- Zurich NA (Parsippany, NJ)
- General Liability Claims Analyst 117471 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to ... your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct… more
- Insight Global (Glen Allen, VA)
- …with limited supervision, is responsible for managing all channels of communication with Claims vendors. This associate will be the primary contact point for ... all vendor relations, acting as liaison between the claims department and external vendors. This position will review and analyze various aspects of vendor… more
- CVS Health (Hartford, CT)
- …personal, convenient and affordable. **Position Summary** The Care Management Associate (CMA) supports comprehensive coordination of medical services that include ... team and utilization management team. * The Care Management Associate will review eligibility and benefits and open pre-certification... role include: * Responsible for initial review and triage of Care Team tasks. * Identifies principal reason… more
- CVS Health (Columbus, OH)
- …and affordable. **Must live in Ohio** **Position Summary:** The Care Management Associate (CMA) role is a full-time remote telework position. Qualified candidates ... special healthcare needs and carries a caseload. The Care Management Associate supports comprehensive coordination of medical services including Care Team intake,… more
- Magellan Health Services (San Diego, CA)
- …information regarding a variety of services including: educating providers on claims , member eligibility, benefits, EAP services, claim status, and authorization ... crisis calls with appropriate resource. + Facilitates routine referrals and triage decisions not requiring clinical judgment. + Comprehensively assembles and enters… more
- AIG (Jersey City, NJ)
- This Senior Associate II, IT Business Analysis role will be an ideal opportunity to develop your experience and expertise in Information Technology . Make your mark ... of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues...teams to explain and answer questions on requirements, and triage defects. + Channel business input to solution design… more
- Staples (Framingham, MA)
- …wholesale sectors. Utilizing a variety of skills and tools, you will perform initial triage on all claims , ensure proper claims administrators' attention and ... and guidance, and clarify processes for the business team, claims administrators, vendors, and internal stakeholders. + Triage...but not required We Offer: + Inclusive culture with associate -led Business Resource Groups + Flexible PTO (22 days)… more
- US Tech Solutions (Columbia, SC)
- …load of members telephonically, coordinating care including discharge planning. Assisting with triage when needed. + The candidate needs to have strong communication ... or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to… more
- Gentiva (Atlanta, GA)
- …resources to ensure coordinated and efficient program management + Participate in " triage " process to determine whether claims warrant additional investigation, ... claims review meetings and makes recommendations for on-going claims handling **About You** + Associate degree...for on-going claims handling **About You** + Associate degree required, Bachelors a plus + Related work… more
- PulteGroup (Coppell, TX)
- …Coordinator will conduct initial analysis of the customer issue to triage and determine the appropriate course of action.PRIMARY RESPONSIBILITIES:- Coordinate ... customer requests for service - Conduct initial analysis of customer issue to triage and determine appropriate course of action - Coordinate Customer Care Manager… more
- Health First (Rockledge, FL)
- …* Properly identifies and elevates clinical issues to the appropriate associate level. * Coordinates Utilization Management and Case Management intake activities ... special projects that will positively impact and lower administrative cost. * Triage issues and concerns with accuracy and refers issues effectively. *Customer… more
- Leidos (Alexandria, VA)
- …maintain SharePoint services, including load balancing, PKI authentication, and claims -based authentication as well as implement site setup, permission management, ... for 24/7/365 IT Operations Center personnel to assist with after-hours triage and troubleshooting of common SharePoint problems. **_Successful candidates must… more
- CareFirst (Baltimore, MD)
- …including configuration setup, system and integration testing, production issues triage and resolution, and interface monitoring/ resolution four our clinical ... technologies, systems, and business processes supported by the department (eg, claims processing, enrollment and billing, financial, etc.). + Experience in industry… more
- South Middlesex Opportunity Council (Framingham, MA)
- …entire management team. + Monitor caseloads and work with the clinic intake specialist to triage and assign cases from a waitlist. + Work with the front office and ... as required by payors and state agencies. Monitor weekly claims reports and assist in correcting billing issues. +...As part of the responsibilities of this position, the Associate Clinic Director will have direct or incidental contact… more
- University of Virginia (Charlottesville, VA)
- …the emergency department and acute care floors to determine patient acuity, perform triage , and construct an initial care plan * With training, competency in several ... review activities as requested. * Prepares and attends to all reports, claims , and correspondence necessary or appropriate to the performance of professional… more
- HUB International (Riverside, CA)
- …provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make ... document retrieval from carrier websites + May perform a triage role on behalf of the team: review incoming...individual queues based on priority and skill level of associate _The expected salary range for this position is_… more
- ASSA ABLOY (Mesquite, TX)
- …Customer Service & Contact Center Operations - Posting Country (1) - Yes - Associate - Travel Required: 0%-10% Job Description Print Preview Are you an experienced ... entry, negotiations, clarification of problems, resolutions, root-cause analysis, scheduling, and triage orders for entry. * Review, price, and route all customer… more
- University of Virginia (Charlottesville, VA)
- …follow up studies) * Assisting our nursing staff with new patient referral triage when needed * Responding to patient calls and MyChart messages * Educating ... review activities as requested. * Prepares and attends to all reports, claims , and correspondence necessary or appropriate to the performance of professional… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …mitigations. + Manage end-to-end incident management process, from initial ticket triage to prioritization and resolution. + Develop and update comprehensive ... of monolithic apps. + Understanding of EDI transactions (Eligibility, Claims , enrollment, authorization etc), standards (X12, EDIFACT) and experience troubleshooting… more