- CareFirst (Baltimore, MD)
- …integration, configuration, and performance of core payer functions like enrollment, claims , billing, and customer service. Focuses on building robust custom ... + Experience working with core Facets modules such as claims , membership, provider, and billing. + Proficiency with Facets...location at which the work is being performed. This compensation range is specific and considers factors such as… more
- Sedgwick (Salt Lake City, UT)
- …particular line of business serviced (ie, state vocational rehabilitation, workers compensation , etc.). + Conducts training programs, job seeking skills training, ... required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Sedgwick (Newark, NJ)
- …**Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to ... required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Carleton College (Northfield, MN)
- …on risk assessment, insurance evaluation, and risk-related policy and practice. Compensation : The expected starting salary range for this position is between ... and compliance of insurance policies. * Manage and process insurance claims through to resolution, working with campus leadership, relevant departments and… more
- Snapsheet (Chicago, IL)
- …Snapsheet Job Location: [Remote] Job Type: [Full-time] About Snapsheet : Snapsheet is claims technology the way it should be: purposeful, precise, and designed to ... in to our core systems and processes across cloud-based claims management, virtual vehicle appraisals, and elite loss and...wellness campaigns that evolve with you year over year. Compensation that Grows with You For this position, the… more
- OneMain Financial (Baltimore, MD)
- …terminations, performance management, employee relations, employee discipline, reorganizations, compensation and benefits. Assist in the development, review, and ... and develop strategy for litigation matters, administrative charges, audits and claims . Provide support in non-employment litigation matters arising out of federal… more
- CareFirst (Baltimore, MD)
- …risk score calculation, enrollment, submissions, premiums, medical and pharmacy claims , and provider data. Incumbent is responsible for performing complex ... HHS-HCC (Hierarchical Condition Code) model. Perform data mining of claims and data to identify trends, data issues and...location at which the work is being performed. This compensation range is specific and considers factors such as… more
- Guidehouse (Boston, MA)
- …Testing** : Confirm HL7/FHIR message integrity across labs, imaging, MIIS, PBM claims , and SOPS Meta. + **Security Testing** : Validate role-based access, HIPAA, ... AA standards for behavioral health and vulnerable populations. + **Charge and Claims Testing** : Validate financial workflows and payer adjudication. + **Parallel… more
- City National Bank (Newark, DE)
- …these alerted transactions via outbound and/or inbound call, in addition to initiating dispute claims . This position will play a key role in the prevention of losses ... and protect the Bank from financial loss * Opens cases/ claims on all suspicious activity and appropriately investigate, and...bank personnel and clients. *WHAT'S IN IT FOR YOU?* * Compensation *Starting base salary: $22.27 - $33.43 per hour. Exact… more
- MyFlorida (Tallahassee, FL)
- …$45,000 - $55,000.00 Annually Posting Closing Date: 12/31/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) JOB TYPE: FULL TIME / Career ... A Special Deputy conducts administrative hearings on disputed reemployment assistance (RA) claims based on appeals filed by claimants and employers concerning the… more
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