- Sedgwick (Indianapolis, IN)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
- Ryder System (Indianapolis, IN)
- …small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. **ESSENTIAL FUNCTIONS** Investigates, ... to medium exposure 3rd party property damage and cargo claims pursued against Ryder Ensures the most appropriate and...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Humana (Indianapolis, IN)
- …Horizons in Indiana is seeking a LTSS Provider Education & Outreach Representative (Provider Engagement Professional 2) who is responsible for the day-to-day front ... and resolving issues or complaints. The Provider Education & Outreach Representative will specialize in supporting Long-Term Services and Supports (LTSS) and… more
- Elevance Health (Indianapolis, IN)
- Job Description **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates ... 50 miles of one of our PulsePoint locations. The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- Elevance Health (Indianapolis, IN)
- **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 ... miles of one of our PulsePoint locations. The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and prior… more
- United Therapeutics (Indianapolis, IN)
- …the pharmaceutical and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code, the Sunshine ... to the Food Drug and Cosmetic Act, the False Claims Act, Anti-Kickback Statute, the Sunshine Act and other...healthcare related laws and regulations + Serve as Legal representative on the Company's promotional review committee, including review… more
- HealthEdge Software Inc (Indianapolis, IN)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- HealthEdge Software Inc (Indianapolis, IN)
- …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
- Humana (Indianapolis, IN)
- …between the company and members are optimized. Expanded Benefits Consumer Representative Internship provides transitioning service members that are eligible to ... client services, client administration, customer service, enrollment, and eligibility, claims processing, and call center operations. Investigates and settles … more
- HealthEdge Software Inc (Indianapolis, IN)
- …issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite ... of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working...None **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- State of Indiana (Indianapolis, IN)
- …a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable ... business practices of insurance companies, including their underwriting and claims handling procedures; insurance agencies, including captive, indepenedent, surplus… more
- HealthEdge Software Inc (Indianapolis, IN)
- …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... and deliver excellent software and services to our customers._ **Geographic Responsibility:** Remote but ideal candidate would live within the driving distance to… more
- HealthEdge Software Inc (Indianapolis, IN)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... permanent **Work Environment:** The physical demands described here are representative of those that must be met by an...Work across multiple time zones in a hybrid or remote work environment. + Long periods of time sitting… more
- Elevance Health (Indianapolis, IN)
- **Title: Utilization Management Representative II** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within ... 50 miles of one of our PulsePoint locations. The **Utilization Management Representative II** will be responsible for managing incoming calls, including triage,… more
- State of Indiana (Indianapolis, IN)
- …a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable ... matches to find inconsistent and unreported data. + Approve claims referred and calculated by the Contractor. + Conduct...for work from home authorization in accordance with policy. Remote work authorization is not automatic and is dependent… more
- State of Indiana (Indianapolis, IN)
- …a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable ... liaison to the Attorney General on litigation and tort claims matters. + Drafts and reviews legislation and administrative...Flexible work scheduling options, including the potential for hybrid remote work for employees whose work may be performed… more
- State of Indiana (Indianapolis, IN)
- …a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable ... programs. + Ability to analyze and audit fiscal accounts, contracts, records, claims transactions and financial reports. + Ability to coordinate workflow of… more
- Humana (Indianapolis, IN)
- …managed care organizations, as well as state and federal employees. **WORK STYLE:** Remote /work at home with Up to 10-15% travel (local, regional, national) will be ... investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC… more
- BD (Becton, Dickinson and Company) (Plainfield, IN)
- …and product disposition and movement within the WMS/SAP o Zero Escape o Intracompany Claims o QMS Audits o Metric Data Analysis o Operations Support o DR License ... the terms and obligations of local wholesale drug licenses as the designated representative . * Become knowledgeable of the responsibilities of the other positions to… more