- Lincoln Financial Group (Greenwood Village, CO)
- …more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII) of a Claims Specialist at Lincoln Financial Group ! **What you'll be doing** + ... We are excited to bring on a highly motivated ** Group Claims Specialist** to support our ever-growing...guidance and solutions across four core businesses - annuities, life insurance, group protection and retirement plan… more
- Crawford & Company (Denver, CO)
- …RTW with injured worker, employer and physicians. + Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction ... In Everything We Touch Position Summary * Great Work Life Balance! * Monthly Bonus Program! * Free CEU's...claims adjusters and supervisors for appropriate referral for case management services. + May meet with employers to… more
- Lincoln Financial Group (Denver, CO)
- …customers trust our guidance and solutions across four core businesses - annuities, life insurance, group protection and retirement plan services. As of December ... reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a...role you will act as a clinical resource for Group Protection benefit specialists and claim professionals. You will… more
- The Cigna Group (Denver, CO)
- …year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health ... claim trend targets are met. + Utilize internal data such as claims , completed negotiations and network composition along complete and external benchmarking to… more
- State of Colorado (Denver, CO)
- …station and just a few blocks from RTD light rail. + Extensive work- life programs such as flexible schedules, training and professional development opportunities on ... Dental Health Insurance for employees and optional coverage for their dependents. + Life Insurance for employees, and optional coverage for their dependents. + Paid… more
- Elevance Health (Denver, CO)
- …members in enrolling in Medicare when they are entitled. + Determines primacy on each case using a complex set of Primacy Rules as mandated by State and Federal ... to assist members enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well as recovered in… more
- The Hartford (Greenwood Village, CO)
- …training, meetings, etc. Qualifications: + Minimum 2 years of Disability and Life Group Benefits experience, emphasis on account management is preferred. ... + As a condition of your employment, you must obtain and maintain the Group Life & Health license. + Must complete ongoing Continuing Education requirements… more
- Sevita (Denver, CO)
- …Employee Relations Senior Manager leads the Employee Relations function for an operating group or region of an operating group , including following and promoting ... Partners with legal on researching and responding to agency claims and legal actions. + Works with internal customers...as expert in employee relation practices for the operating group or region of an operating group .… more
- Humana (Denver, CO)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute… more
- Humana (Denver, CO)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services… more
- 2-10 Home Buyers Warranty (Aurora, CO)
- …information or a re-inspection based on the content of the reports. On a case -by- case basis, determine if various risk management requirements are met. Claim ... inspection of residential properties with reported distress. Insurance Specialty Group Geotechnical Report Reviews Perform geotechnical report (soils reports)… more
- J&J Family of Companies (Denver, CO)
- …learning algorithms to analyze large-scale healthcare datasets, including HER/EMR and claims data. * **Predictive Modeling & Forecasting:** Design, implement, and ... Qlik.) a plus + Real world data experience preferred (EMR/EHR, medical claims , pharmaceutical, etc.); experience with international healthcare data a plus + Deep… more
- Kiewit (Denver, CO)
- **Requisition ID:** 173223 **Job Level:** Director **Home District/ Group :** Kiewit Development Company **Department:** Business Development & Proposals **Market:** ... review process + Manage Change Order process + Manage any claims and/or operational/construction issues; coordinate discussions regarding same with the Client,… more
- J&J Family of Companies (Denver, CO)
- …may be considered for qualified candidates. Remote work options may be considered, on a case -by- case basis and if approved by the Company. At Johnson & Johnson, ... the economic value of products and therapies with clinical and quality of life outcomes data from clinical trials and/or epidemiology studies. * Support the… more
- State of Colorado (Denver, CO)
- …be assigned to civil investigations in support of the Colorado False Claims Act. Additionally, the incumbent will provide technical training, advice and assistance ... qualifications and may be used to determine a top group of applicants. + Experience investigating and researching matters...but a summary of investigation prepared in a complex case , or a substantial criminal investigative report will also… more
- State of Colorado (Arapahoe County, CO)
- …of laws and rules for all licensees. Approves horse ownerships, transfers, and claims . Work as the State Steward and in conjunction with other Stewards, (HISA) ... reports to describe in a clear, accurate, concise manner, all relevant case activity and developments. DOR Required Skills and Competencies : Competencies required… more
- Norstella (Denver, CO)
- …patient access. Each organization (Evaluate, MMIT, Panalgo, The Dedham Group ) delivers must-have answers for critical strategic and commercial decision-making. ... nearly three decades. MMIT believes that patients who need life -saving treatments should not face delays because accessing drugs...for business alignment by client type and RWD use case to advise on pre-sales activities such as solution… more