- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …CLAIMS OPERATIONS Necessary Contacts: In order to effectively fulfill this position, the Claims Specialist I must be in contact with personnel in other Units: ... the following responsibilities or functions required to support the claims unit. Accurate processing of claims edits,...support the claims unit. Accurate processing of claims edits, determining primacy for the Coordination of Benefits… more
- 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
- Carrington (Baton Rouge, LA)
- **Come join our amazing team and work remote from home!** The Default Claims Specialist is responsible for preparing, filing, and following up on all FHA, VA, ... USDA, PMI, and investor claims timely and accurately according to insurer/investor guidelines. Perform...Prepare and file all FHA, VA, PMI, and investor claims timely and accurately according to investor/insurer/CMS guidelines and… 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
- 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
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Insurance Specialist 4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4646966) Apply Insurance Specialist 4 Salary $3,904.00 - $7,658.00 ... None. LOCATION OF WORK: Department of Insurance. JOB DISTINCTIONS: Differs from Insurance Specialist 3 by the presence of serving as lead-worker over a unit,… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- ADMINISTRATIVE PROGRAM SPECIALIST A/ B Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4642971) Apply ADMINISTRATIVE PROGRAM SPECIALIST ... with the daily operations of the property/inventory control program, insurance claims program, exposure reporting, LaCarte procurement card program and fuel card… 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
- Option Care Health (Baton Rouge, LA)
- …and retaining a diverse workforce. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- Evolent Health (Baton Rouge, LA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic role that will encompass determining ... to the Associate Director, Credentialing Operations. **Collaboration Opportunities:** The Specialist , Credentialing Operations team collaborates with the Provider Data… 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
- 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
- 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