- Adecco US, Inc. (Woonsocket, RI)
- Adecco is currently assisting a National Pharmaceutical client, recruiting for a Remote Coverage Determination Representative II position. To be considered ... provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave...provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our… more
- MetroLink (Los Angeles, CA)
- Customer Relations Representative Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4533725) Customer Relations Representative Salary $22.53 ... Benefits + Questions SUMMARY PURPOSE OF POSITION The Customer Relations Representative will provide information, respond to customer inquiries, support passenger… more
- OLV Human Services (Lackawanna, NY)
- …Provides follow up notification to patient on approval or denial of coverage ; schedules approved procedures * Prepares patient pre- determination financial ... Patient Service Representative 790 Ridge Rd, Lackawanna, NY 14218, USAReq...Verifications:** * Verifies and analyzes insurance plans, benefits, and coverage and updates insurance master in Eaglesoft. Communicates appropriate… more
- HCA Healthcare (Nashville, TN)
- …where diversity and inclusion thrive? Submit your application for our Patient Support Representative opening with Parallon today and find out what it truly means to ... The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost...vary by location._** We are seeking a Patient Support Representative for our team to ensure that we continue… more
- Travelers Insurance Company (Melville, NY)
- …claim handling throughout the claim life cycle (customer contacts, coverage , investigation, evaluation, reserving, negotiation and resolution) including maintaining ... accounts, as outlined in Special Account Communication (SAC). + Coverage Analysis: + Reviews and analyzes coverage ...the services rendered ensuring that all records have a determination of medical necessity and causal relationship to the… more
- Travelers Insurance Company (Charlotte, NC)
- …(SAC). + Coverage Analysis: + Reviews controlling claim handlers' coverage determination , summarizes the review and seeks clarification as needed. ... collaboration with appraisal expert. May include additional complexities related to unique coverage and/or damage issues (ie: police equipment within the car, tools… more
- Commonwealth of Pennsylvania (PA)
- PSERS Retirement Representative Trainee Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4652722) Apply PSERS Retirement Representative ... Public School Employees' Retirement System (PSERS) is looking for a Retirement Representative Trainee interested in learning the elements necessary to become a… more
- CDPHP (Albany, NY)
- …invites you to be a part of that experience. The Provider Services Representative shall assume full responsibility and ownership for all aspects regarding education ... providers regarding the proper utilization of the Plan. In addition, the representative will address and resolve service related issues including appeals and… more
- JBS USA (Greeley, CO)
- **Description** Trade Representative Purpose and Scope/General Summary: We are looking for a Trade Representative to join us onsite at our Corporate office in ... Greeley, Colorado. The Trade Representative will be responsible for the execution of international...compensation and benefits: + Benefits: Vision, Medical, and Dental coverage begin after 60 days of employment; + Paid… more
- Travelers Insurance Company (Tampa, FL)
- …claim handling throughout the claim life cycle (customer contacts, coverage , investigation, evaluation, reserving, negotiation and resolution) including maintaining ... to certain accounts, as outlined in Special Account Communication (SAC) instructions. + Coverage Analysis : + Reviews and analyzes coverage and applies policy… more
- Travelers Insurance Company (Lake Oswego, OR)
- …claim handling throughout the claim life cycle (customer contacts, coverage , investigation, evaluation, reserving, negotiation and resolution) including maintaining ... accounts, as outlined in Special Account Communication (SAC). + Coverage Analysis: + Reviews and analyzes coverage ...+ Basic + Principles of Investigation- Intermediate + Value Determination - Basic + Settlement Techniques- Basic **What is a… more
- The Cigna Group (Topeka, KS)
- The Operations Senior Representative acts as Subject Matter Expert (SME) in collaborating with Medical Directors, Post-Acute Care, Clinical Care Coordinators, ... schedule, which sometimes require extended working hours. Occasional weekend/after-hours coverage may be required. **Duties and Responsibilities** + Identify and… more
- CVS Health (Columbus, OH)
- …and correcting any issues found in the overall process. - Raising issues to Coverage Determination Clinical Pharmacists and Management team as needed. - Reading, ... and production standards. **Required Qualifications** - 2 plus years of Coverage Determination & Appeals experience. - MHK, RxClaim, and People Safe proficient.… more
- JBS USA (Greeley, CO)
- **Description** International Sales Account Representative Purpose and Scope/General Summary: We are looking for a Sales Account Representative to join our Pork ... other facilities, to attend Company events, or as a representative of the Company in other situations. Unless otherwise...compensation and benefits: + Benefits: Vision, Medical, and Dental coverage begin after 60 days of employment; + Paid… more
- JBS USA (Greeley, CO)
- **Description** Sales Account Representative Purpose and Scope/General Summary: We are seeking a Sales Account Representative for our Fed Beef Inside Sales team, ... other facilities, to attend Company events, or as a representative of the Company in other situations. Unless otherwise...compensation and benefits: + Benefits: Vision, Medical, and Dental coverage begin after 60 days of employment; + PaidTime… more
- JBS USA (San Antonio, TX)
- **Description** Senior Sales Account Representative Purpose and Scope/General Summary: We are looking for a Senior Sales Account Representative for JBS Fed Beef ... other facilities, to attend Company events, or as a representative of the Company in other situations. Unless otherwise...compensation and benefits: + Benefits: Vision, Medical, and Dental coverage begin after 60 days of employment; + Paid… more
- Pearson (Nashville, TN)
- **Join Our Team as a Pearson Education Sales Representative !** At Pearson, we believe in the power of education to transform lives. As a Pearson Education Sales ... Representative , you're on the front lines of driving teaching...A highly competitive base salary and uncapped bonus potential. Coverage of all travel expenses. An excellent benefits package.… more
- JBS USA (Mason, OH)
- **Description** Senior Sales Account Representative Purpose and Scope/General Summary: We are seeking a Senior Sales Account Representative to join our JBS ... other facilities, to attend Company events, or as a representative of the Company in other situations. Unless otherwise...compensation and benefits: + Benefits: Vision, Medical, and Dental coverage begin after 60 days of employment; + Paid… more
- JBS USA (Greeley, CO)
- **Description** Sales Account Representative Purpose and Scope/General Summary: We are looking for a Sales Account Representative to support our Costco sales for ... other facilities, to attend Company events, or as a representative of the Company in other situations. Unless otherwise...compensation and benefits: + Benefits: Vision, Medical, and Dental coverage begin after 60 days of employment; + Paid… more
- Pearson (Lafayette, LA)
- **Join Our Team as a Pearson Education Sales Representative !** At Pearson, we believe in the power of education to transform lives. As a Pearson Education Sales ... Representative , you're on the front lines of driving teaching...highly competitive base salary and uncapped bonus potential. + Coverage of all travel expenses. + An excellent benefits… more