- Elevance Health (Topeka, KS)
- …corrective action plan implementation and monitoring education and non-routine claim issues + May coordinate Provider Manual updates/maintenance + Identifies ... Qualifications:** + Travel to worksite and other locations as necessary + Claims experience is strongly preferred + Kansas Medicaid regulatory knowledge strongly… more
- Katmai (Portsmouth, VA)
- …and make required updates to ensure booking to proper Primary Care Manager (PCM). + Contact patients to schedule, reschedule, and/or cancel appointments. Promote ... closure. + Capture the CLR as soon as a claim is discovered or requested by the referring provider....or requested by the referring provider. + Check applicable claims database(s), when CLRs are undocumented in-patient records and… more
- The County of Los Angeles (Los Angeles, CA)
- …recommendations on special, complicated, or problem cases. Confers with program manager concerning human resources and work problems. Assists in planning, ... color; ethnicity; religious creed; protected family or medical leave status; disability ; marital status; medical condition; genetic information; military and veteran… more
- MDD Forensic Accountants (Cherry Hill, NJ)
- …corporations, government entities, and individuals calculate the true economic damage of claims or disputes. MDD is looking for a Senior Accountant to serve ... source documents pertinent to engagement + Analyze and reconcile claim to final calculation + Prepare preliminary draft of...federal laws + Research and other tasks assigned by manager Qualifications + Bachelor's degree in Accounting + Minimum… more
- Utilities Service, LLC (Ocala, FL)
- …the benefits available for this role, please contact the recruiter or hiring manager . **Individuals with a disability who desire a reasonable accommodation can ... + Assuring the investigation identifies root causes + Assisting the Regional Manager with the assignment of recommendations to individuals, and that recommendations… more
- Zurich NA (Jefferson City, MO)
- …will be filled at either the Mid-Senior or Senior Level. The hiring manager will determine the appropriate level based upon the selected applicant's experience and ... and guidance to junior underwriters and other team members. + Collaborate with the claims and legal teams to ensure effective handling of claims and policy… more
- Kemper (Henderson, NV)
- …schedule adherence goals are met. Plans for future staffing needs as claim volume grows. Recommend hiring, promotions, salary adjustments, and termination of ... comply with departmental objectives. + Keeps abreast of current Company policy, claims developments and procedural changes and informs subordinates as necessary. +… more
- Astellas Pharma (Northbrook, IL)
- …returned goods are handled accurately and in a timely manner + Manage damage claims from customers, ensuring each claim is thoroughly investigated and resolved ... for the US and Canadian markets. The role reports to the Supply Chain Manager and requires excellent time management and prioritization skills, as well as strong… more
- CVS Health (Chicago, IL)
- …Schedule is Monday-Friday, standard business hours, 8:00am-4:30pm CST. Analyst Case Manager is responsible for telephonically and/or face to face assessing, ... including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility.… more
- Interior, Bureau of Indian Affairs (Albuquerque, NM)
- …OSHA, industrial safety and occupational health, and advising the Safety Manager for consultative services, troubleshooting and technical guidance throughout Indian ... MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts are acceptable,… more