- CRC Insurance Services, Inc. (Charlotte, NC)
- …ideal candidate will design and implement scalable data architectures that support advanced analytics, reporting, and AI/BI/ML initiatives across Broking, Binding, ... underwriting, claims , actuarial, and policy management functions. **Key Responsibilities:** **Data...whole you, offering a wide range of coverage and support . Eligible full-time teammates enjoy access to medical, dental,… more
- Robert Half Legal (Encino, CA)
- …multiple pre-litigation cases, ensuring prompt and effective resolution while providing exceptional support to clients. This is an onsite position that offers a ... case managers in their daily tasks and responsibilities. * Facilitate claims processing with insurance carriers, including health insurance, Medicare, and Medi-Cal.… more
- Zelis (FL)
- …clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA ... Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients. What… more
- CareFirst (Baltimore, MD)
- …policy models are developed and implemented. Provides advanced knowledge to support effective partnership with provider entities and guidance on the appropriate ... proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical...proactive training events or just in time on complex claims matters. Consults with various teams, including the Practice… more
- Robert Half Finance & Accounting (Auburn Hills, MI)
- …renewals with brokers and carriers to secure optimal terms. * Oversee claims management, ensuring efficient resolution and maximizing recoveries. * Monitor changes ... with organizational goals. * Deliver detailed reports on costs, claims , and risk trends to senior management. * Strengthen...technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in… more
- Elevance Health (San Juan, PR)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How… more
- Robert Half Legal (Novato, CA)
- …legal industry by representing injured workers in their workers' compensation claims . The firm offers remote flexibility throughout California. Responsibilities: * ... Advocate for injured workers in their compensation claims * Manage a full caseload of ...technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in… more
- Elevance Health (Miami, FL)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... due health insurance premiums and/or past due health insurance claims . A proud member of the Elevance Health family...past due insurance premiums and/or past due health insurance claims . + Researches validity of past due and/or disputed… more
- Humana (Columbus, OH)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters… more
- Norstella (Dover, DE)
- …industry to join our RWD Engagement Team as a RWD Analytic Consultant to support our delivery of RWD engagements across the life sciences industry. The ideal ... Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be...analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other… more