- American Family Insurance - Corporate (Madison, WI)
- …AI system integrated with primary business platform (policy administration, CRM, claims management) + Design and implement operational pattern for AI solution, ... including real-time API, pub/sub, and batch processing architecture + Develop strategy for applying diverse data...financial wellbeing. You will have access to comprehensive medical, dental , vision and wellbeing benefits that enable you to… more
- Perdue Farms, Inc. (Salisbury, MD)
- …including medical/Rx, 401(k) with employer match after 1 year, critical illness, accident insurance , dental , vison, life insurance , optional group life ... associates within the order management group, including logistics, data maintenance and claims management. Responsible for the management of a team of Account Reps… more
- Experian (Schaumburg, IL)
- …team, and company goals + Maintaining continued improvements of the unemployment claims processing system to drive automation and customer-facing enhancements + ... management or relevant operations area + 10+ years of experience in processing claims , coordinating and representation at unemployment hearings, UI State… more
- State of Colorado (Denver, CO)
- …personnel rules and statute interpretation, employee counseling, leave administration, processing workers' compensation, short-term disability claims and ... prioritizing the work in accordance with preset deadlines for processing of payroll and benefits set by the State's...offers permanent employees a variety of benefits including medical, dental , life and disability insurance , as well… more
- Manulife (NH)
- …process all aspects of auditing, formal appeal reviews and contestable claim review. + Audit applications underwritten to ensure underwriting decisions, ... correspondence and administrative processing have been followed in accordance with established guidelines...management with book of business reviews. + Review contestable claims for potential misrepresentation during underwriting. + Maintain good… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …as determined by the needs of the business. BENEFITS for full time employees + Medical, Dental , and Vision insurance + 401 (k) (available for Part Time & Full ... for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
- Robert Half Office Team (Hoffman Estates, IL)
- …their needs. The ideal candidate is detail-oriented, customer-focused, and experienced in claims processing and member services. Key Details: Role: Member ... Service Associate (similar to CSR/Admin within financial services, insurance , banking, risk, or even healthcare billing/ claims -NOT a call center position)… more
- Integra Partners (Troy, MI)
- …requests in UM platform using ICD-10 and HCPCS codes + Verify eligibility and claim history in proprietary claims platform + Verify all necessary documentation ... Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES… more
- North Carolina Central University (Durham, NC)
- …+ Community Service Leave + NC State - Health Benefits + NCFlex - Vision, Dental , Flexible Spending Account, Life Insurance and more + 11-12 Paid Holidays + ... to serve as an expert witness in design or construction claim matters. **Minimum Education/Experience** Bachelor's Degree in the Architectural, Construction… more
- Robert Half Office Team (Berkeley, CA)
- …Benefits are available to contract/temporary professionals, including medical, vision, dental , and life and disability insurance . Hired contract/temporary ... patient check-in and check-out processes, ensuring accurate data entry and payment processing in real time. * Update patient demographics and manage authorizations… more