- ICW Group (Sacramento, CA)
- …and workflows for Audit & Compliance program. + Works closely with training specialist and claims management staff to correct deficiencies and address technical ... purpose of this job is to supervise functions of claims internal controls and to monitor team activities with...resource for team members to answer questions and solve complex problems. + Manages budget, technology and other resources,… more
- Allied Universal (Provo, UT)
- …of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient understanding and application of ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies… more
- Sedgwick (Orlando, FL)
- …Care Coordinator **PRIMARY PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims ... specifications in assisting with questions and solving problems related to the claims application and servicing processes. + Educates and informs the customer via… more
- Sedgwick (Dublin, OH)
- …EST **PRIMARY PURPOSE OF THE ROLE:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims application ... specifications in assisting with questions and solving problems related to the claims application and servicing processes. + Educates and informs the customer via… more
- Sedgwick (Blue Ash, OH)
- …professional needs. **PRIMARY PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims ... specifications in assisting with questions and solving problems related to the claims application and servicing processes. + Educates and informs the customer via… more
- Zurich NA (Lansing, MI)
- …and rating manual rules + Working within broad limits and authority on complex assignments Underwriting Specialist Qualifications: + High School Diploma or ... - Construction Casualty 125889 Zurich is currently seeking a Underwriting Specialist OR Executive Underwriter- Construction Casualty to join our Midwest Team… more
- Cardinal Health (Sacramento, CA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... as assigned in the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure timely and accurate… more
- Molina Healthcare (Columbus, GA)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... strategy, and act as a trusted voice in resolving complex business challenges that impact cost containment and regulatory...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Molina Healthcare (Carson City, NV)
- …to health plan strategy, and act as a trusted voice in resolving complex business challenges that impact cost containment and regulatory compliance. The position ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- Summary The incumbent serves as a Supervisory Mobility Transportation Specialist - Mobility Manager and manages all Veterans Transportation System (VTS) and ... including patient transport, Special Mode Travel (SMT), mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility transfers,… more