- Axis (Alpharetta, GA)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...plus. **What will you do in this role?** + Auditing of Third-Party Administrators to ensure reserve adequacy. +… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary :** Responsible for the update, maintenance, auditing , and operation of third party prescription plans including Commercial, ... and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims including order of claims processing for government payers.… more
- Martin's Point Health Care (Portland, ME)
- …certified as a "Great Place to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This role supports ... Appeals quality goals through quality monitoring and training....+ Demonstrates advanced knowledge of enrollment / disenrollment guidelines, claims processing and plan benefits necessary to exercise decision-making… more
- Baptist Memorial (Memphis, TN)
- …activities related to denied claims such as obtaining authorizations, claims review, patient billing, appeal writing, auditing , and/or denial management; ... Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
- Novant Health (NC)
- …a dynamic team of coders. What You'll Do: + The Coding Audit Response Specialist respond to external and internal audits for OUTPATIENT services that include an ... for all applicable Novant Health facilities. + The Coding Audit Response Specialist will support the Corporate Coding Audit Response Lead/Coding Supervisor by… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Office of Cannabis Management Title Program Specialist 1 (Cannabis) (NY HELPS) - VID 196687 Occupational Category Other Professional Careers ... City Albany State NY Zip Code 12226 Duties Description Reporting to a Program Specialist 2 (Cannabis), the Program Specialist 1 (Cannabis) position will be… more
- Orlando Utilities Commission (Orlando, FL)
- …distributions, loans, hardships and compliance testing. + Assist in reviewing routine claims and auditing employee contributions and related payroll deductions; ... **,** is presently seeking a **Leave of Absence- Benefits Specialist ** to join the Employee Experience division. At OUC,...Prepare reports and support audits related to claims , leave requests, STD/LTD processes managed by third-party vendors.… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Office of Cannabis Management Title Program Specialist 2 (Cannabis) (NY HELPS) - VID 195724 Occupational Category Other Professional Careers ... Duties Description Reporting to the Manager of Intergovernmental Outreach, the Program Specialist 2 (Cannabis) position will be responsible for overseeing the review… more
- C&W Services (New York, NY)
- **Job Title** HSSE Regional Specialist **Job Description Summary** POSITION SUMMARY The Environmental Health & Safety (EH&S) Manager is responsible for providing ... report and manage the corrective actions * Support Workers Compensation (WC) claims tracking, investigation, and management process * Liaise with WC Program Manager… more
- MyFlorida (St. Petersburg, FL)
- …action, equal employment opportunity, regulatory work as a paraprofessional or higher, claims adjusting, auditing , financial examining, land appraisal work, land ... INVESTIGATION SPECIALIST II - 64085694 Date: Sep 2, 2025...Open Competitive Opportunity Department of Health Division of Medical Quality Assurance Bureau of Enforcement Investigative Services Unit -… more