- Sedgwick (Denver, CO)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- CVS Health (Denver, CO)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Denver, CO)
- …Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance ... level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Peak Vista (Colorado Springs, CO)
- Senior Compliance & Risk Specialist Summary Title: Senior Compliance & Risk Specialist ID:0402-4507 Department Location:3205/3207 N. Academy, Colorado ... (Pay): $24.79 to $35.95/hourly, based on experience. Summary of Benefits : + Medical, Dental, Vision, Life, STD, LTD +...direction of the Manager of Compliance & Risk, the Senior Compliance & Risk Specialist works to… more
- DISH Network (Englewood, CO)
- …Summary** As part of the Total Rewards team within Human Resources, the Benefits Specialist is critical in supporting and enhancing EchoStar's employee ... services, including health, wellness, financial, and leave programs. The Benefits Specialist is a key resource for...insurance policies and maintain statistical data relative to premiums, claims , and costs. + Conduct benefits orientations… more
- Fujifilm (Denver, CO)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Pilgrim's (Greeley, CO)
- **Description** Regulatory Ingredients Specialist Purpose and Scope/General Summary: The Regulatory Ingredients Specialist is part of our Research & Development ... team and reports directly to the Senior Ingredients and Nutrition Regulatory Manager. This role supports the development of food products by accurately reviewing… more
- United Therapeutics (Denver, CO)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
- Focus on the Family (Colorado Springs, CO)
- …the culture is rewarding, and the purpose is eternal. The Senior Manager, Relationship Services (RS) exists to provide oversight and facilitation/direction ... offices; assists in preparation of accident and worker's compensation claims Managerial Breadth/Scope of Job: + Manages a staff...in supervision + Preferably, experience as a Family Help Specialist + In depth knowledge of FOF mission, philosophy,… more
- Highmark Health (Denver, CO)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more
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