- MetLife (Omaha, NE)
- …Responsibilities) * Coaches, coordinates, and develops Multi-State PFL, FML and ADA Claims Specialists. * Acts as resources for claim-related and technical issues. * ... Monitors case managers' work queues to ensure claims team is meeting expectations and applicable performance guarantees....and willingness to learn. * 1+ years of Disability Insurance experience. * Must be able to communicate clearly… more
- Commonwealth of Pennsylvania (PA)
- …Pay Group ST08 Bureau / Division Code 00121640 Bureau / Division SWIF Claims Services Division Worksite Address Scranton State Office Building Worksite Address 100 ... necessity and appropriateness of care and services provided to State Workers' Insurance Fund (SWIF) covered individuals. Work also includes assessing care or… more
- Conduent (Warren, MI)
- …(SCA) group by reviewing and auditing supplier obsolescence and cancellation claims . You'll validate costs, ensure compliance with contract terms and conditions, ... and collaboration. A typical day includes reviewing assigned supplier claims , auditing supporting documentation, preparing audit files and recommendations,… more
- Conduent (Honolulu, HI)
- …and valued every day. **Conduent provides Fiscal Agent (FA) services, including claims payment processing, provider support, and call center operations for fee** ... **‑** **for** **‑** **service Medicaid claims . We also manage Pharmacy Benefits Management (PBM) ...provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and… more
- Evolent (Tallahassee, FL)
- …to executive internal/external audiences. + Extract, manage, and analyze claims and operational data using industry-standard metrics. **The Experience You'll ... public health, biology) . At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related… more
- United Site Services (Colorado Springs, CO)
- …branch management, claims adjusters, injury counselors, etc. to ensure complete claims management for Worker's Compensation, Liability Insurance , and Auto ... as safety rules, operating and maintenance instructions, and procedure manuals + Claims Management Experience a plus + Ability to perform simple arithmetic using… more
- Securitas Security Services USA, Inc. (Charlotte, NC)
- …to and follow-up on employee medical incidents or injuries + Submit workers' compensation claims in a timely manner, handling follow up inquiries from claims ... all applicable regulations, laws, and company policies + Respond to unemployment claims and related inquiries + Assist with the coordination of Operations Center… more
- MyFlorida (Tallahassee, FL)
- …DFS's Bureau of Vendor Relations, correction of payment rejections, documenting activities in claims , etc. Support the OMC-II whose primary duties are to serve as ... data entry of the document information into the applicable claims management system, at the rate in which the...and one Personal Holiday each year. + State Group Insurance coverage options, including health, life, dental, vision, and… more
- MyFlorida (Deland, FL)
- …conveyance documents. Responsible for representation in defense of the Department in claims of inverse condemnation, as assigned. The Difference You Will Make: ... documents. Responsible for representation in defense of the Department in claims of inverse condemnation, as assigned. Responsible for thoroughly researching all… more
- Six Flags (Austell, GA)
- …+ Budgeting and maintenance of department operating expenses, labor, and insurance costs to include accurate monthly financial forecasting. + Participate in ... agencies overseeing permitting and inspection processes. + Oversee all litigation claims : reporting, investigating and maintaining files on potential claims ,… more