- Carnegie Mellon University (Pittsburgh, PA)
- …university faculty and staff benefit programs, including Unemployment Compensation, International Travel , Tuition, COBRA Administration and the processing of ... administration of the Tuition Benefit program including the determination of eligibility, processing of claims , and addressing of employee questions and… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Knowledge, Skills & Abilities (must have): - Strong understanding of claims processing , reimbursement methodologies, and payment policies, with the ... provider engagement, delegation partnerships, provider services, contracting, quality, compliance, medical management, and analytics teams to advance provider network… more
- Organon & Co. (Plymouth Meeting, PA)
- …(3PL) providers. This role involves overseeing the timely and accurate processing of customer orders, ensuring effective invoicing, managing accounts receivable, and ... cash application, in coordination with 3PL providers. - Ensure timely and accurate processing of customer orders and invoices, working closely with 3PL partners to… more
- BeOne Medicines (San Mateo, CA)
- …segments in collaboration with account teams and market access stakeholders (HEOR, medical affairs, fHEOR). This role is central in identifying appropriate RWD ... and with cross functional teams within the BeiGene organization: COBA, HEOR, and Medical Affairs to inform and ensure alignment of evidence strategies for access and… more
- ASRC Industrial Services (Joplin, MO)
- …| _Salary_ | _Medical, dental, vision, 401k_ | _Full Time_ _| Medical , dental, vision and 401k_ **ABOUT THE COMPANY** Environmental Quality Management, Inc. ... Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an...range of benefits including generous PTO plan, paid holidays, medical , dental, vision, 401K (for eligible employees) and 100%… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Medical Malpractice | Professional Liability | California **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims… more
- New York State Civil Service (White Plains, NY)
- …include, but are not limited to:* Oversee all aspects of workers compensation claims processing from inception to closing* Initially determine the compensability ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 (Group 90) -...Type Full-Time Appointment Type Permanent Jurisdictional Class Competitive Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37.50… more
- Trinity Health (Livonia, MI)
- …behavior. **MINIMUM QUALIFICATIONS** Must possess a comprehensive knowledge of liability claims processing and administration. High school diploma plus a ... claim process activities, opening and closing claim files, securing medical records for claims and incidents, tracking...work completion, and effective communication. Coordinates all aspects of travel arrangements for ACMs or WC Claims … more
- Sedgwick (Long Beach, CA)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
- Highmark Health (Harrisburg, PA)
- …the department. + Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special ... including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must… more
- JB Hunt Transport (Lowell, AR)
- …is responsible for the management of the company's risk mitigation programs, including claims processing , as well as the structure, design, and procurement of ... **Job Title:** Vice President Insurance, Risk Management, and Claims **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas… more
- Sedgwick (Rancho Cordova, CA)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... and industry best practices. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts medical -only claims and minor lost-time workers compensation claims… more
- Adecco US, Inc. (Jacksonville, FL)
- Adecco is assisting a local client recruiting for ** Claims Examiner** opportunities **Remote** . This is an excellent opportunity to join a winning culture and get ... the door with a Company that acts as a claims administrator or claims adjuster. If **...professional and timely manner. . Communicates claim activity and processing with the claimant and the client; maintains professional… more
- Highmark Health (Topeka, KS)
- … + 3 years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Sedgwick (Springfield, IL)
- …expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an… more
- Sedgwick (Miami, FL)
- …to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Professional Liability | E&O, D&O, EPL | Remote Will handle complex… more
- NJM Insurance (NJ)
- …with various aspects of claims handling and/or process including advanced knowledge of medical terminology and WC regulations for PA, MD and/or DE claims . + ... NJM's WC Claims Department is seeking an experienced Claims...parties + Determine compensability and coverage issues by gathering medical and factual evidence + Administer the delivery of… more
- Sedgwick (Bartlesville, OK)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation **PRIMARY PURPOSE** : To analyze complex or ... technically difficult workers' compensation claims to determine benefits due; to work with high...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
- Sedgwick (San Antonio, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Veterinary Claims | Professional Liability | Remote **PRIMARY ... PURPOSE** **:** To analyze complex or technically difficult veterinary claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Sedgwick (Rancho Cordova, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Hybrid (Rancho Cordova, CA) Are you looking for an ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
