- CareFirst (Baltimore, MD)
- …contract development and negotiations with smaller provider practices based on claims and market analysis. + Supports negotiations, development of strategy, market ... for institutional, ancillary and professional providers, including implementation oversight. Uses claims and code data to draft and negotiate fixed-price and cost… more
- The Hartford (Stamford, CT)
- …both technical accounting and cash accounting + Partner with IT and Claims departments on various transformation projects, including ACORD e-messaging enablement + ... mentality + Highly developed knowledge of insurance / reinsurance contracts, claims , coverage, financial transactions, reporting, collections and other insurance /… more
- Orlando Utilities Commission (Orlando, FL)
- …Professional or similar HR certifications preferred. **OUC offers a very competitive compensation and benefits package. Our Total Rewards package includes to cite a ... few:** + Competitive compensation + Low-cost medical, dental, and vision benefits and paid life insurance premiums with no probationary period. + OUC's Hybrid… more
- Sedgwick (Orlando, FL)
- …confirming delivery of said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as ... billed each day. + Processes referrals per state regulations and workers compensation guidelines. + Performs other duties as assigned. + Supports the organization's… more
- Stantec (Nashville, TN)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... written communications, including Change notifications, Change Requests, responses to Claims notifications, etc. within the timeframes required by the Contract… more
- Zayo (Denver, CO)
- …audits and respond to requests for information. + Prepare regular reports on claims activity, insurance costs, and loss trends for management. + Support the ... expenses. + Review insurer coverage letters and assist in claims handling. What you need: + Bachelor's degree in...wide variety of factors that are considered in making compensation decisions. Actual compensation offered may vary… more
- Snapsheet (Chicago, IL)
- …Job Location: Remote Job Type: Full Time About Snapsheet : Snapsheet is claims technology the way it should be: purposeful, precise, and designed to deliver ... 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
- Zurich NA (Lansing, MI)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft...strategical components of anticipating the market environment At Zurich, compensation for roles is influenced by a variety of… more
- CareFirst (Baltimore, MD)
- …methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses ... deadlines for data submission. Understand the impact of the claims on the risk adjustment revenue including interpretation of...location at which the work is being performed. This compensation range is specific and considers factors such as… more
- CareFirst (Washington, DC)
- …leader is responsible for developing and delivering system solutions for Claims Processing, Enrollment Operations and Customer and Member Services. Also, responsible ... FUNCTIONS:** + Directs organization in defining application solutions for the claims processing, enrollment operations, and customer and member service lines of… more