- MetLife (Bloomfield, CT)
- …necessary to appropriately determine liability. * Maintain active oversight of leave claims from initiation to closure following appropriate policies ... Friday, 8:00AM - 4:30 PM. Key Responsibilities: * Virtual roles work from a home office with periodic visits...* Prior experience with PFML, FMLA, Absence Management or Disability Claims . * Experience handling insurance … more
- Sedgwick (Dublin, OH)
- …**ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Ensures data integrity by accurately interpreting the leave and disability claims data coding hierarchy and ... of leave of absence, workers' compensation, and disability leave regulations + Oral and written...roles .** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Lockheed Martin (Bethesda, MD)
- …paralegals\. The substance of cases will vary from individual labor and employment claims , to class actions, across the full range of labor employment issues, such ... as discrimination and harassment allegations, wage and hour disputes, ERISA claims and other similar topics\. Familiarity with allowability determinations and class… more
- Entrust (Shakopee, MN)
- …pay equity issues, performance management, employee discipline, internal investigations, leave and accommodation requests, disability related issues, employee ... law compliance, investigations, and immigration matters, as well as managing employee-related claims and litigation, with opportunities for legal work in other areas… more
- CVS Health (Springfield, IL)
- …oversees strategic and operational activities across key functional areas such as Claims , Provider Services, IT, Grievance & Appeals, Member Services, and Medical ... operational activities across service operations and medical management, including Claims , Encounters, Provider Services, Data Management, IT, Member Services,… more
- Zayo (Denver, CO)
- …audits and respond to requests for information. + Prepare regular reports on claims activity, insurance costs, and loss trends for management. + Support the ... expenses. + Review insurer coverage letters and assist in claims handling. What you need: + Bachelor's degree in...certifications, and other business and organizational needs. Non- sales roles may be eligible to participate in a discretionary… more
- General Dynamics Information Technology (Fairfax, VA)
- …** Roles and Responsibilities** + Reviews and analyzes medical claims to determine accuracy, completeness and compliance with insurance policies, coding ... criteria. + Verifies the accuracy of diagnosis and procedure codes in claims data, ensuring alignment with medical policies and industry coding standards. +… more
- Ferguson Enterprises, LLC. (Newport News, VA)
- …Funds Analyst** **Job objective:** Finance role responsible for analyzing rebate claims on vendor contracts and promotions, calculating monies due from vendors ... and M, F Remote** **Essential duties and responsibilities:** + Create vendor rebate claims in accordance with vendor agreements + Prepare and submit timely and… more
- Bristol Myers Squibb (Washington, DC)
- …standards and expectations for teams outside of the 340B COE (eg, claims processing) ensuring teams are properly trained and execute 340B-related activities in ... relationships + Experience managing and transforming 340B-related data (eg, claims , chargebacks, rebates) + Demonstrated success leading operations, process… more
- Bristol Myers Squibb (Princeton, NJ)
- …ideal candidate will have deep expertise in working with RWD (eg, claims , EMR, registries), RWE and clinical trials experience, advanced RWD/causal inference ... related field. + 3+ years of experience working with real-world healthcare data ( claims , EMR, registries, etc.). + 6+ years of experience in pharmaceutical industry… more