- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and… more
- Metropolitan Council (St. Paul, MN)
- …to fill future vacancies. What you would do in this job Accounts Payable Specialist + Audit bills, claims and related documents by recalculating and reviewing ... Accounts Payable Specialist or Senior Account Payable Specialist ...will be responsible to audit and process bills and claims ; post transactions; balance and reconcile accounts in order… more
- University of Southern California (Los Angeles, CA)
- …perform in their roles and supports return-to-work with employees on leave. The specialist serves as a consultative resource on complex compliance matters ... Disability Accommodation Specialist Office of Institutional Accessibility and ADA Compliance The Office of Institutional Accessibility and ADA Compliance is seeking… more
- Sedgwick (Raleigh, NC)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more
- Travelers Insurance Company (Overland Park, KS)
- …us most. As a Technical Specialist , you are responsible for handling complex , high-exposure claims . In this technical role, you will leverage your background ... + Strong analytical and problem-solving skills. + Proven ability to handle complex claims and negotiate settlements. + Exceptional customer service skills and a… more
- Entergy (Russellville, AR)
- … role within nuclear are Operations, Engineering, Maintenance, Projects and Production. The specialist plans and executes simple to moderately complex scopes of ... RFx processes, supporting supplier negotiations, and providing supplier management support for claims , invoice resolution, etc. The specialist will have a basic… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II, D-SNP Team (12 month Assignment) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… more
- Deloitte (Jacksonville, FL)
- …environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist , you will have the ability to share new ideas and collaborate ... production support issues during Activation + Identify potential issues and refer more complex issues to appropriate level of support + Build rapport and promote… more
- Zurich NA (Chicago, IL)
- Underwriting Specialist OR Executive Underwriter- Commercial Surety 120687 Zurich North America is looking for an Underwriting Specialist OR Executive ... for the overall account management, business development and analysis of a highly complex book of Commercial Surety Accounts. Our ideal candidate will have a can-do… more
- Travelers Insurance Company (Melville, NY)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims . + Able to make independent decisions on most assigned ... , you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex , serious and severe claims typically with full damage value… more