• Long Term Disability

    MetLife (Cary, NC)
    …lives of our customers and our communities. The LTD Claims Specialist II evaluates long term disability insurance claims in accordance with plan ... and within prescribed time service standards. In this role, the LTD Claims Specialist is required to exercise independent judgment, critical thinking skills,… more
    MetLife (11/09/24)
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  • Long Term Disability

    MetLife (Cary, NC)
    …. Provide timely and accurate communication, information gathering, and rendering decisions on Long - term Disability (LTD) claims according to provisions ... of high level topics, factors to consider in the administration of claims , and examples of claim situations. Essential Business Experience and Technical Skills:… more
    MetLife (11/09/24)
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  • Lead Long Term Disability

    MetLife (Cary, NC)
    …* Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. Provides timely, ... balanced and accurate claims reviews, documentation and recommended decisions in a time...we're leading the global transformation of an industry we've long defined. United in purpose, diverse in perspective, we're… more
    MetLife (08/30/24)
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  • Associate Claims Specialist…

    MetLife (Cary, NC)
    … in a timely and accurate manner. Principal Responsibilities: . Manages assigned caseload of long - term disability (LTD) claims . . Determines whether to ... suspend, terminate, or pay claims . . Updates current claims records (inputs...Ability to think abstractly . Keyboarding skills Equal Employment Opportunity/ Disability /Veterans If you need an accommodation due to a… more
    MetLife (11/01/24)
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  • Staff VP Claims Operations (Original…

    Elevance Health (Durham, NC)
    …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... **Staff VP Claims Operations (Original Claims )** **Location:** Successful...employment without regard to age, citizenship status, color, creed, disability , ethnicity, genetic information, gender (including gender identity and… more
    Elevance Health (11/12/24)
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  • System VP Revenue for Revenue Operations - Patient…

    UNC Health Care (Chapel Hill, NC)
    …Formulates objectives and priorities, and implements plans consistent with the long - term interests of the organization. Capitalizes on opportunities and ... drives impactful results across the revenue cycle, focusing on claims management, payer performance, cash management, payment posting and...manages risks. Takes a long - term view and builds a shared vision… more
    UNC Health Care (11/07/24)
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  • Researcher Senior - Safety and Epidemiology…

    Elevance Health (Cary, NC)
    …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... communicates requirements to the programming group. + Conduct review of administrative claims data and statistical output to ensure the superior quality of research… more
    Elevance Health (10/16/24)
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  • Director, Senior Counsel, Regulatory & Compliance…

    United Therapeutics (Research Triangle Park, NC)
    …$230,000 to $285,000 per year. In addition, this role is eligible for the Company's short- term and long - term incentive programs. The salary range is the ... the pharmaceutical and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code, the Sunshine… more
    United Therapeutics (10/23/24)
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  • Utilization Management Specialist

    Robert Half Office Team (Durham, NC)
    …remote, with support provided in Eastern Standard Time, and offers a long - term contract employment opportunity. Responsibilities: * Conduct non-clinical reviews ... * Maintain accurate customer credit records, ensuring accuracy to avoid impacting claims payment. * Support the care management department by making outreaches to… more
    Robert Half Office Team (10/15/24)
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  • Reimbursement Specialist

    TEKsystems (Cary, NC)
    …Insurance (Voluntary Life & AD&D for the employee and dependents) . Short and Long - term Disability . Health Spending Account (HSA) . Transportation Benefits ... program patients & their insurance companies. + Performs healthcare information & medical claims processing. Must have 1 year of pharmacy benefits, claims , and… more
    TEKsystems (11/13/24)
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  • Healthcare Customer Service Representative

    TEKsystems (Cary, NC)
    …Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long - term disability * Health Spending Account (HSA) * Transportation benefits ... satisfaction. Must be able to show empathy to patients. + Run medical claims and update concise progress notes to ensure other roles within the workflow… more
    TEKsystems (11/09/24)
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  • PV Solar & BESS Sr. OEM Warranty Manager

    Cypress Creek Renewables (Durham, NC)
    …their organization + Ability to define, negotiate and execute maintenance contracts and Long Term Service Agreements (LTSAs) + Experience working with and ... + Represent the Cypress Creek Solutions organization in resolution of critical warranty claims or post installation support + Submit and manage warranty claims more
    Cypress Creek Renewables (11/13/24)
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  • LTSS Service Coordinator-RN Clinician

    Elevance Health (Durham, NC)
    …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... needs, including physical health, behavioral health, social services and long term services and supports. + Identifies...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more
    Elevance Health (11/02/24)
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  • Sr Mgr, HEDIS Measures Team

    CVS Health (Cary, NC)
    term life insurance plan to eligible employees, and short- term and long term disability benefits. CVS Health also offers numerous well-being ... **Required Qualifications** + 5+ years experience with health care claims or pharmacy data + 5+ years data analytics/validation...is eligible for a CVS Health bonus, commission or short- term incentive program in addition to the base pay… more
    CVS Health (11/13/24)
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  • Healthcare Fraud Senior Manager, Special…

    CVS Health (Cary, NC)
    term life insurance plan to eligible employees, and short- term and long term disability benefits. CVS Health also offers numerous well-being ... investigation, or auditing + In-depth knowledge of healthcare systems, claims processing, and regulatory requirements related to healthcare fraud. **Preferred… more
    CVS Health (11/02/24)
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  • Utilization Management Specialist

    Motion Recruitment Partners (Durham, NC)
    …(HSA) + Health and Dependent Care Flexible Spending Accounts + Voluntary Life Insurance, Long - Term & Short- Term Disability Insurance + Hospital Indemnity ... Conducts reviews of authorizations entered to ensure accuracy to avoid impacting claims payment. * Supports the care management department by completing outreaches… more
    Motion Recruitment Partners (10/15/24)
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  • Prepared Meals and Rotisserie Chicken Associate

    Walmart (Durham, NC)
    …For information about PTO, see https://one.walmart.com/notices . **- Other benefits** include short- term and long - term disability , company discounts, ... Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and… more
    Walmart (11/10/24)
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  • Freezer, Cooler and Deli Stocker Associate

    Walmart (Durham, NC)
    …For information about PTO, see https://one.walmart.com/notices . **- Other benefits** include short- term and long - term disability , company discounts, ... area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up,… more
    Walmart (11/10/24)
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  • (USA) Member Team Lead

    Walmart (Durham, NC)
    …For information about PTO, see https://one.walmart.com/notices . **- Other benefits** include short- term and long - term disability , company discounts, ... up orders are filled. Oversees assigned area of responsibility by handling claims and returns; zoning the area; arranging and organizing merchandise; identifying… more
    Walmart (10/19/24)
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  • (USA) Merchandising Lead

    Walmart (Durham, NC)
    …For information about PTO, see https://one.walmart.com/notices . **- Other benefits** include short- term and long - term disability , company discounts, ... in accordance with company policies and procedures by properly handling claims and returns; zoning the area; stocking, arranging and organizing merchandise;… more
    Walmart (10/10/24)
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