- System One (Minneapolis, MN)
- …and Labeling Specialist is responsible for assuring compliance of third-party claims and certifications. This individual is a technical expert for Kosher, ... externally with certifiers and vendors. Responsibilities + Provide global claims and certification expertise and collaborate cross-functionally to leverage… more
- JBS USA (Greeley, CO)
- …clinical teams regularly. Oversee vendor relationships to ensure accurate processing of claims according to plan documents and adherence to performance guarantees. + ... benefits programs and identify areas for improvement. Facilitate resolution for claims processing and administrative errors. Conduct periodic audits to ensure… more
- Guidehouse (Birmingham, AL)
- …to the following: maintaining, auditing and processing charge tickets and insurance claims ; data entry of changes, payments and adjustments; assisting patients with ... standards by contacting third party payers and following up with patients on past due claims . + Reviews bills and insurance claims to third party payors and… more
- Centene Corporation (Jefferson City, MO)
- …clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess the business ... Microsoft PowerBI. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more
- Rock Family of Companies (Detroit, MI)
- …insurance programs, evaluating risk exposures, and assisting with contract and claims reviews, you'll help protect the company's people, property and performance. ... insurance and risk terms; escalate issues as needed + Assist with claims reporting, investigations, and follow-up, working with internal teams and external partners… more
- Owens & Minor (Downers Grove, IL)
- …and secure the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review/appeals payments. + Ability to edit and resubmit ... claims for payment. + Prepares and reviews clean ...color, national origin, sex, sexual orientation, genetic information, religion, disability , age, status as a veteran, or any other… more
- Amentum (Washington, DC)
- …seeking Paralegals to assist with the Radiation Exposure Compensation Act (RECA/Downwinders) claims team. The Paralegal role is crucial in ensuring the efficient and ... accurate handling of incoming materials supporting claims filed under RECA. The Paralegal will be evaluating...origin, citizenship status, low-income status, or mental or physical disability so long as the essential functions of the… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- …Salesforce FSC. * Build automated testing solutions to validate large volumes of policy, claims , billing, and customer data in real time. * Leverage tools such as ... Serve as the data quality advocate across the personal lines business-underwriting, claims , billing, and customer service. * Strong knowledge of Insurance Pricing,… more
- UTMB Health (Galveston, TX)
- …programs, clinical issues, device and equipment, incident management, and claims /lawsuits. **Job Duties:** + Administrative liaison for Risk Management issues. ... risk management programs for device and equipment, incident management and claims /lawsuits. + Keeps lines of communication open with directors, managers, physicians,… more
- Sedgwick (Dublin, OH)
- …of education and experience required to include two (2) years claims management experience. Some proven software specifications experience required. Supervisory ... but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account,… more