- CareFirst (Baltimore, MD)
- …for systematic investigations of a specific area of operations (ie, claims , customer service, enrollment) within the organization. Incumbent conducts a variety ... to negotiate effective solutions to audit issues. + Knowledge of all claims , service and enrollment processing systems. + Excellent communication skills (verbal and… more
- ConvaTec (NJ)
- …R&D, Medical, and Market Access teams to ensure all materials align with key claims . Additionally, this role will work closely with local commercial teams to align ... Nurses, Doctors, KOLs + CNAP Core team (to align on product specification and claims ) + Marketing and SFE CoE (to leverage tools and systems to foster local… more
- Fluor (Aurora, CO)
- …subcontract formation and administration, identification, preparation and resolution of claims * Work with Construction, Engineering, Supply Chain Management, Legal, ... award, monitoring the performance of contractors, back charge procedures, resolution of claims and disputes, and other such related steps * Demonstrated leadership… more
- Cardinal Health (Trenton, NJ)
- …to patient care + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange + Understands life cycle of ... primary and secondary claims + Maintains front office support relationship + Takes incoming calls from insurance carriers and patients + Regular attendance and… more
- HNTB (Raleigh, NC)
- …RFP development to aid in pursuit development. + Provides schedule support for claims analysis (eg, using contractor claims , delay cost estimates, time impacts, ... etc.). + Serves as Subject Matter Expert in VE Studies. + Analyzes contract documents/construction documents (plans and specifications) to translate scope of work, milestones, contract time, and/or construction phasing and sequencing into the schedule. + Leads… more
- Insight Global (West Trenton, NJ)
- …trend analysis to understand changes in the frequency and severity of insurance claims - Analyze the impact of crash-avoidance technology on Auto insurance claims ... - This is a hybrid position with some on-site and telecommuting availability each week We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer… more
- IQVIA (Durham, NC)
- …execution of the RWE strategy + Construct cohorts using RWD sources (eg, claims , EHR) and evaluate key variables, including diagnosis and procedures codes, and plan ... with secondary data analysis, including electronic medical record and/or medical claims databases + **Specifically, experience working with commercially available US… more
- Kemper (San Diego, CA)
- …and state requirements. + Works directly with strategic partners like Product, Claims , and Operations on issues impacting the account. + Performs other duties ... sales/marketing management experience + Extensive knowledge of insurance operations: claims , coverages, products and underwriting is preferable to effectively… more
- Truist (Greensboro, NC)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance with the CFPB (Consumer Finance Protection Board). 3. Adhere to department standards… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …(RFP) activities. Collaborate with internal teams, including sales, underwriting, and claims team to develop renewal strategies and ensure client retention. Serve ... recommendations. + Collaborate with internal teams, including sales, underwriting, and claims teams, to develop renewal strategies and ensure client retention. +… more