- CareFirst (Baltimore, MD)
- …regulatory, compliance or customer service role. **Preferred Qualifications:** + Demonstrated experience with Excel, SalesForce, and claims processing systems. ... and analyze to determine eligibility and to develop substantive argument to support CareFirst CIDRE selections/eligibility and offers on IDRs. + Oversees the… more
- Elevance Health (Los Angeles, CA)
- …operational support and expertise, as well as single point of service support (eg, phone and e-mail inquiries, claims , enrollment, billing) to Elite Broker ... plan offerings, have issues that are impacting multiple service areas such as claims , eligibility, etc. and provide onsite support as needed) with timely… more
- Zurich NA (Chicago, IL)
- …School Diploma or Equivalent and 2 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of the insurance industry and the ... or more years of experience in the Claims or Underwriting Support areaOR + Zurich...Associate Degree and 4 or more years of experience in the Claims or Underwriting … more
- Zurich NA (Atlanta, GA)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Apprentice including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support areAND + Knowledge of Microsoft Office +… more
- City of New York (New York, NY)
- …PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE ASSOCIATE STAFF ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The ... deliver critical services effectively and meet DOHMH's objectives. Position Summary: The Associate Staff Analyst will report to the Assistant Director and be… more
- General Dynamics Information Technology (Fairfax, VA)
- …to resolve challenging issues related to resolving incorrect processing of pension claims + Knowledge and experience in government contracting and ... Software Engineering **Skills:** Agile Methodology,Critical Thinking,Service Design,Software Systems,Technical Architecture ** Experience :** 15 + years of related experience … more
- CareFirst (Baltimore, MD)
- …methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses ... levels throughout the Company, as well as external entities, providing coordination and support as required. We are looking for an experienced professional in the… more
- Humana (Columbus, OH)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to… more
- Sysco (Laurel, MD)
- …compliance and delivery based on injury trends, KPIs, and risk assessments. + Support the workers' compensation claims process by completing OSHA determinations, ... risk, and ensure compliance with federal, state, and local laws. + Support environmental compliance and claims programs (workers compensation, general liability,… more
- LA Care Health Plan (Los Angeles, CA)
- …for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Care ... or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member information, document… more