- Basin Electric Power Cooperative (Bismarck, ND)
- …for use by management and the Board of Directors. + Manage the claims handling process, settlement strategy, investigative process, and reserve setting; manage the ... negotiations with insurance claims personnel; and manage the loss recovery process against...that integrates risk management practices into the company's day-to-day operations and decision-making. + Coordinate loss control inspection visits… more
- ICW Group (Las Vegas, NV)
- …stakeholders in conducting research or accident investigations to sustain claims and underwriting initiatives. + Identifies and quantifies Workers' Compensation ... and thorough execution of formal service plans. + Collaborates with underwriting and claims teams to develop, draft and present large account service proposals. +… more
- CareFirst (Baltimore, MD)
- …all currently available information, factors and formulae to accurately predict future claims and non- claims expenses. Works closely with the senior level ... goals through the completion of new business quotes (eg demographics, claims experience, benefit levels, contribution strategy, carrier history, etc.) and the… more
- Republic Airways (Tuskegee, AL)
- …and general administrative support to the LIFT Maintenance Department processing warranty claims and work orders. Assists in both material planning and scheduled ... may be assigned to this position as needed._ + Reviews and processes warranty claims with Diamond Aircraft, Austro Engines, MT Propeller and Garmin + Files all… more
- Johns Hopkins University (Baltimore, MD)
- …department leadership: Chief Audit Officer, Executive Director Operational Audits, and Associate Director to manage the day-to-day workflow of internal audit staff ... operating procedures congruous to the Office of Hopkins Internal Audits operations . Performs assigned duties in accordance with the accepted professional standards… more
- Carleton College (Northfield, MN)
- …and compliance of insurance policies. * Manage and process insurance claims through to resolution, working with campus leadership, relevant departments and ... and the Human Resources Office. * Maintain insurance, premium, legal, loss, claims , and related risk management records. Risk Mitigation and Compliance: * Lead,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… more
- PPL Corporation (Allentown, PA)
- …helping to build and maintain strong, diverse communities today. Overview The ** Associate Project Manager** position is the single point of accountability for small ... cycle including planning, detailed design, construction, close out and turnover to operations on assigned project portfolio. Team player capable of working with… more
- CVS Health (Woonsocket, RI)
- …will perform extensive testing and documentation to ensure accurate prescription claims processing while remaining in compliance with pharmacy standards and payer ... requirements. As a part of the Network Operations team, this role allows you to analyze third...and investigate and resolve systemic issues relative to prescription claims processing that interfaces with stores, providers, patients, pricing… more
- McLaren Health Care (Flint, MI)
- …(2) years' experience and knowledge of HMO, PPO, TPA, PHO and Managed Care claims operations or provider billing functions. + Valid state driver's license, ... combination of two (2) years' college coursework and experience in Managed Care claims operations or provider billing functions. + Valid state driver's license,… more
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