- Centene Corporation (Indianapolis, IN)
- …OPT, or CPT.** **Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal ... HEDIS production functions including data entry, calls to provider's offices, and claims research. + Manage large volumes of documents including copying, faxing and… more
- Prime Therapeutics (Trenton, NJ)
- …assurance of Service Level Agreement performance, assurance of accuracy of claims payment and administrative policies, rate maximization through ongoing benefit ... + Provides clinical operations input and support of client specific claims processing programs, coordinates implementations of clinical projects and programs and… more
- Hologic (Newark, DE)
- …Relations on KOL Development and with Clinical Affairs on expanding product claims /indications + Promote a culture of partnership with cross-functional teams while ... a deep understanding of the competitive landscape, business needs and pressures, and claims requirements to create a robust project plan and marketing strategy +… more
- Sedgwick (New Orleans, LA)
- …best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Knowledge of client workers' compensation processes and procedures + Excellent oral and written communication,… more
- Zurich NA (Atlanta, GA)
- …School Diploma or Equivalent and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft Office + Experience working on ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and experience. We follow local laws to ensure fair compensation . You may also be eligible for bonuses and… more
- SpaceX (Hawthorne, CA)
- …letters, and personnel file requests + Assist with preparing responses to claims , demand letters, agency charges, and litigation requests + Assist with witness ... small matters such as domestic and international consumer small claims matters, wage claims , and debt collection...as needed + Must be willing to travel periodically COMPENSATION AND BENEFITS: Pay range: Legal and Compliance Analyst/Level… more
- Colgate-Palmolive (Piscataway, NJ)
- …complex formulations but also translate technical data into compelling consumer claims . + **Formulation Development:** Lead the development of new formulations for ... ingredients, demonstrating formula performance, and displaying mode of action. + ** Claims and Benefits:** Identify new approaches to convert technical benefits into… more
- Sedgwick (Detroit, MI)
- …Account Executive on national accounts experience and five (5) years of claims /supervisory experience. **Skills & Knowledge** + In-depth understanding of workers ... compensation , liability and disability + Excellent oral and written...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Zelis (St. Petersburg, FL)
- …DRG validation. They will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and ... billing, analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and...Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to… more
- Robert Half Legal (Los Angeles, CA)
- …hospitals, physicians, and other providers. * Conduct in-depth factual analysis of claims to identify patterns and determine case strategies. * Draft and argue ... and contract interpretations. * Manage cases that range from individual high-value claims to large-scale disputes involving multiple claims . * Participate in… more