- CVS Health (Baton Rouge, LA)
- …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
- Zurich NA (Baton Rouge, LA)
- Complex Liability Claims Specialist 123220 Zurich is currently looking for an experienced claims adjuster to join our Complex Liability Claims team. If ... involving bodily injury, property damage, personal injury and advertising injury. The Claims Specialist is responsible for proactively managing claims … more
- CVS Health (Baton Rouge, LA)
- …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
- Fujifilm (Baton Rouge, LA)
- **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
- Louisiana Department of State Civil Service (New Orleans, LA)
- Human Resource Specialist Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4926360) Apply Human Resource Specialist Salary $4,099.00 - ... Date 05/02/2025 Closing Date 5/12/2025 11:59 PM Central + Description + Benefits + Questions Supplemental Information About this position: This position reports to… more
- Priority Health Care (Marrero, LA)
- …supervision of the Senior Staff Accountant/PSS Supervisor, the Patient Service Specialist (PSS) will function as the initial point of contact for patients. The ... daily deposit reports, and data entry. The Patient Service Specialist will provide quality customer service to internal and...daily batch. + Obtain referrals and clarify coordination of benefits on every referral. + Check patient eligibility and… more
- Highmark Health (Baton Rouge, LA)
- …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
- Highmark Health (Baton Rouge, LA)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... 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
- Medtronic (Baton Rouge, LA)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
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