- Centene Corporation (Austin, TX)
- …a Monday - Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and ... calls with members and provider offices to provide resolution to claims (ie: additional information requests and medication determination updates) + Thoroughly… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division ... the necessary determination regarding when and how to update eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium… more
- Valmont Industries, Inc. (Brenham, TX)
- …hats may be required in most manufacturing areas and it is the EHS Senior Specialist 's responsibility to ensure that all people (employees, vendors, customers, ... Playbook and safety related teams for the site. The Senior EHS Specialist must be able to...related to EHS events such as injuries, workers compensation claims , near-miss incidents and internal and external inspections, and… more
- Generac Power Systems (Waukesha, WI)
- …energy technology solutions company, we continue to push new boundaries. The Senior Industrial Technical Support Specialist is responsible for providing advanced ... dealer personnel on how to navigate Generac's warranty systems and submit claims electronically. + Troubleshoots with the dealer technician to resolve highly complex… more
- Molina Healthcare (Dallas, TX)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
- Molina Healthcare (GA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- Truist (Greensboro, NC)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance with the CFPB (Consumer Finance Protection Board). 3. Adhere to department standards… more
- Vistra (Irving, TX)
- …and generating documentation to support tax return filing positions and refund claims + Monitoring state tax regulatory and legislative developments and assisting ... with the interpretation of the implications for the company + Assisting the federal and state tax controversy team in responding to information document requests and analyzing data for ASC 450 purposes + A problem-solving mentality with a focus on continuous… more
- Insight Global (Downers Grove, IL)
- Job Description Insight Global is looking for a Claims Specialist to join a third party workers compensation organization headquartered in Chicago, IL. The ... Claims Specialist manages within company standards and...requirement to achieve the best possible outcome in the claim , supporting the goals of claims department… more
- CRC Insurance Services, Inc. (ID)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... information and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with insurance carriers to ensure claims … more