- Excellus BlueCross BlueShield (Rochester, NY)
- …specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization Management, Behavioral ... and related health plan functions such as member services, claims , and the referral process. As well as functions...and membership system, intranet and related links to provide support to the division. + Serves as the primary… more
- Providence (Anaheim, CA)
- …ensures compliance with PSA obligations by providing the administrative and operational support necessary to manage medical malpractice risk, claims , and patient ... Director of Patient Safety Risk and work with PCN SoCal CMO to lead medical group risk strategy, including direct physician engagement, insurer relations, and early… more
- Access Dubuque (Dubuque, IA)
- …of business including but not limited to FMLA, Accommodations, and disability claims ; and to execute technical and jurisdictional requirements for accurate claims ... payment processing, and error correction of complex or high exposure claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and authorizes claims… more
- Sedgwick (Irving, TX)
- …**ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to deny ... professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability...curriculum. + An assigned mentor and manager that will support and guide you on your career journey. +… more
- Sedgwick (Dubuque, IA)
- …+ Makes independent claim determinations, based on the information received, to approve complex claims or make a recommendation to team lead to deny claims ... state, military, and company-specific leaves, accommodations, disability and statutory claims . Provides excellent customer service displaying care and empathy to… more
- Travelers Insurance Company (Plymouth, MA)
- …estimating, negotiating, and evaluating 1st and 3rd party auto physical damage claims , including both personal and business insurance claims . The claim ... as well as fire, theft, flood, lightning, diminished value claims and any claims that involve injuries....work from your primary residence. This job does not lead others. **What Will You Do?** + Delivers consistent… more
- Boehringer Ingelheim (Ridgefield, CT)
- **Description** Lead legal support for patient support and access, including supporting business teams providing reimbursement, education and other ... support to patients. The Director & Sr. Counsel provides...competitors, governmental agencies, or other self-regulatory authorities regarding product claims , comparative advertising, and other regulatory related matters. *… more
- Ventura County (Ventura, CA)
- …in-office schedule: 8 hours per day, Monday through Friday. We ensure support for all County agencies, promote seamless collaboration, and allow for consistent ... and Disability Management Divisions. In this role, you will support the Senior Deputy Executive Officer and other team...exposure. It also involves overseeing all aspects of the claims process for the County's self-insured programs, from initial… more
- Tractor Supply Company (Brentwood, TN)
- …to develop strategies and document a clear plan of action to closure on claims ensuring TPA is employing proper techniques to mitigate claims expense including, ... to work related injury/illness in RMIS. + Reviews with Manager Corporate Claims higher-value reserves and settlements and collaborates on appropriate strategy. +… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …of leaders to help develop and execute on aligned goals. Key Accountabilities: + Lead the development of analytics to support new trend management initiatives in ... evolving strategies around affordability, products, health engagement, and segmentation/profitability. + Lead ad hoc and drilldown analytic support from front… more