- Thrivent Financial (WI)
- …eligibility and processing claim transactions within specified dollars limits in compliance with state and federal regulatory standards, and NAIC (National ... systems, accurately and cost effectively according to contract provisions and in compliance with internal service and state and federal regulatory standards. +… more
- US Bank (Minneapolis, MN)
- …**Job Description** Partners with their assigned Line of Business, other Risk/ Compliance /Audit (RCA) professionals, and RCA Managers to, depending on their function, ... risk management framework. Participates in projects and/or activities that ensure compliance with applicable federal, state, and local laws and regulations.… more
- NTT America, Inc. (Plano, TX)
- …regarding HIPAA, confidentiality, and PHI -Abide with the timelines to complete compliance training of NTT Data/Client -Work independently to research, review and ... regarding HIPAA, confidentiality, and PHI + Abide with the timelines to complete compliance training of NTT Data/Client + Work independently to research, review and… more
- ProMedica Health System (Toledo, OH)
- …of their designated state for which they are practicing in addition to compliance with any of the hospitals accrediting bodies. ACCOUNTABILITIES *All duties listed ... familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you… more
- TEKsystems (Baltimore, MD)
- …Reviewing Claims Documentation Examine submitted claims for completeness, accuracy, and compliance with policy terms. Verify supporting documents such as medical ... records, police reports, or receipts. Determining Claim Validity Assess whether the claim meets the criteria for approval based on policy coverage. Investigate potential fraud or discrepancies. Calculating Benefit Amounts Determine the appropriate payout based… more
- Defense Logistics Agency (San Diego, CA)
- …enough work. Checks work in progress and completed work for compliance . Answers workers questions regarding procedures, policies, written instructions and ... directions. Provides information to supervisor on status and progress of work. Receives, examines and determines the condition and disposition of a wide variety of materials. Reviews disposal turn-in document accompanying material. Compares data against… more
- Pegasus Steel (Ladson, SC)
- …will be performed at various stages of the production process in compliance with applicable codes, standards, or other specified requirements. Places safety and ... environmental issues as a priority at all times. Compiles and evaluates statistical data to determine and maintain quality and reliability of products. + Understand, comply and support corporate safety initiatives to ensure a safe work environment. +… more
- US Tech Solutions (Whittier, CA)
- …and senior plan claims + Strong knowledge of timeliness, payment accuracy, and compliance standards + Basic computer and data entry skills **Education:** High school ... diploma, GED, or higher **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com… more
- NTT DATA North America (Dallas, TX)
- …regarding HIPAA, confidentiality, and PHI + Abide with the timelines to complete compliance training of NTT Data/Client + Work independently to research, review and ... act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are adjudicated as per clients defined workflows, guidelines + Sustaining and meeting the client productivity/quality targets to avoid penalties + Maintaining… more
- NTT America, Inc. (Plano, TX)
- …regarding HIPAA, confidentiality, and PHI + Abide with the timelines to complete compliance training of NTT Data/Client + Work independently to research, review and ... act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are adjudicated as per clients defined workflows, guidelines + Sustaining and meeting the client productivity/quality targets to avoid penalties + Maintaining… more
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