- Zurich NA (Lansing, MI)
- Marine Claims Senior Claims Specialist 125273 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
- Corewell Health (Farmington Hills, MI)
- …- 4 times per year. Join our team at Corewell Health as an RN Clinical Risk Specialist Senior and play a pivotal role in shaping the future of healthcare quality ... of patient related injuries and manage the resolution of pre-notice claims . Essential Functions + Reviews and provides recommendations regarding the development… more
- Molina Healthcare (Detroit, 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
- CVS Health (Lansing, MI)
- …+ Distributes work assignment daily to junior staff. + Trains and mentors claim benefit specialists. + Makes outbound calls to obtain required information ... handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Molina Healthcare (Traverse City, MI)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
- Prime Therapeutics (Lansing, MI)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description**...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Defense Logistics Agency (Battle Creek, MI)
- …Planning teams. Assisting with conducting special studies to track data for the senior specialist use in determining future management trends. Preparing accurate ... duties below will be performed in a developmental capacity. Serves as senior Management and Program Analyst for DLA Disposition Services. Performs full studies… more
- Henry Ford Health System (Troy, MI)
- …SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Principal Specialist has an important role in a high-profile group tasked with improving ... Under minimal supervision from the Manager, Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue Integrity (RI) Principal Specialist … more
- LifePoint Health (Marquette, MI)
- …beautiful lakeside gem. Why Choose Us: Health (Medical, Dental, Vision) and 401K Benefits for full-time employees Competitive Paid Time Off / Extended Illness Bank ... the preparation and maintenance of department reports. Prepares periodic reports for senior management, as delegated by the director. Works closely with clinical… more
- Zurich NA (Detroit, MI)
- …125444 Zurich North America is currently looking to fill an opening for a Senior Vice President for our Large Contract Surety Underwriting Team. Seeking a candidate ... approach to business relationships and oversight on strategic underwriting practices. The Senior VP is responsible for: + Developing processes and reviewing policies… more