- Merck & Co. (North Wales, PA)
- …data leveraging advanced statistical techniques from disparate databases or sources ( claims data, EMR/EHR, lab, and other sources) to drive optimization and ... pharmaceutical landscape.Expertise in mining and analyzing secondary real-world evidence data ( claims data, EMR/EHR, lab, etc.) and proven record of being able… more
- Wilmington Savings Fund Society (Wilmington, DE)
- …than part of our name, it's our mission and our purpose.The ATM Settlement Specialist is responsible for performing all functions required to support over 4,500 ATMs ... funded or managed by Cash Connect within strict deadlines. The Settlement Specialist is responsible for performing all functions required to operationally support… more
- VA Department of Transportation (Richmond, VA)
- …Experience with State benefits and leave programs, detailed elements of Risk management, Insurance Claims processing, Program Administration, and HR ... Please apply online at https://www.jobs.virginia.gov/jobs/human-resources-benefits- specialist -richmond-virginia-united-states-e4be1cf8-e2cd-499f-8901-e4d49484d968 Title: Human Resources Benefits Specialist … more
- MultiPlan (Atlanta, GA)
- …to the right of the star icon. The position requires the Operation Support Specialist to assist the recovery team performing various duties when needed. The duties ... Completing data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming...-- this role is considered to be a High Risk Role.13. The position responsibilities outlined above are in… more
- JobsRUs (Irvine, CA)
- JobsRUs.comis seeking to hire a Purchasing Specialist for our client in Irvine CA! Benefits Available!Weekly Pay! $50.00/Hour Shift Details: 7:00AM - ... Division in Irvine, CA, is currently seeking a diligent and strategic Purchasing Specialist to play a critical role in our organizationYou will be responsible for… more
- MultiPlan (Naperville, IL)
- …people come to shine! JOB SUMMARY: The position requires the Operation Support Specialist to assist the recovery team performing various duties when needed. The ... Completing data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming...-- this role is considered to be a High Risk Role.13. The position responsibilities outlined above are in… more
- MultiPlan (Atlanta, GA)
- …generate measurable results. This role pursues collections on errant healthcare claims made to various healthcare provider entities. JOB ROLES AND RESPONSIBILITIES: ... -- this role is considered to be a High Risk Role.9. The position responsibilities outlined above are in...to defined work output standards and involves high volume claims collections. Work involves direct contact with internal and… more
- Rose International (Atlanta, GA)
- …and perform root cause analysis on unpaid and underpaid insurance claims across different payers Perform actions towards remediation of outstanding balances ... patient benefit-related denials, including phone verification of plan requirements, financial risk , as well as other factors that may impact reimbursement Navigate… more
- Beacon Hill (Atlanta, GA)
- …performance management, policy breach, investigations, Driver standards of conduct, Agency claims , unemployment and terminations. Understands and assesses risk ... based and seeks assistance and/or escalates as necessary. Recorded on case management tool* Feedback loop for line managers & employees* Employee and ethics line investigations* Ongoing support and feedback with people managers on employee relations issues.… more
- Rose International (Chappaqua, NY)
- …and two paralegals. The candidate will be supporting the Senior Director of Risk ManagementThe Paralegal-Legal Services Specialist assists the Senior Director ... Management & Quality Assurance in coordinating the provision of comprehensive risk management services at Optum Medical Care, PC for all insurance, enterprise… more
- MultiPlan (Atlanta, GA)
- …data, and innovation voice in healthcare. Onward and Upward The Senior Medical Coding Specialist provides analysis of the highest dollar and most complex claims ... for process efficiencies. Uses independent decision-making skills to review claims after business hours to meet deadlines. Apply national...data, this role is considered to be a High Risk Role. The position responsibilities outlined above are in… more
- Publix (Lakeland, FL)
- **30338BR** **Position Title:** General Liability Attorney Rep Claims Specialist , Risk Mgmt - Lakeland **Department:** Risk Management **Location:** ... in the supermarket industry. In Risk Management, the General Liability Claims Specialist is responsible for a variety of areas, including analyzing low and… more
- Lithia & Driveway (Medford, OR)
- …contributing to effective claims processes and safeguarding the organization. As a Specialist , Risk Management, you will be an integral part of our ... Dealership:L0105 Lithia Home Office Specialist , Risk Management The Specialist...risks. You will collaborate with leadership to ensure efficient claims management and support risk mitigation strategies.… more
- Northwell Health (Great Neck, NY)
- …of existing policies, and provides management with ongoing updates regarding risk exposures. + Analyzes, plans, organizes, and develops projects and reports. ... 3-5 years of relevant experience, required. HIGHLY PREFERRED + Medical malpractice claims handling *Additional Salary Detail The salary range and/or hourly rate… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk . Join us as a Claims Specialist III, General Liability to play your part in that transformation. It's an ... member of the team. Make your mark in the Claims Our Claims teams are the proven...support individuals, businesses, and communities, helping them to manage risk , respond to times of uncertainty and discover new… more
- Northern Light Health (Bangor, ME)
- …education of hospital and medical personnel related to risk prevention and claims management. The Risk Management Specialist will participate in patient ... Work Schedule: 8:00 AM to 4:30 PM Summary: The Risk Management Specialist works under the general...for the development and ongoing review of hospital-wide clinical risk and claims management. The incumbent will… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk . Join us as a Claims Recovery Specialist to play your part in that transformation. It's an opportunity ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...efficiency. How you will create an impact The Recovery Specialist is responsible for the end-to-end recovery process, including:… more
- Zurich NA (Topeka, KS)
- RCIS Crop Claims Specialist or Crop Claims Senior Specialist 115218 Zurich is currently looking for a to join our Rural Community Insurance Services ... insurance plans through the United States Department of Agriculture's Risk Management Agency. Together with RCIS agents, we protect...Managers either as a CAT team member or local claims specialist in the facilitation of general… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... WRAP policies for general contractor, developer, owner, and construction manager claims * Experience in handling affirmative/defensive risk transfer, including… more
- Zurich NA (Topeka, KS)
- RCIS Crop Claims Specialist 116561 Zurich is looking for an RCIS Crop Claims Specialist to work out of Kansas state. This incumbent will work from a ... opportunity to serve the agricultural community. As a Crop Claims Specialist , your primary accountabilitiles will include:...re-inspections when requested for quality assurance purposes + Works claims of 508H ( Risk Management Agency pilot)… more
