- Sedgwick (Lansing, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY ... PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims… more
- Prime Therapeutics (Lansing, MI)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Claims Specialist Sr **Job Description** The Claims Specialist ... accredited institution or equivalent GED + 1 year of claims experience + Must be eligible to work in...simultaneously **Preferred Qualifications** + 2+ years of experience in claims , insurance, or healthcare + Extensive experience using Excel… more
- CVS Health (Lansing, MI)
- …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
- LG Energy Solution (Holland, MI)
- …Summary The Occupational Health Nurse is responsible for the prevention, recognition , and treatment of on-the-job illness and injuries. This position requires ... such items as physicians' reports on employee health, workers' compensation insurance claims , medical restrictions on employee work, and the policies and procedures… more
- University of Michigan (Ann Arbor, MI)
- …Title** Research Area Specialist Senior /Intermediate **Job Title** Research Area Specialist Sr **Work Location** Ann Arbor Campus Ann Arbor, MI **Modes ... Research Area Specialist Senior /Intermediate Apply Now **How to...analyses and develop data visualizations for large health insurance claims databases based upon the design of the project**… more
- CVS Health (Lansing, MI)
- …following: + Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from ... and timely support. + Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations… more
- Henry Ford Health System (Detroit, MI)
- …to ensure compliant claims are sent to payers. The CBO Coding Senior Specialist works independently to resolve complex diagnostic accounts. The CBO Coding ... resolution workflows, and assisting the supervisor with escalated issues. The CBO Coding Senior Specialist confirms the accuracy and completeness of coding… more
- CVS Health (Lansing, MI)
- …do it all with heart, each and every day. **Position Summary** The ** Senior Accounts Receivable Specialist ** prepares accounting and financial records and ... monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** + 2+… more
- Molina Healthcare (Warren, MI)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- LG Energy Solution (Holland, MI)
- …inspection + Perform other duties as assigned by the EHS Team or Nurse Sr . Specialist Qualifications: + Bachelor of Science in Nursing required or equivalent, ... Title: Occupational Health Nurse, Specialist (Part Time or Full Time) Reports to:...The Occupational Health Nurse is responsible for the prevention, recognition , and treatment of on-the-job illness and injuries. This… more