- MultiPlan (Atlanta, GA)
- …Coding Specialist provides analysis of the highest dollar and most complex claims by applying research, coding standards, industry knowledge and federal ... accuracy and compliance. JOB ROLES AND RESPONSIBILITIES: Review and analyze complex inpatient, outpatient, and practitioner billing for medical appropriateness of… more
- 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
- MultiPlan (Atlanta, GA)
- …This position is responsible for the handling, research, and communication regarding complex and escalated claims inquiries stemming from patients, clients, ... mentoring. JOB ROLES AND RESPONSIBILITIES:1. Investigate, analyze, research, and resolve complex and escalated claim inquiries from patients, clients, providers, and… more
- Zurich NA (Woodland Hills, CA)
- Workman's Compensation Sr . Claims Specialist 115802 Zurich is seeking an experienced Workman's Compensation Claims Specialist to join our team! We ... are currently licensed in the state of California. The Senior Workers Compensation Claims Specialist ...applies the component parts of an insurance policy for complex claims + Ability to follow reserving… more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr . Claims Specialist Professional Liability, Public Entity **PRIMARY ... complex public entity; to provide resolution of highly complex nature and/or severe injury claims ; to...of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry… more
- Zurich NA (Atlanta, GA)
- …Sr . Mass Litigation Claim Specialist 114488 Zurich is currently seeking a Sr . Claims Professional to join our Latent & Environmental team in Schaumburg, ... Hill, or Woodland Hills. This is an opportunity to apply your commercial claims subject matter expertise regarding large exposures, complex coverages, and… more
- Team Car Care/Jiffy Lube (Irving, TX)
- …to ensure we are the first choice of every consumer. POSITION SUMMARY: The Senior Employee Relations Specialist will partner with the HR Manager in leading ... lead interface with employees, government agencies on all ER matters. The Senior Employee Relations will drive employee relations initiatives within TCC'S field and… more
- HNTB (Indianapolis, IN)
- …the technical aspect of project development and delivery in their function areas. The Sr Project Controls Specialist applies advanced techniques and serves in a ... been delivering solutions for some of the largest, most complex infrastructure projects across the country. With our historic...with the project team or client/owner related to potential claims , claims avoidance, and claims … more
- Elevance Health (Altamonte Springs, FL)
- …and personalized support throughout the consumer's treatment journey._ **Title** : Billing Specialist Sr **Location:** Hybrid position, will work 2-3 days onsite ... Day Shift **Build the Possibilities. Make an Extraordinary Impact.** The **Billing Specialist Sr ** is responsible for assembling and maintaining all necessary… more
- Gilead Sciences, Inc. (Nashville, TN)
- …will improve the lives of patients with life-threatening illnesses worldwide. As a ** Sr ** **Therapeutic Specialist - HIV** **PrEP** you are responsible for ... unique to each geography. The territory for this position is Tennessee. As the ** Sr ** **Therapeutic Specialist , HIV PrEP,** you will: + Possess a comprehensive… more
- Sedgwick (Memphis, TN)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Software Development Specialist Sr . PRIMARY PURPOSE: To develop, maintain, test and debug ... and fact-finding for the purpose of developing or modifying moderately complex information systems; to prepare detailed specification from which programs will… more
- Washington Suburban Sanitary Commission (WSSC) (Laurel, MD)
- …sealed, competitively bid contracts + Independently manages the more difficult, complex contract issues involving disputes, modifications, claims , and close-outs ... for the most complex and difficult contracts and contract modifications and claims , with the ability to maintain the proper degree of business equity when… more
- Republic Finance, LLC (Groveport, OH)
- …like the right opportunity in the financial services industry for you, apply today! As a Sr . Consumer Loan Specialist , you will be a key team member in the ... or exceeds loan goals. Responsible for day-to-day servicing of an ever-growing, complex consumer loan portfolio. Applies analytical skills to quickly and efficiently… more
- Travelers Insurance Company (Tampa, FL)
- …Extensive claim and/or legal experience and technical expertise to evaluate severe and + complex claims preferred. + Able to make independent decisions on most ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (New York, NY)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred. + Able to make independent decisions on most ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Alpharetta, GA)
- …Compensation claims including catastrophic loss, specified serious injury and other complex claims . Attempt to resolve through innovative and expert claim ... involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving complex offsets, permanent restrictions and/or fatalities. … more
- Precise Systems, Inc. (Lexington Park, MD)
- …exceptional service and the Precise solution. We are currently seeking a Senior Benefits Specialist . This individual will be responsible for coordinating, ... implementing, and administering the Wellness program. Distinguishing Characteristics Further, the Senior Benefits Specialist will serve as a resource for… more
- Gilead Sciences, Inc. (Richmond, VA)
- …improve the lives of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist , Oncology, you are responsible for representing ... information, clinical updates on education, and healthcare changes. They synthesize complex clinical concepts to appropriate literacy and conceptual levels for… 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 ... staff by completing and/or providing training and assistance with complex claims . Travel required at least 50%...work outdoors in varying temperatures/weather conditions OR Crop CAT Senior Claims Specialist Basic Qualifications:… more
- Axis (Red Bank, NJ)
- …claims of his/her direct reports. + Close collaboration with the Specialty Complex Claims team with regard tocoverage disputes, including litigation and ... the candidate should possess the ability to handle Large Complex Builder's Risk claims in the short...as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,… more
