- Sanofi Group (Cambridge, MA)
- …launches. This individual will be responsible for proactively identifying opportunities using claims , SP, and CRM data. This position will report to the Senior ... sales/demand data (eg, IQVIA NPA & NSP) + Longitudinal HCP & patient-level claims (eg, IQVIA, Symphony, Komodo) + Specialty pharmacy / patient services data (eg,… more
- Carleton College (Northfield, MN)
- …* Manage all aspects of the College's insurance programs, including property, liability , auto, cyber security, global travel, student health and other necessary ... and compliance of insurance policies. * Manage and process insurance claims through to resolution, working with campus leadership, relevant departments and… more
- MTA (Brooklyn, NY)
- …litigation brought in state and federal trial, and appellate courts related to tort claims involving MTA agencies. The incumbent will have a very high level of ... to achieve the most favorable and cost-effective resolution of lawsuits and claims , in conformance with the most current legal precedent and ethical considerations.… more
- AIG (Atlanta, GA)
- …and world. Areas of focus will be around our core coverages; General Liability , Contingent Auto Liability , Foreign Voluntary Workers Compensation, Accident & ... submissions to be underwritten. Identifying risk exposures, special or common hazards, claims experience and appropriate controls. + Analyzing claims and… more
- Adecco US, Inc. (Minneapolis, MN)
- …to:** + Research, analyze, and resolve unpaid, denied, or past-due claims and collection discrepancies + Communicate internally with Billing, Cash Applications, ... teams to resolve payment issues + Follow up on outstanding and denied claims within required timelines (every 30 days; high-balance accounts biweekly) + Collect on… more
- Pilgrim's (Greeley, CO)
- …+ Use critical thinking skills to investigate root causes of claims /deductions (transportation, plant, sales, customer error etc.) + Acquire required documentation ... needed to determine liability quickly. + Review legal documentation and determine if...Intermediate data analysis, find trends and develop conclusions on claims . + Work and learn new business areas in… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …advising on FDA laws and regulations, anti-kickback and bribery statutes, false claims acts, transparency laws and other relevant laws and regulations governing the ... + Advising on FDA laws and regulations, anti-kickback and bribery statutes, false claims acts, transparency laws (federal and state on TOV, and state pricing… more
- Humana (Frankfort, KY)
- …issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate ... care or managed care experience working with providers (eg, provider relations, claims education). + Experience working with physical health or behavioral health… more
- Elevance Health (Waukesha, WI)
- …subrogation files. + Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email or mail. For open cases, collects, records and ... member information, pertinent accident details, attorney information and third-party liability information. Records detailed and accurate file notes obtained from… more
- Samsung SDS America (Cerritos, CA)
- …and customs. You'll draft, negotiate, and review complex commercial contracts; resolve claims ; and ensure compliance with evolving regulations to mitigate risks and ... compliance and best practices across the organization Risk Management & Claims Resolution + Identify potential risks, recommend mitigation strategies, and provide… more