- Allied Solutions (Plano, TX)
- …inquiries in a professional manner. + Answer incoming calls to the claims department and handle or direct as necessary; + Complete other special projects and ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...Total Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; +… more
- Allied Universal (Irvine, CA)
- …on the position and eligibility. **Job Description:** Allied Universal(R) is hiring a Senior Benefits Specialist . The Senior Benefits Specialist ... qualifying life event changes, beneficiaries, disability, accident and death claims , and National Support Orders, Employee and Wage verifications, maintain… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary Region-340b Admin ... States of America) **Job Description:** **JOB SUMMARY** The Pharmacy Systems Support Specialist Senior helps facilitate and support the design, development,… more
- Southland Industries (Garden Grove, CA)
- **POSITION SUMMARY** The Senior Benefits Specialist supports the design, administration, and continuous improvement of employee benefits programs, with an ... while maintaining responsibility for day-to-day operations and employee engagement. The Specialist partners with Finance and HR leadership to ensure programs remain… more
- Access Dubuque (Dubuque, IA)
- … Claims Adjuster (Southeast Ex Cottingham & Butler/ SISCO Insurance Claims Specialist Medical Associates Inpatient Pharmacy TIS Coordinator MercyOne Sales ... Cottingham & Butler/ SISCO Service Coordinator (Dispatcher) Managed Solutions Group Senior Commercial Bodily Injury Claims Adjuster Cottingham & Butler/… more
- St. Luke's Health System (Boise, ID)
- …of colleagues, St. Luke's is truly a great place to work. **Overview:** The Senior Pharmacy Benefits Specialist assists our members in identifying and navigating ... and third-party issues such as prior authorization, step therapy, reviewing denied claims , and processing overrides. Works with an interdisciplinary team of pharmacy… more
- UPMC (Pittsburgh, PA)
- …to work Eastern Standard Purpose: Under the general direction of the management team and Senior staff, the Systems Analyst - Specialist requires a high degree of ... lead the candidate would be one of the most senior analysts on a high performing team. Must be...Skills Needed: + Strong technical and functional knowledge of Professional Billing (PB) claims . + Willingness to… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication of complex ... healthcare claims . This position requires expert knowledge of ... processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,… more
- Carollo Engineers (Phoenix, AZ)
- …you to build your career. As a member of the Human Resources team, the Senior Compliance & Employee Relations Specialist will be responsible for partnering with ... compliance training programs for employees and managers + Support litigation and labor claims , as needed + Provide backup support to human resources team members as… more
- 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 ... one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national… more