- Sedgwick (Baton Rouge, LA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- Lincoln Financial Group (Baton Rouge, LA)
- …73468 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... administering, processing, and adjudicating Accident, Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training to develop… more
- Lincoln Financial Group (Baton Rouge, LA)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... support our west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short Term Disability or Integrated Absence… more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Claims Financial Recovery Coding Specialist /Medical Coding Coordinator 2 for the Financial ... claims procedures, contract provisions, and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical...CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 + Maintains required… more
- Trustmark (Baton Rouge, LA)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Critical Care. **Key Accounabilities:** + Demonstrates strong understanding and performs claims handling processes and procedures related to Wellness, Hospital and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Revenue Tax Specialist 1 or 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4649994) Apply Revenue Tax Specialist 1 or 2 Salary ... Severance Division is responsible for receiving, verifying and paying claims for refund submitted by taxpayers of the state....(CPG) and may be filled as a Revenue Tax Specialist 1 or 2 depending upon the qualifications of… more
- Sedgwick (Baton Rouge, LA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- WORKFORCE DEVELOPMENT SPECIALIST 1/2/3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4650885) Apply WORKFORCE DEVELOPMENT SPECIALIST ... Description + Benefits + Questions Supplemental Information Workforce Development Specialist 1/2/3 Office of Workforce Development Division: OWD/WOTC Location: Baton… more
- HNTB (Baton Rouge, LA)
- …an exciting time to join our team of employee-owners. The Project Controls Specialist will support the Project Controls Director and project management team by ... projects are completed on time and within budget. The Specialist will be responsible for reporting on cost controls...with the project team or client/owner related to potential claims , claims avoidance, and claims … more
- Zurich NA (Baton Rouge, LA)
- Senior Design/Construction Management Consulting Specialist 113183 Zurich is looking for a highly skilled **Senior Design/Construction Management Consulting ... Specialist ** within Risk Engineering and our Zurich Resilience Solutions...prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims… more
- Walgreens (Plaquemine, LA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Travelers Insurance Company (Baton Rouge, LA)
- …of the scene and to provide technical advice and consultation to attorneys and claims staff associated with the loss. + Conduct research and testing, prepare reports ... (verbal and written), and to aid the claims and legal staff with the scientific aspects of...needed to support the overall functions of Risk Control, Claims Services, and Underwriting. Such materials may include newsletters,… more
- Sutherland Global Services (Baton Rouge, LA)
- …sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or ... PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language...billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school… more
- Republic Finance, LLC (Baton Rouge, LA)
- …in the financial services industry for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... core values, company policies, operational procedures and compliance. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides… more
- Mondelez International (Gonzales, LA)
- …(iDoc management, stock reconciliation), interfaces monitoring, track and trace, claims management, invoice management, compliance execution (HSE, quality, risk ... management), tenders support, third-party performance management, pallets management. **How you will contribute** You will: + Review and analyze stock inaccuracies and guarantee accurate stock alignment between SAP and the warehouse management system based on… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …all positions. **Position Purpose:** This position serves as the medical coding system specialist on CPT, HCPCS, ICD-10-CM, and CDT coding for internal and external ... Coding Initiative edits, Physician Specialty guidelines, payor reimbursement programs, claims adjudication processes, and regulatory agency policies (CMS/HCFA). +… more
- Guardian Life (Baton Rouge, LA)
- …The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide evaluation of ... of RTW. Serve as educational resource on vocational rehab aspect of claims . Educate parties involved in claim management regarding the extent of functional… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …information about this posting, please contact: Erica R. Gay HR Specialist Division of Administration/Office of Human Resources email: ###@la.gov Minimum ... corrects possible errors pointed out by plan members, the Claims Audit Section, or staff determinations. Determines eligibility and...and updates the plan member record to ensure that claims are paid based upon the most current and… more
- Highmark Health (Baton Rouge, LA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …incomplete. * For further information about this vacancy contact: Ashley Rathcke, HR Specialist Secretary of State Nancy Landry Human Resource Division P. O. Box ... specialization, complexity, and/or independent judgment. Differs from Administrative Program Specialist --A by the absence of professional-level duties that involve a… more