- JBA International (San Francisco, CA)
- …Market and Industry Expertise: Provide expert insights into commercial insurance workflows, including policy underwriting, policy administration, claims ... of commercial insurance processes aligned with specific roles (eg, Underwriter, Claims Adjuster, Risk Manager) across the insurance lifecycle stages (policy… more
- Core Specialty Insurance Holdings, Inc. (Cincinnati, OH)
- …home office management and affiliated business support units (IT, Actuarial, Compliance, Claims , etc.) Cross Selling: Promote the Surety lines of business to other ... account submissions. Regulatory Changes: Monitor legal and regulatory changes and claim development to provide input into account development and portfolio… more
- Volkswagen Group Services GmbH (Reston, VA)
- …providing financial insight and strategic counsel. Take ownership of the insurance P&L, driving profitability through proactive pricing, claims monitoring, ... with a Role Classification of Hybrid . Role Summary The Head of NAR Insurance Finance is accountable for the overall financial performance and strategy for the VWFS… more
- Lucence Health Inc. (Palo Alto, CA)
- …visibility. ** Claims Follow-Up, Denials & Appeals Follow up proactively with insurance companies and medical groups on pending claims .* Investigate denials, ... the financial backbone that supports our global growth.## **What You'll Do** ** Insurance Verification & Eligibility Confirm patient benefits and insurance … more
- Kalepa Insurance Services, LLC (Cincinnati, OH)
- …home office management and affiliated business support units (IT, Actuarial, Compliance, Claims , etc.)* **Cross Selling:** Promote the Surety lines of business to ... account submissions.* **Regulatory Changes:** Monitor legal and regulatory changes and claim development to provide input into account development and portfolio… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …dosage, and directions on how to take medication * OUTPT - Adjudicate claims to patient's insurance plan/s, manufacturer coupons, and patient assistance programs ... to enter patient information, allergies, medical conditions, and patient insurance plans * OUTPT - Type prescription information to...* OUTPT - Monitor paid claims and troubleshoot all rejected claims to… more
- Onco360 Oncology Pharmacy (Seattle, WA)
- …of pharmacy insurance claims , Medicare, Medicaid, and commercial insurance , pharmacy test claim and NCPDP claim rejection resolution, ... will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected … more
- UNIVERSITY OF ARIZONA (Tucson, AZ)
- …Provide Strategic Direction and Vision: Lead the enterprise risk management, claims , insurance administration, and workers' compensation teams by translating ... analytical skills, and regulatory knowledge necessary to handle complex insurance programs and high-exposure claims . Foster a...to handle complex insurance programs and high-exposure claims . Foster a Proactive Risk Culture: Direct staff to… more
- Phase2 Technology (Tucson, AZ)
- …Provide Strategic Direction and Vision: Lead the enterprise risk management, claims , insurance administration, and workers' compensation teams by translating ... analytical skills, and regulatory knowledge necessary to handle complex insurance programs and high-exposure claims . Foster a...to handle complex insurance programs and high-exposure claims . Foster a Proactive Risk Culture: Direct staff to… more
- American Medical Association (Chicago, IL)
- …and customer service Knowledge of customer service and call center processes; insurance administration and claims systems Directly manage relationships with TPA ... offices in Chicago for a Director of Administrative Operations (Hybrid) on our AMA Insurance team. This is a hybrid position reporting into our Chicago, IL office,… more
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