- RxBenefits (Charlotte, NC)
- …knowledge gained from repricing, formulary disruption, contract language, group size, claim utilization, clinical trend, and appropriate pricing scheme to deliver a ... Clinical Products, and formulary disruption down to the single claim detail. + Own and manage the new opportunity..._Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for… more
- City of Bellingham (Bellingham, WA)
- …upon hire + accruals per collective bargaining agreement + Medical, dental, and vision insurance for employees and their families + Life insurance and long-term ... disability coverage + Flexible spending accounts and medical insurance opt-out program + Access to an Employee Assistance...by the date/time you apply.) If you wish to claim Veterans' Preference Points, please complete the Veterans Scoring… more
- City of Bellingham (Bellingham, WA)
- …per year + 8 hours sick leave accrued monthly + Medical, dental, and vision insurance for employees and their families + Life insurance and long-term disability ... coverage + Flexible spending accounts and medical insurance opt-out program + Access to an Employee Assistance...by the date/time you apply.) If you wish to claim Veterans' Preference Points, please complete the Veterans Scoring… more
- Zurich NA (Houston, TX)
- …the ability to work under pressure and meet tight deadlines. + Familiarity with insurance concepts and call center/ claims processing systems is a plus. **Why ... proud to be one of the world's leading travel insurance and assistance providers _._ Each year, we protect...across Travel Guard & Zurich Cover-More. Partnering closely with Claims , Medical Assistance, and Account teams, you'll move beyond… more
- BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
- …personas, insights, brand positioning statements, benefit ladders, and differentiated claims , to support launches, drive adoption, and accelerate growth across ... management + Lead development and validation of differentiated product claims in collaboration with legal, regulatory, and medical teams.... Dental coverage . Vision coverage . Hospital Care Insurance . Critical Illness Insurance . Accidental… more
- Zurich NA (Irvine, CA)
- …and Adobe + Experience working with Lexis or Westlaw + Knowledge of the insurance industry, claims and the insurance defense litigation legal environment ... representing the commercial insureds of a prestigious and financially stable commercial insurance carrier, by preparing and trying moderate to high exposure General… more
- Elevance Health (Tampa, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Evolent (Lansing, MI)
- …articulating our value. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... manner that fosters expertise and cooperation. + Process and validate raw unadjudicated claims data + Use programming skills to explore, examine and interpret large… more
- The Hartford (Brea, CA)
- …- LM07EE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... briefs with a high degree of autonomy. Collaboration with Claims Partners is essential to achieve optimal outcomes for...team huddles, conducting in-house training for junior associates and claims partners, and engaging in claims file… more
- The Cigna Group (Denver, CO)
- …savings from the proposed changes. This role will also be data mining historical claims data to develop algorithms and design tools to track medical cost expense and ... key drivers of medical trend and anomalous/outlier patterns in claims billing activity. + Use innovative technology and tools...health programs. We also offer 401(k), company paid life insurance , tuition reimbursement, a minimum of 18 days of… more
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