- Ochsner Health (New Orleans, LA)
- …make a difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and ... **Job Duties** + Review and analyze denied or underpaid claims to determine appeal opportunities. + Prepare and submit...staff and coding teams to obtain necessary documentation for appeals + Track and monitor appeal status, maintaining detailed… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Attorney General, Office of the Title Senior Consumer Frauds Representative or Consumer Frauds Representative Trainee (NY HELPS) ... any promotion examination for which they are qualified. NON-COMPETITIVE QUALIFICATIONS: * Senior Consumer Frauds Representative (PEF SG 17, current starting… more
- MTA (New York, NY)
- Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... Labor Relations MNR Date Posted: Aug 15, 2025 Description JOB TITLE: Senior Labor Relations Representative DEPT/DIV: Labor Relations WORK LOCATION: 420 Lexington… more
- UNC Health Care (Chapel Hill, NC)
- …teamwork and reflects UNC Health Care's mission and philosophy. Responsibilities: 1. Appeals & Managed Care Escalations: Project Manage all 3rd party appeals ... ensure proper billing. 10. Other: Responsible for processing Part B split claims . Accurately and thoroughly document the pertinent collection or follow-up activity… more
- Amentum (Washington, DC)
- …Title: Claim Review Assessor Position Description** **AMENTUM Job Title: Senior Paralegal** **MEGA V Labor Category: Paralegal/Legal Assistant II** **General** ... Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals . Their work goes beyond extraction; ... Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics & Business… more
- Manulife (NH)
- …discover that better can take you anywhere you want to go. The Senior Underwriting Consultant is responsible for evaluating applications of the highest financial ... research projects pertaining to risk assessment. + Process formal underwriting appeals and complaints. + Review underwriting fraud referrals for appropriateness and… more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Summary** : The Senior Employee Relations Consultant is responsible for mitigating organizational risk while ... : Investigation and resolution of teammate relations: Maintain a representative caseload involving variety of complex teammate relations issues, including… more
- Immigration and Customs Enforcement (Washington, DC)
- …contract administration; Litigate bid protests before the Government Accountability Office and claims before the Civilian Board of Contract Appeals ; Assist ... Justice counsel in all aspects of bid protest and claims litigation before the US Court of Federal ...offices, including law enforcement officers, policymakers, attorneys, and agency senior leadership, and must be able to tailor communications… more
- University of Colorado (Denver, CO)
- …policy.oAssist in dispute resolution with consultants and contractors and assist others in the claims and appeals process as needed. + Serve as the Facilities ... for the University of Colorado Denver Campus is a senior staff member of the Office of the Associate...the State Architect. Additionally, the Director serves as a representative for CU Denver on various internal and external… more