- 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
- GXO Logistics, Inc (Greenwich, CT)
- …strategies, and global risk management programs.You'll be responsible for actively managing claims and oversight of claim payment authorization as well as ... in renewal negotiations with brokers and underwriters and verify and administer insurance policies. Actively manage claims as required and provide management… more
- Engineering Consulting Service (Chantilly, VA)
- …and transfer pricing. Ensure that accounting policies related to claims management-including claims loss tracking methodologies, reserve‑setting processes, ... set‑aside calculations, and rules governing the use or release of claims accruals-are consistently defined, tracked, and accounted for across the enterprise in… more
- Contact Government Services, LLC (San Francisco, CA)
- …and co-deliver VCF Substantive training for VCF staff on end-to-end claims lifecycle processes. Substantive training includes curriculum and standardized materials ... related to policies and procedures for claim review, claim administration, quality control, and...benefits package. - Health, Dental, and Vision - Life Insurance - 401k - Flexible Spending Account (Health, Dependent… more
- Beacon Roofing Supply, Inc (Greenwich, CT)
- …risk and insurance reports to senior leadership, including coverage summaries, claims trends, and risk exposure analyses. What you'll bring: Bachelor's degree in ... in a global or complex organization. Proven track record managing insurance renewals, claims administration, and broker relationships. Strong understanding… more
- Simera (San Francisco, CA)
- …ensure timely resolution of issues. Oversee rollout of product/software updates to clients. Insurance & Claims Coordination Handle claim denials and process ... on defined criteria. Work closely with internal teams to ensure claims , billing, and insurance processes run smoothly. Startup Execution Operate effectively in a… more
- Hanover Insurance Company (Glendale, CA)
- …through dismissal, settlement, or trial. Works with adjuster and clients to resolve claims as expeditiously and efficiently as possible. This is a Full Time / ... will Handle a caseload of Workers' Compensation cases Meet with clients and claims professionals to resolve cases in the most cost-effective manner Answer and… more
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