- Sedgwick (Dublin, OH)
- …**_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now, ... the go-to guide for individuals navigating the challenges of disability claims . Your role blends technical expertise with human connection-you'll interpret medical… more
- Michaels (Carpenter, IA)
- …and assist in addressing them. The Manager - Enterprise Risk oversees claims administration, claims management, and implementation of appropriate policies and ... Risk manages our relationships with third-party providers. **Major Activities** ** Claims Administration** + Work closely with Third Party Administrator (TPA)… more
- Ventura County (Ventura, CA)
- …Shared Savings Plan with up to a 3% match on your 401(k) contributions. + Health Plans: You are afforded a flexible credit allowance of up to $25,558 annually for ... The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement recommendations,… more
- Sedgwick (Eden Prairie, MN)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs ... Drive Eden Prairie, MN 55344 **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures pursuant… more
- Access Dubuque (Dubuque, IA)
- …**_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now, ... the go-to guide for individuals navigating the challenges of disability claims . Your role blends technical expertise with human connection-you'll interpret medical… more
- Trinity Health (Boise, ID)
- …ensure accuracy. + Accesses information and translates data into information acceptable to the claims processing system. + Prepares claims for return to ... **Employment Type:** Part time **Shift:** Rotating Shift **Description:** At Saint Alphonsus Health System, we are looking for people who are living out their… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other… more
- Elevance Health (San Juan, PR)
- …within the enterprise. Included are processes related to enrollment and billing and claims processing , as well as customer service written and verbal inquiries. ... A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly...Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member… more
- Elevance Health (Waukesha, WI)
- …and Experiences:** + Prior call center experience strongly preferred. + Medical claims processing experience preferred. + Proficiency with Microsoft Office ... third party/worker's compensation subrogation files. + Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email or mail.… more
- Covenant Health Inc. (Sevierville, TN)
- …student-athletes. Schedule management for team practices, games & tournaments. Insurance claims processing for the student athlete medical care program. ... Overview: LeConte Medical Center is a part of Covenant Health , our region's top-performing healthcare network and is a...and billing statements. + Incumbent oversees the coordination and processing of medical insurance plans through the claims… more