- InGenesis (Columbia, SC)
- …criteria and assess and monitor medical necessity using your clinical proficiency and claims knowledge. This is a REMOTE opportunity for candidates living in the ... Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). * Participate… more
- AIG (Charlotte, NC)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the latest tools to ... need to know As GenAI Quality Engineering & Assurance Manager , you will be leading GenAI enabled quality...and DevOps teams. + Support strategic programs including SCUP, Claims , Japan Transformation, Data Engineering, and myAIG, ensuring quality… more
- Sedgwick (Pittsburgh, PA)
- …combination of education and experience required to include two (2) years account manager experience, or five (5) years adjuster experience including two (2) years ... but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account,… more
- Fallon Health (Worcester, MA)
- …Fallon Health policies and procedures to include products, benefits, claims , referral and eligibility verification processes, utilization management guidelines, etc. ... implement long term solutions to problems identified. + Escalate conflicts to Manager of Provider Relations and when appropriate Director, Provider Relations. +… more
- Financial Partners Credit Union (Downey, CA)
- …and/or collateral. + Recommend accounts for legal action or repossession to the manager for approval. + Assign accounts for field chase when necessary. + ... Documentation and Claims : + Review and follow up on letters of...regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender… more
- Cedars-Sinai (Beverly Hills, CA)
- …with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the ... processing authorizations. + Contacts facilities identified by the UM Nurses/ Manager /Director/Medical Director to research any issues (ie contract, discharges,… more
- Sedgwick (Indianapolis, IN)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account,… more
- Progress Rail Services Corp. (Lagrange, IL)
- …Significant independent judgment is used, but some direct guidance received from supervisor/ manager ; * Adhere to all Company, Department, and Workgroup policies and ... and/or field service team with summaries of findings as they relate to warranty claims ; * Monitors and audits reports to assure accuracy; * Act as warranty analyst… more
- Sedgwick (San Francisco, CA)
- …YOU AN IDEAL CANDIDATE?** We are seeking a dynamic and collaborative project manager and training specialist with direct experience in law enforcement and risk ... but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account,… more
- City of New York (New York, NY)
- …materials; managing all grant-related activities including expenditures; deliverables, fiscal claims , evaluations, and reporting; and providing guidance to partner ... providing progress reports to the State; handling program audits; and ensuring participating agency claims are paid in a timely manner. The Director will also act as… more