- Sedgwick (Memphis, TN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance IT Systems Analyst Specialist Sr **PRIMARY PURPOSE OF THE ROLE:** To lead the ... combination of education and experience required. Experience in multi-line claims management processes and system requirements strongly preferred. Skills &… more
- University of Michigan (Ann Arbor, MI)
- …Qualifications + Masters degree in relevant field + Experience working with large insurance claims datasets, such as Medicare, MarketScan, Healthcare Cost & ... project team. The Lead Data Analyst will utilize medical claims datasets, among other sources, to evaluate the impact...Utilization Project, or other claims data sources required +… more
- Elevance Health (Indianapolis, IN)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing… more
- New York State Civil Service (Albany, NY)
- …Processes all electronically and hard copy mail received from the Court of Claims including entering information into NYMatters, emailing the assigned AAG and ... Claims contact staff (or agency, as applicable), and updating...per year), sick leave, paid State holidays off, health insurance including vision & dental, entry into the NYS… more
- Brown County (New Ulm, MN)
- Job Duties Process fiscal transactions, track and analyze time reporting, claims processing and vendor payments. Provide assistance to staff in a variety of areas as ... information files in all software programs. Responsible for monthly claims processing for State and Federal reimbursement of Social...Full Time Job Benefits Health, Vision, Dental, and Life Insurance . HSA, FSA, PERA retirement plan, PTO - sick,… more
- BlueCross BlueShield of North Carolina (NC)
- …Collaborate internally with other departments to create and maintain a seamless claims payment integrity program. Serve as liaison with other key departments ... (Medical Management, Network Management, Data Analytics, Claims & Enrollment Operations) to develop, monitor, and update...we're leading the way. We offer more than health insurance our customers can count on. We're committed to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and other state and federal mandates + Partners with organizations legal and insurance claims , ensuring that appropriate steps are taken to resolve disputes, ... and external counsel on corporate, regulatory and liability issues + ** Claims Management:** + Oversee investigations of potentially compensable incidents and… more
- Caterpillar, Inc. (Peoria, IL)
- …the aftermarket. In this role, you will be responsible for reviewing and approving claims and programs in the ADSD-N region. Your daily tasks will include advising ... business partners and dealers on sales variance claims and compliance issues. The position acts as a...Development* + Incentive bonus* + Disability benefits + Life Insurance + Parental leave + Adoption benefits + Tuition… more
- Covenant Health Inc. (Knoxville, TN)
- …and respectfully, and tell the truth. Quality + Supervises the submission of daily claims to ensure the timely and accurate billing of inpatient, outpatient, and ER ... maintaining follow-up procedures to secure necessary supporting documentation for suspended/pended claims . + Ensures that cross training is incorporated into the… more
- Pacific Seafood (Warrenton, OR)
- …Environmental, Health, and Safety (EHS) Programs. Manage on-the-job injury claims and documentation, facilitate orientations and trainings, conduct facility ... or implement corrective action. + Perform on-site workers' compensation claims management, eg, investigation, root-cause analysis, reporting, medical follow-up, etc.… more
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