- CVS Health (Lansing, MI)
- …every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity ... use multiple systems and screens to obtain and record claim information - Review claims information to...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Travelers Insurance Company (Lansing, MI)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- Molina Healthcare (Grand Rapids, MI)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... notifications and provides supporting documentation such as explanation of benefits (EOBs), claims and attachments. * Maintains...claims as a refund or auto debit in claim systems and in recovery application. * Follows department… more
- Zurich NA (Lansing, MI)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- Sedgwick (Lansing, MI)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- Wayne State University (Detroit, MI)
- …Essential Functions Administer, organize, and manage all Phases of Worker's Compensation Claims (from initial filing to claim closure). This entails the ... Risk Management Specialist Wayne State University is searching for an...carriers as well as participate in the performance of cost/ benefit analysis when determining to seek request for proposals… more
- Henry Ford Health System (Detroit, MI)
- …+ Submit third party claim forms (ie UB04 or 1500) through the claims editing software. Understands the claim editing process and resolving the edits based ... of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials… more
- Molina Healthcare (Grand Rapids, MI)
- … claims production standards set by the department. * Applies contract language, benefits and review of covered services to claims review process. * Contacts ... and prepares written response to incoming provider reconsideration requests related to claims payment, requests for claim adjustments, and/or requests from… more
- Trinity Health (Ann Arbor, MI)
- …Type:** Part time **Shift:** Day Shift **Description:** **Pharmacy Tech Specialist - Home Infusion** **Department:** Home Infusion **Location:** Trinity Health ... drug inventory. Performs all job functions of the Pharmacy Technician Specialist as needed/appropriate for the Home Infusion Pharmacy department. Performs pharmacy… more
- Sedgwick (Lansing, MI)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research,...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
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