- Florida Crystals Corporation (Baltimore, MD)
- …+ Provide regular status reports regarding the safety program to the Corporate Director of Health & Safety and the Plant Manager. + Lead employee engagement ... Party Administrator (TPA), to review and monitor workers' compensation claims costs and develop plans to minimize active ...years of occupational safety and health experience in industrial operations . + Must have strong knowledge of federal, state… more
- Humana (Oklahoma City, OK)
- …investigations into allegations of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud ... Medicaid program transparency and accountability. You will report to the SIU Director and work closely with Humana's Oklahoma Market. **Key Role Functions** +… more
- Zurich NA (Queens County, NY)
- …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...managing complex portfolios + Technical knowledge of insurance industry operations and processes + Knowledge in risk selection and… more
- Community Health Systems (Antioch, TN)
- …related field preferred + 1-3 years of experience in denials management, insurance claims processing, or revenue cycle operations required + Experience in ... The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with… more
- Commonwealth Care Alliance (Boston, MA)
- …satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + ... + **Operational Excellence:** + Collaborate with cross-functional teams (eg, Claims , Credentialing, Clinical Care Management, Member Services, Provider Services,… 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...managing complex portfolios + Technical knowledge of insurance industry operations and processes + Knowledge in risk selection and… more
- BD (Becton, Dickinson and Company) (Sandy, UT)
- …personas, insights, brand positioning statements, benefit ladders, and differentiated claims , to support launches, drive adoption, and accelerate growth across ... and lifecycle management + Lead development and validation of differentiated product claims in collaboration with legal, regulatory, and medical teams to ensure… more
- Transdev (Lombard, IL)
- …staff position within North American headquarters responsible to support FP&A Manager and Director of Accounting on a variety key projects. We offer a competitive ... support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department...global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team… more
- City of Stockton, CA (Stockton, CA)
- …candidate is someone that has a proven track record in risk management operations and is able to demonstrate extensive technical knowledge and experience in areas ... values and standards of excellence. Under general direction of the Assistant Director of Human Resources, plans, organizes, coordinates, and administers the work of… more
- MyFlorida (Tallahassee, FL)
- …and enforces cases under state and federal antitrust laws, Florida False Claims Act, Florida securities law, Civil Racketeering and as needed civil complex ... and the Federal Trade Commission. Report to the Antitrust Division Director regarding the results of investigations and makes recommendations regarding enforcement… more