- PrincePerelson & Associates (Salt Lake City, UT)
- …either medical malpractice or general liability claims . **What will the Senior Claim Representative be doing?** + Managing Utah territory, visiting clients, ... ** Senior Claim Representative ** Salt Lake City,...apply?** + 3+ years of experience in general liability claims + Bachelor's Degree preferred + Ability to travel… more
- Elevance Health (NY)
- …they can continue to live healthy and productive lives within their communities._ ** Claims Representative I** **Location: New York.** This position will work a ... as a premier network of skilled nursing, rehabilitation, and senior care services. Our goal is to provide eligible...Elevance Health location in Staten Island, New York. The ** Claims Representative I** is responsible for successfully… more
- Molina Healthcare (Gulfport, MS)
- …troubleshoots problems as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes ... subject matter expertise to successfully engage high priority providers, including senior leaders and physicians, to ensure provider satisfaction, education on key… more
- The Hartford (Lake Mary, FL)
- Sr Representative Claims - CH08BESr Representative Clms CA - CH08ANConsultant Claims CA - CH08BNConsultant Claims - CH08CE We're determined to make a ... our team as we help shape the future. The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering superior customer… more
- NBC Universal (Orlando, FL)
- …management of departmental activity including assignment of tasks for Workers' Comp. Claims Representative positions. + Directly responsible for special projects ... week. There are also roles that require being on-site full time. Limited remote opportunities may be available within specific departments. You'll learn more about… more
- Bombardier (Richardson, TX)
- …or any other characteristic protected by Federal, National, or Local Laws. **Job** Representative , Field Service (Location: Ohio / Remote ) **Primary Location** ... Bombardier Aerospace Corp **Shift** Day job **Employee Status** Regular **Requisition** 6343 Representative , Field Service (Location: Ohio / Remote ) more
- CRC Insurance Services, Inc. (IA)
- …review the following job description:** Job Description Summary Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential… more
- CRC Insurance Services, Inc. (NJ)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department. **ESSENTIAL… more
- Fallon Health (Worcester, MA)
- …helping the elderly and their families? Fallon Health is hiring an Enrolle Service Representative to work Hybrid- Remote , Mostly from Home but coming into the ... and LinkedIn. **About NaviCare** : Fallon Health is a leader in providing senior care solutions such as NaviCare, a Medicare Advantage Special Needs Plan and… more
- UNC Health Care (Smithfield, NC)
- …position will be onsite. There is not an option to work a hybrid or remote schedule due to this person's job duties. Summary: Responsible for performing a variety of ... ensure proper billing. 10. Other: Responsible for processing Part B split claims . Accurately and thoroughly document the pertinent collection or follow-up activity… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Regulatory Compliance Analyst will conduct independent analysis for complicated, high level regulatory inquiries ... subject matter expert for business processes and related systems as the representative of the company. Provide education regarding systems and process to regulators… more
- United Therapeutics (Columbus, OH)
- …and pulmonary diseases, and other orphan diseases. **How you'll contribute** The Senior Counsel, Regulatory & Compliance role is responsible for a broad range ... the pharmaceutical and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code, the Sunshine… more
- The Hartford (Brea, CA)
- …and we put the customer at the center of everything we do. The Hearing Representative position is an in-house fully REMOTE position that may handle a designated ... Hearing Representative - LU08BE We're determined to make a...with onsite appearances in partnership with our Attorney and Senior Attorney Staff. The team is committed to personal… more
- Molina Healthcare (Manhattan, NY)
- …troubleshoots problems as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes ... **_ Remote and muct live in the New York...to successfully engage high volume, high visibility providers, including senior leaders and physicians, to ensure provider satisfaction, education… more
- AECOM (Sacramento, CA)
- …in **Sacramento, CA:** + Manage a complex courthouse project acting as an Owner's Representative for a state client. + Oversee all aspects of the project(s) and ... and construction schedules. + Review and respond to change orders, disputes and claims (cost/extension of time) submitted by the contractor. + Perform daily field… more
- HealthEdge Software Inc (Columbus, OH)
- …in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key...are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The… more
- State of Indiana (Indianapolis, IN)
- Senior Insurance Investigator Date Posted: Jan 8, 2025 Requisition ID: 454659 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with ... a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable… more
- Prime Therapeutics (Columbus, OH)
- …every decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is responsible for ... levels of leadership within the organization, acting as a representative of the broader Reporting and Analytics team +...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- HealthEdge Software Inc (Columbus, OH)
- **Overview** ** Senior Manager, Product Operation** **Position Overview:** We areseekinga highly skilled and experiencedSenior Manager, ProductOperationsto join our ... and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream… more
- Immigration and Customs Enforcement (IN)
- …and Customs Enforcement, Office of Acquisition Management, in Anywhere in the US ( remote job). Note: One or more positions may be filled using this vacancy ... with others in DHS for similar positions. Responsibilities As a Contract Specialist ( Senior ), at the full performance level, you will perform the following duties: -… more
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