- Elevance Health (KS)
- **RN Case Manager (LTSS Service Coordinator- RN Clinician)** Location: Seeking candidates to reside in Linn, Coffey, or Anderson County in in Kansas. **_Please ... to client needs, and direct, hands-on engagement. The **RN Case Manager ** is responsible for overall management...+ May also assist in problem solving with providers, claims or service issues. + Provide direction and oversight… more
- HUB International (Omaha, NE)
- …of benefit plan review and renewal, assists with guiding and directing the Account Manager and Financial Analyst assigned to the case , resolving questions, and ... meetings with client to review plan designs, rate history, claims experience, discuss client concerns and introduce new plan...client agreement if it is necessary to bid the case ; directs the bidding process and prepares, or reviews… more
- Sedgwick (Southfield, MI)
- …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 ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- The County of Los Angeles (Los Angeles, CA)
- …undercover, as well as participate in covert investigations and raids; prepare the case for legal proceedings and/or testify in court proceedings; report facts and ... applicant's responsibility to take steps to view correspondence, and we will not consider claims of missing notices to be a valid reason for re-scheduling an exam… more
- USAA (San Antonio, TX)
- …P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims Operations experience. + Deep operational knowledge of end-to-end ... assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer… more
- Centene Corporation (Frankfort, KY)
- …matters; while maintaining an investigative workload of moderate to high complexity. Assists manager on monitoring team caseload and report on metrics. + Serve as ... teams as needed. + Supports the provider escalation project team to resolve claims and payment issues. + Identifies root-cause issues to ensure enterprise solutions… more
- Fifth Third Bank, NA (Grand Rapids, MI)
- …previously filed dispute. This may include specialized disputes, including denied claims , reassertions, repeat offenders, and Private Bank client customers. The ... compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems to research questions… more
- CoStar Realty Information, Inc. (Arlington, VA)
- …and improve claims efficiency. + Create B2B content such as ** case studies, webinars, and ROI-driven assets** that demonstrate measurable impact. + Support sales ... of the world's most respected technology companies. We are seeking a ** Manager , Product Marketing - Insurance + Restoration** to accelerate Matterport's growth in… more
- Fallon Health (Worcester, MA)
- …summary of purpose** : Under the direction of the Manager of Prior Authorization, communicates with contracted and non-contracted facilities/agencies/providers ... in order to facilitate the member's medical services or the providers' claims . Interprets and triages information to ensure appropriate action is initiated to… more
- Sedgwick (Orlando, FL)
- …confirming delivery of said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals ... world's most reputable brands + An assigned mentor and manager who will guide you on your career journey...limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or… more