- Mass Markets (VA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- Philadelphia Insurance Companies (Plano, TX)
- …as needed. 10. Interacts and coordinates activities with other departments (eg Claims , Loss Control, Client Solutions, and Accounting). Working in coordination with ... Corporate and other underwriting departments as necessary. 11. Recommends new procedures and programs where warranted. 12. Furnishes intelligence on large account market, including competitor strengths and weaknesses. 13. Responsible for complying with proper… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …with cross-functional teams, including clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk management solutions. Contribute ... to the development and implementation of sales strategies, marketing campaigns, and product enhancements. Actively participate in team meetings, providing input to contribute to the team's overall success. Travel required. EDUCATION AND EXPERIENCE The… more
- AIG (Boston, MA)
- …pertains to assigned Program(s). + Collaborating with Actuarial, Accounting, Claims , Operations, Program Development, Risk Management and Underwriting as necessary. ... + Overseeing the implementation of new business programs assigned to you including coordination with Operations, IT and other functional support areas. + Maintaining current industry knowledge, market intelligence and competitor analysis through regular… more
- HNTB (Dallas, TX)
- …not limited to; assists change manager and project manager in contractor claims and disputes. Tracks, reviews, processes RFIs and submittals, and performs ... constructability reviews. + Leads daily assignments, mentors, and trains employees. Monitors internal HNTB project controls as directed. + Recruits, hires, develops and retains staff, including development of plan for staff reporting, performance and… more
- HonorHealth (AZ)
- …solving. Reconciles complex, multi-payment accounts. Submits appeal letters on underpaid claims as directed. Interprets payer contracts to determine if payment and ... PCON adjustment is accurate. Reviews EOB's for denials, along with posting corrected adjustments in order to balance accounts. Identifies needs for process improvements and creating/enhancing processes in the PFS department. Promotes positive teamwork within… more
- Rush University Medical Center (Chicago, IL)
- …for all major payers via monthly payer scorecards reconciliation reports, payment denials, claims projects, claim events, and senior leadership payer meetings. * ... Excellent verbal and written communication skills due to direct interaction with senior management. * Strong time management and organizational skills with the… more
- CareFirst (Baltimore, MD)
- …information, factors and formulae to accurately predict future claims and non- claims expenses. Works closely with the senior level underwriters and ... goals through the completion of new business quotes (eg demographics, claims experience, benefit levels, contribution strategy, carrier history, etc.) and the… more
- UPMC (Coudersport, PA)
- …hospital of all monies owed by both insurers and patients. Account Representatives, Senior are responsible to: ensure claims are submitted accurately and timely; ... Purpose: The Account Representative, Senior is responsible for all fiscal functions necessary...defined by management. + Must have 1 year of claims /billing/collections experience; OR 4 years in a business office… more
- Access Dubuque (Dubuque, IA)
- …Workplaces in Financial Services & Insurance Disability Representative Sr. ** Senior Disability Representative - Make a Meaningful Impact** **Location:** **Hybrid ... : **At Sedgwick,** **caring counts** **. We're a global leader in claims management, and we're looking for experienced, compassionate professionals to join us… more