- MultiPlan (Atlanta, GA)
- …solutions. We are MultiPlan and we are where bright people come to shine! The Senior Medical Coding Specialist provides analysis of the highest dollar and most ... complex claims by applying research, coding standards, industry knowledge and...helpful in the payment integrity and/or negotiation process. Assist management in the daily operations and processes within the… more
- Reynolds Consumer Products Inc. (Lake Forest, IL)
- …Then we have an opportunity for you! We are searching for a Regulatory Specialist (Temporary) to join our team located at our headquarters in Lake Forest, IL. ... Your Role: The Regulatory Specialist will support the Regulatory Department with implementing and...and regulation of consumer-packaged goods and the environment.Assist the Senior Regulatory Counsel and Senior Regulatory Manager… more
- MultiPlan (Atlanta, GA)
- …Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing ... our customers thrive by interpreting our client's needs and tailoring innovative cost management solutions. We are MultiPlan and we are where bright people come to… more
- Axis (Princeton, NJ)
- …for candidates taking part in the selection process. Position Summary: AXIS is seeking a Senior Claims Specialist to join our North America Accident & Health ... team reporting to the Head of Accident and Health Claims . This position provides senior claims...management experience required, including substantial experience with medical claims and cost containment. + Prior experience auditing and… more
- Prime Therapeutics (Columbus, OH)
- … Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist Senior role is responsible for the operational support of ... member satisfaction + Serve as the escalation point for Claims Specialist ; provide guidance and mentoring to...and written communication skills + Strong organizational and time management skills + Problem solving skills with ability to… more
- Axis (New York, NY)
- …contribution, subrogation and contribution to the claim *Prepares required reports to senior management *Travels to mediations or settlement conferences as ... Heights, NJ, Princeton, NJ * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim… more
- Zurich NA (Atlanta, GA)
- …Omaha, NE; Overland Park, KS; New York, NY; or Schaumburg, IL As a General Liability (GL) Senior Claims Specialist , you will work with a team of claims ... Sr. Claims Specialist , General Liability 112572 Zurich...Sr. Claims Specialist , General Liability 112572 Zurich is seeking an... Training Program and 6+ years of experience in Claims and/or Litigation Management + Must obtain… more
- Entergy (Reserve, LA)
- Customer Service Specialist - Claims **Date:** Jun 25,...This position may be filled as a Customer Service Specialist I, II or Senior ** **based on ... internal and external stakeholders in order to thoroughly and fairly resolve claims . **JOB DUTIES/RESPONSIBILITIES** + Handles claims in assigned territories… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Complex Claim Specialist will be responsible for contacting all parties involved...to work opportunities under the regular guidance of Complex Claims Supervisor + Ensure quality management of… 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 ... team as we help shape the future. As a Claims Specialist , you will be responsible for...basis for any needed adjustment; + Presenting cases to management for expense or indemnity reserve authority above established… 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 ... be responsible for handling a caseload of bodily injury and non-bodily injury claims that involve complex coverage and liability issues. Many of our CLS insureds… more
- Southern Company (Atlanta, GA)
- …Georgia Workers' Compensation Adjuster License. + Certified Leave Management Specialist . **Preferred:** + Associate In Claims (AIC) or equivalent Disability ... management . **This position may be filled as Specialist II (GSE03) or Senior (GSE04). Individuals...evaluation for long term cases. **Engagement:** + Coordinate all claims management and return to work efforts… more
- MetLife (Tampa, FL)
- …meaningful impact in the lives of our customers and our communities. The IDI Senior Claims Specialist evaluates individual disability income insurance ... policy provisions and within prescribed time service standards. In this role, the IDI Senior Claims Specialist is required to exercise discretion and… more
- Savannah River Mission Completion (Aiken, SC)
- …& Reporting (STAR) application. + Other duties as assigned. **Additional responsibilities for a Senior Safety & Health Specialist Senior A:** + Incorporates ... **Overview** Savannah River Mission Completion (SRMC) is seeking a ** Senior Safety & Health Specialist ( Senior...performance indicator reports. Presents to Project Directors and company Senior Management . May be asked to compile… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …occurred * Presents verbal and written reports and updates to Administrator and senior management throughout a catastrophe event * Provides assistance to ... baccalaureate degree plus four years of professional level experience in insurance claims adjusting, nursing, allied heath fields, construction management , or as… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …The Senior EUSHIP (Emory Student Health Insurance Plan) Insurance Specialist will prioritize customer service and provide direction to policyholder questions or ... for policyholders seeking care in Student Health Services. Alongside communications management , response, and tracking, will work alongside and report to the… more
- UIC Government Services and the Bowhead Family of Companies (California, MD)
- **Overview** ** Senior Subject Matter Specialist ** Bowhead seeks a Senior Subject Matter Specialist for a proposal effort in California, MD to conduct ... management consultants **Responsibilities** Essential functions will include: + Senior expert with extensive knowledge and experience developing and applying… more
- Immigration and Customs Enforcement (IN)
- …application with others in DHS for similar positions. Responsibilities As a Contract Specialist ( Senior ), at the full performance level, you will perform the ... the Department of Homeland Security, Immigration and Customs Enforcement, Office of Acquisition Management , in Anywhere in the US (remote job). Note: One or more… more
- Nuclear Regulatory Commission (Rockville, MD)
- …Disclosure and security ownership restriction reporting requirements. Responsibilities As a Senior Labor & Employee Relations Specialist , you will provide ... any negotiability requirements and as necessary, serve notice. Ability to conduct management inquiries regarding claims of harassment and/or other misconduct to… more
- BD (Becton, Dickinson and Company) (Warwick, RI)
- **Job Description Summary** The Senior Regulatory Affairs (RA) Specialist within the BD Interventional Surgical Devices Business unit will work on regulatory ... of complex global regulatory strategies and preparation of regulatory submissions. The Senior RA Specialist will provide regulatory support through the product… more
