- Health Care Service Corporation (Richardson, TX)
- …Coordinating All Materials And Information Relating To Processing Negotiations And Independent Disputes As Regulated By Federal Or State Regulations.. This Applies ... The Hcsc Procedures Via The Required Notifications And Provider Resolution .. This Includes Entry Of New Requests Via The...Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield… more
- US Anesthesia Partners (Dallas, TX)
- …investigation, and reopening of closed out-of-network disputes utilizing the Federal independent dispute resolution processes, known as "arbitration", ... including assessing whether errors occurred in dispute closure and pursuing corrective action when appropriate. At...duties as assigned. *The physical demands described here are representative of those that may need to be met… more
- City of New York (New York, NY)
- …latitude for independent judgment, decision-making and action, the Customer Resolution Representative is responsible for addressing and resolving various ... services or another support service center, conduct conferences and interviews for dispute resolution ; ensure Agency complies with State Decision After Fair… more
- Travelers Insurance Company (Overland Park, KS)
- …duties which may include: Applies deep technical/subject matter expertise to assist in the resolution of complex claims. Acts as an independent mentor to other ... Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been...resolution of complex claims + Acts as an independent mentor to other Claim Professionals + In order… more
- CareFirst (Baltimore, MD)
- …within Health Services and across the company. Provides communication, education, issue/ dispute resolution and support of managing all of CareFirst's ... contracted in-network providers including independent professional practices, health systems, hospitals, and ancillary providers across all lines of business.… more
- CareFirst (Baltimore, MD)
- …within Health Services and across the company to provide communication, education, issue/ dispute resolution and support of managing all of CareFirst's ... contracted, in-network providers, including independent professional practices, health systems, hospitals, and ancillary providers across all lines of business. May… more
- City of New York (New York, NY)
- …and employees on matters involving performance, behavior, conflict prevention and dispute resolution , progressive discipline. - Assist managers with employee ... FINANCE BOARD The Campaign Finance Board is a nonpartisan, independent city agency that empowers New Yorkers to have...an incident occurs. - Liaise with the agency's Alternative Dispute Resolution (ADR) Coordinator; Provide guidance and… more
- Humana (Oklahoma City, OK)
- …Oklahoma's managed care contractual requirements for provider relations, such as claims dispute resolution within specified timeframes **Use your skills to make ... + Understanding of claims systems, adjudication, submission processes, coding, and/or dispute resolution + Exceptional relationship management and interpersonal… more
- Federal Communications Commission (District Of Columbia, DC)
- …5) Experience advising on settlement options, consent decrees, and/or alternative dispute resolution strategies. PART-TIME OR UNPAID EXPERIENCE: Experience ... and interpretation. Ability to advise on settlement options, consent decrees, and alternative dispute resolution strategies. If you are deemed to be qualified by… more
- State of Colorado (Eagle County, CO)
- …treatment, bridge improvements, etc. + Operate as the Chief Engineer's duly authorized representative in direct charge of the work and is responsible for the ... and completely as required. + Serve as a CDOT representative and provide expertise at meetings with public, local/state...for safety. + Ability to work effectively in both independent and team situations. + The desire to perform… more