- Ventura County (Ventura, CA)
- …Management and/or Quality Assurance in a Managed Health Care Plan. + Experience working as a case manager in a health plan case managing complex cases. + ... Senior Medical Management Nurse is responsible for performing utilization review, case management, and quality improvement functions to ensure that members receive… more
- Uniland Development Company (Amherst, NY)
- …employer contribution + Company-sponsored (paid) Life Insurance and Long-Term Disability + Comprehensive optional benefits such as Dental, Vision, Supplemental ... Life and Short-Term Disability , Legal/ID Protection, and Accident and Critical Illness Insurance...of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and… more
- Sharecare (Albany, NY)
- …days of training. PTO needs during the training period will be evaluated on a case by case basis and must be approved in advance._ **Compensation:** $22.00/hour ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- CDM Smith (Lakewood, CO)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...identity or gender expression), national origin, age, marital status, disability , veteran status, citizenship status, genetic information or any… more
- Sedgwick (Coralville, IA)
- …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 ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims ; tracks and codes documentation in accordance with internal workflow… more
- 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