- HUB International (Tulsa, OK)
- …Provides benchmarking reports to client (annually, quarterly, or monthly) + Manages claims and coverage issue resolution for clients' employees when elevated from ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Stantec (Charleston, SC)
- …community. Your Opportunity Stantec is seeking an individual to act as an Owner's Representative , Project Manager for the design and construction of a mix of higher ... higher education, or commercial expansion or renovation projects as an Owner's Representative . Managing the approved scope, schedule and budget are of utmost… more
- Utilities Service, LLC (York, PA)
- …Hourly **Benefits:** + Company-sponsored Retirement Plan + Health Insurance (Medical/Dental/Vision) + Employee Assistance Program + Life, long-term/short-term ... disability insurance **Essential Functions & Responsibilities:** + Plans, coordinates, and...be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims… more
- Utilities Service, LLC (Lynchburg, VA)
- …experience Benefits: + Company Sponsored Retirement Plan + Health Insurance (Medical/Dental/Vision) + Employee Assistance Program + Life, long-term/short-term ... disability insurance Essential Functions & Responsibilities: + Trims and/or removes...be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims… more
- TEKsystems (Dallas, TX)
- …Account Representatives! MUST HAVE: 1-3 years of medical patient account representative experience, or medical insurance /authorizations experience, AND must sit ... plan and members as they relate to eligibility, benefits, claims , coverage and authorization of services. This position will...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Target (Riverside, CA)
- …to balance proactive protection and real-time mitigation of risks. Our team, including Claims , Insurance , Finance, and Safety allows for a well-rounded approach ... and programs, which may include medical, vision, dental, life insurance and more, to help you and your family...outcomes including vendor management of onsite (or other) medical representative in collaboration with onsite HR, Sedgwick and the… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it ... as Network and Pharmacy, ensuring data is pulled using the most representative methods. They also support high-risk regulatory reporting, where precision and speed… more
- Target (Hampton, GA)
- …to balance proactive protection and real-time mitigation of risks. Our team, including Claims , Insurance , Finance, and Safety allows for a well-rounded approach ... and programs, which may include medical, vision, dental, life insurance and more, to help you and your family...outcomes including vendor management of onsite (or other) medical representative in collaboration with onsite HR, Sedgwick and the… more
- Magellan Health Services (Boise, ID)
- …of experience in fraud investigations, related behavioral or medical healthcare insurance experience in claims , clinical, auditing, compliance, provider ... methodologies, and relevant laws to find suspicious patterns in claims data, provider enrollment data, and other sources +...duties as assigned The job duties listed above are representative and not intended to be all-inclusive of what… more
- The County of Los Angeles (Los Angeles, CA)
- …new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to ... provided to patients are appropriate and covered by the insurance payer. They are responsible for ensuring that patient...steps to view correspondence, and we will not consider claims for missing notices to be a valid reason… more