- Lincoln Financial Group (Madison, WI)
- …for LTD. You will oversee and ensure the fair, ethical and timely management of complex claims . **What you'll be doing** + Maintains knowledge on current and ... + Directs the processing and administration of all aspects of LTD complex claims ensuring accurate and timely claim management. + Develops and executes claim… more
- Ryder System (Madison, WI)
- …and metrics Intermediate, Preferred + Demonstrated ability to handle and manage complex insurance and contractual coverage claims Intermediate, Preferred + ... by a professional staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues. Assists Director … more
- Humana (Madison, WI)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to … more
- Humana (Madison, WI)
- …relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides medical interpretation and… more
- Molina Healthcare (Madison, WI)
- …years leadership/supervisory experience required * Progressive management experience to manage complex work systems and workflows required * Knowledge of pre-edit ... Access, Word and Excel * Knowledge and understanding of claims processing systems and medical claims * Knowledge of HMO, PPO, POS, MCO, Medicare, Medicaid,… more
- Zurich NA (Madison, WI)
- …at a Level 7 (Senior Regional VP) or Level 8 (Territory Underwriting Director ). The hiring manager will determine the appropriate level based upon the selected ... and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...in risk selection and assessment + Ability to manage complex portfolios + Technical knowledge of insurance industry operations… more
- Evolent (Madison, WI)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . + Appropriately identifies… more
- Prime Therapeutics (Madison, WI)
- …is responsible for managing, analyzing, and delivering Treasury reporting, including complex liquidity reporting and claim payment process reporting for a variety ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more