- Novo Nordisk Inc. (Plainsboro, NJ)
- …of 340B PHS chargebacks and MFP rebates Ensure timely receipt of claim -level data, transmission of payment elements, and submission of required information such ... Information within 30 calendar days of such changes Access claim -level data elements through the MTF DM and maintain...are not treated as unclaimed funds and that related claims must be resolved directly with dispensing entities outside… more
- Formation Bio (New York, NY)
- …curated data assets. You'll partner closely with domain experts in areas like claims , EHR, and biomedical research - ensuring their deep knowledge is translated into ... harmonization across healthcare and pharmaceutical datasets. Partner with domain experts ( claims , EHR, pharma, research) to align technical standards across diverse… more
- Formation Bio (New York, NY)
- …new treatments to patients faster and more efficiently.About the PositionWe're looking for a Senior Data Engineer to join the Data Platform team at Formation Bio to ... and understanding of modalities found within EHR datasets incl. Billing claims , lab results, visit notes, images Experience in biomedical feature engineering,… more
- Formation Bio (New York, NY)
- …to manage multiple law firms / global patent portfolios Experience drafting claims and prosecuting patents (with experience litigating / disputing patents as a ... and autonomous work environments Why Join Us? Impact: Shape IP strategy as our senior legal leader for a portfolio of clinical assets with real potential to help… more
- Eisai, Inc (Cincinnati, OH)
- …If this is your profile, we want to hear from you. The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology ... products within an assigned territory in a compliant and appropriate manner. The Senior Oncology Sales Specialist represents and promotes assigned brand(s) in the IV… more
- The Hartford (Hartford, CT)
- …development initiatives. + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry ... Specialist Claims - CH07DESpecialist Claims CA -...trials and mediations, as necessary. + Contributing to broader claim and enterprise goals by participating in audits, projects… more
- Travelers Insurance Company (Richmond, VA)
- …appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- Travelers Insurance Company (Irvine, CA)
- …appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of ... expertise to assist in the resolution of highly complex claims . Mentor other Claim Professionals + Participate in Telephonic and/or onsite File Reviews.… more
- Travelers Insurance Company (Philadelphia, PA)
- … Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and ... papers and articles. + Research, analyze and provide loss mitigation advice to claim and underwriting colleagues on claims of varying complexity, including… more
- CVS Health (Oklahoma City, OK)
- …all the way! This is a fulltime teleworker opportunity in Oklahoma. The ** Senior Claim Data Specialist** handles end-to-end processes associated with claim ... This person identifies and addresses issues impacting auto-adjudication levels and claim accuracy. They may also complete manual plan-set-up activities related to… more
- Travelers Insurance Company (St. Paul, MN)
- … Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and ... you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range...Follow operational policies to analyze, investigate, and resolve BSI claims of varying levels of severity with limited supervision… more
- Robert Half Accountemps (Los Angeles, CA)
- Description We are looking for an experienced Workers' Compensation Senior Claim Representative to join our team in Los Angeles, California. In this role, you ... will oversee the management of workers' compensation lost time claims , ensuring compliance with statutory regulations and delivering exceptional customer service… more
- Oracle (Little Rock, AR)
- …us and grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to ... engineering for developing the Claim Denial Prevention and Appeals features of Oracle Health...validation) to lead the appeals initiative to review denied claims , create write-ups for appeals packets, identify trends/improvement opportunities… more
- Travelers Insurance Company (Charlotte, NC)
- …Range** $146,400.00 - $241,600.00 **Target Openings** 1 **What Is the Opportunity?** The Senior Counsel, Virginia - Carolina Claim Center General Counsel (the ... Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position… more
- CRC Insurance Services, Inc. (TX)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage with insurance carriers to ... America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates… more
- CRC Insurance Services, Inc. (ID)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... information and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with insurance carriers to ensure claims … more
- Walmart (Bentonville, AR)
- …Summary:** The Senior Manager of Workers' Compensation or General Liability claims is responsible for overseeing multiple claims manager teams and driving ... excellence. -Review escalated claims , including high-exposure and litigated claims , and provide strategic direction; Escalate to senior leadership as… more
- Alight (NJ)
- …you a successful leader who is experienced in leading a team of claims professionals? Seeking an experienced team leader skilled in delivering subject matter ... and leading a team of leave and disability managers with varying degrees of claim handling skills. This role will leverage expertise to navigate complex claim … more
- Axis (Alpharetta, GA)
- …available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims...files is accurate. + Collaborate with Underwriting, Distribution, and Senior Claim Management in driving deeper relationships… more
- Zurich NA (Owings Mills, MD)
- …+ Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years ... Senior Professional Liability Claims (Attorney), ...expertise and strategic coordination. + Accurately update and document claim files in accordance with best practices, ensuring data… more
