and measurable value realization, especially when navigating complex, high-volume claims environments. + Partner closely with architecture, operations , ... **Key Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support Humana's… more