- AmeriHealth Caritas (Charleston, SC)
- …In addition, this position will work in conjunction with the Enterprise Claims Department to ensure all contractual claim requirements are met with quality ... Providers + Oversee process of root cause analysis for claims payment issues related to Provider reimbursement and Provider...a team as well as provide day-to-day leadership to support staff + Perform other related duties and projects… more
- Robert Half Legal (Pennington, NJ)
- …particularly in healthcare litigation, and a proven ability to manage claims and collaborate effectively within legal and billing teams. Responsibilities: * ... Investigate and manage cases involving unpaid or denied claims from auto insurance carriers. * Represent the organization...and recover payments in compliance with legal standards. * Support trial preparation and discovery processes as needed. *… more
- Robert Half Legal (Bayport, MN)
- …complex matters and contributing directly to business success. Responsibilities: * Manage claims and lawsuits related to specific business units or product lines, ... litigation progress. * Partner with insurance providers and adjustors to address claims effectively. * Collect, analyze, and organize internal and external documents… more
- CRC Insurance Services, Inc. (Charlotte, NC)
- …review the following job description:** The Assistant General Counsel, Litigation will support the CRC Group Legal and Regulatory Department by managing a broad ... range of litigation and claims matters, with a primary focus on insurance broker...whole you, offering a wide range of coverage and support . Eligible full-time teammates enjoy access to medical, dental,… more
- PRGX (Grand Rapids, MI)
- …. Analyze client data to identify discrepancies and generate recovery claims . . Review contracts, agreements, and supporting documents (both physical and ... electronic). . Ensure accurate documentation and entry of claims into the claims management system. . Prepare and send claims to clients and vendors. .… more
- State of Massachusetts (Boston, MA)
- …are prepared and issued at the completion of fact finding sufficient to support the determination. * All determinations are based on objective facts that ... support the determination reached. * Determinations are based on...counseling, educational counseling, credit collection, credit interviewing, credit investigation, claims adjudication, claims settlement, claims … more
- NTT America, Inc. (Little Rock, AR)
- …successful candidate will join a collaborative team providing Project Management Office (PMO) support for a state Medicaid program. Under the guidance of the team ... expertise in Medicaid systems, particularly in all facets of claims adjudication and demonstrate a strong ability to translate...sites. This ensures we can provide timely and effective support tailored to each client's needs. While many positions… more
- Fluor (Lewisville, TX)
- …contractors' productivity, schedule adherence, contract change management, invoicing and claims avoidance * Perform closeout of contracts, finalize outstanding ... organization persons; conduct meetings with interfacing disciplines in the support of scope or commercial term development * Be...contract management teams * Manage contract processes to avoid claims and participate in the equitable settlement of … more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …related to Estate, Trauma, Special Needs Trusts, and/or restitution recoveries. Provides support for and may send responses to escalated matters. + Maintains an ... advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid claims . + Participates in the development and implementation of TPL policies and… more
- HUB International (Scottsdale, AZ)
- …With a positive attitude, the AM will provide a high level of support in obtaining, maintaining, expanding, and servicing our commercial accounts. Working alongside ... account retention that meets or exceeds expectations. + Provides a high level of support to our Sales staff in obtaining, maintaining, and expanding business. + May… more