- Sedgwick (Baton Rouge, LA)
- …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 (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
- 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
- Bayer (Shreveport, LA)
- …brilliant and diverse minds to make a real difference, there's only one choice.** ** Senior Women's Health Care Specialist - Little Rock, AR** **Purpose:** Bayer ... the territory. **YOUR TASKS AND RESPONSIBILITIES** The primary responsibilities of this role, Senior Women's Health Care Specialist , are to: + Drive clinical… 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
- 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
- United Therapeutics (Baton Rouge, LA)
- …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
- 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 (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