- Stanford Health Care (Palo Alto, CA)
- …procedures and the applicable service agreement. Review reserves, settlement activity, and claims costs. Participate in periodic claim reviews and provide ... for collection and analysis of claims data. Create reports and disseminate claims data to stakeholders. Evaluate trends to support loss prevention. + Ensure… more
- Osmose Utilities Services (Atlanta, GA)
- …+ Coordinate the intake, reporting, and follow-up of work-related injury and illness claims . + Assess the classification of each claim (first aid, medical ... Summary of position: The Claims Analyst will play a key role in...only, lost time, or controverted) and manage accordingly, including support of internal investigations to determine root cause and… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …via the cut-log system when necessary + Adjust complex claims and support other examiners with claim resolution + Perform additional duties as assigned ... and report them to the supervisor + Provide technical support and training for claims processors +...Collaborate with Customer Service and Provider Services on large claim projects and adjustments + Assist with benefit and… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is hiring a work from home, detail-oriented medical ** Claims Examiner** looking to make a significant impact in the healthcare industry. Join ... our remote team as a Claims Examiner and play a crucial role in ensuring...with Customer Service and Provider Services departments on large claim projects and adjustments + Interpret benefit and plan… more
- Ally (Springfield, IL)
- …Using their mechanical experience & knowledge, they provide policy assistance and technical claim support on the vehicle service contract program and other ... Title: Auto Mechanic, Service Manager or Service Technician Actual Job Title: Mechanical Claims Specialist (MCS) Set Pay Rate: $27.50/hr = $57,200 + 5% annual bonus… more
- FM (Parsippany, NJ)
- …state-of-the-art loss-prevention engineering and research; risk management skills and support services; tailored risk transfer capabilities; and superior financial ... future - yours, your clients', and the company's? The Claims team within our New York Operations in Parsippany...summer 2026! When you join FM as a Property Claims intern, you can bring your talents to life… more
- Morley (CA)
- …outside counsel to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK) on the client's policies ... be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role...Skills** + Understanding of litigation processes; able to confidently support legal cases + Strong listening skills; able to… more
- FM (Malvern, PA)
- …position is also responsible for ensuring proper maintenance and data quality of claim records, providing phone support coverage during FM Boiler Re's normal ... hours of operation, and providing support for the claims staff. + Computer skills + Excellent writing skills + Organizational and communication skills required!… more
- FM (Reston, VA)
- …state-of-the-art loss-prevention engineering and research; risk management skills and support services; tailored risk transfer capabilities; and superior financial ... future - yours, your clients', and the company's? The Claims team within our DC Operations in Reston (VA)...summer 2026! When you join FM as a Property Claims intern, you can bring your talents to life… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Coding Administrator_** will focus on identifying and coordinating appropriate codes to support claim system edits that direct payment of medical services. ... of claims processing with a working knowledge of different claim types is desired. (Preferred) + Current Washington State License: Registered Nurse… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …well as responses to Good Faith Inquires ("GFI") from dispensing entities Provide support for SOX inquiries and ensure adherence to SOX controls. Performs post audit ... PHS chargebacks and MFP rebates Ensure timely receipt of claim -level data, transmission of payment elements, and submission of...are not treated as unclaimed funds and that related claims must be resolved directly with dispensing entities outside… more
- Ally (Springfield, IL)
- …opportunities be, too? **The Opportunity** We're looking for people interested in claim subrogation and who are focused on helping our customers while maintaining ... as quickly as possible. * Negotiates settlement of subrogation claims with at fault party while following established, authorized...party vendors as directed. * Work closely with the claim adjusters to ensure accurate and timely claim… more
- Lyric (Newtown Square, PA)
- …to work in the US Visa sponsorship/sponsorship assumption and other immigration support are not available for this position. The Senior Manager, Clinical Content ... leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with...with clients to assist in their interpretation of Lyric's claim edits while using our software. The Senior Manager's… more
- Lyric (Newtown Square, PA)
- …and reduce claim overpayments. This position is instrumental in the support of Lyric clients to find new savings opportunities. **ESSENTIAL JOB RESPONSIBILITIES ... to work in the US Visa sponsorship/sponsorship assumption and other immigration support are not available for this position. By researching industry and governmental… more
- Tutor Perini (New York, NY)
- …and Claims Register. + Participate in negotiation of change orders or claims with clients, subcontractors, or vendors. + Support dispute resolution through ... all changes from initiation through negotiation and final approval. + Investigate potential claims , such as delays, unforeseen conditions, or extra work. + Prepare … more
- CommScope, Inc. (GA)
- …business priorities and supply chain requirements into actionable sourcing strategies that support global growth and operational agility. + Act as the primary ... matter expert to inform strategic decisions and risk mitigation efforts. + Support the transportation and logistics requirements of the Tijuana, MX factory, ensuring… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …with medical management teams and other health plan departments, including Claims and Network Development, to ensure seamless coordination. Provides excellent ... + Assist with complaints and appeals related to eligibility and claims , documenting information accurately in the utilization management system _Provider and… more
- Valvoline Global (Lexington, KY)
- …Founded in 1866, we introduced the world's first branded motor oil, staking our claim as a pioneer in the automotive and industrial solutions industry. Today, as an ... Analytics, Social, Paid, and Strategy teams to create marketing claims and a strategic launch plan for the new...Plan:** Leverage multiple data systems to create a marketing claim that will help consumers select Vavloline. This role… more
- Stony Brook University (East Setauket, NY)
- …of SQL or Database Queries. + Experience reporting from healthcare decision support , patient accounting, contract management and/or claims scrubber systems. + ... but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental/unit… more
- KIK Consumer Products (Lawrenceville, GA)
- …bring their products to life. **Your Role at KIK** KIK's Employment and Litigation Support Counsel serves as the strategic legal advisor to the Human Resources team ... and implements the cost-effective resolution of labor and employment claims and grievances as well as general and products...and grievances as well as general and products liability claims . The lawyer will provide practical guidance on employment… more
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