- 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
- Humana (Raleigh, NC)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process...gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy… more
- Ryder System (Raleigh, NC)
- …The position may also be eligible to receive an annual bonus, commission, and/or long - term incentive plan based on the level and/or type. Benefits Information: ... Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Senior Claims Representative handles complex and mid-to-high exposure bodily injury… more
- Ryder System (Raleigh, NC)
- …The position may also be eligible to receive an annual bonus, commission, and/or long - term incentive plan based on the level and/or type. Benefits Information: ... Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Position Description** The Claims Analyst handles complex and high exposure bodily injury… more
- Sedgwick (Raleigh, NC)
- …+ Manages workers compensation claims determining compensability and benefits due on long term indemnity claims , monitors reserve accuracy, and files ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Remote Claims Adjuster **PRIMARY PURPOSE** **:** To analyze mid- and higher-level… more
- Humana (Raleigh, NC)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... part of our caring community and help us put health first** The Claims Financial Recovery Coding Specialist /Medical Coding Coordinator 2 for the Financial Recovery… more
- Lincoln Financial Group (Raleigh, NC)
- …of the company, business unit and individual. Other rewards may include long - term incentives, sales incentives and Lincoln's standard benefits package. **About ... We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims...gender identity or expression, sexual orientation, national origin, genetics, disability , age, or veteran status. Follow us on Facebook… more
- Lincoln Financial Group (Raleigh, NC)
- …details_ As a Group Claims Specialist, you will support our Short Term Disability or Integrated Absence teams. You will be responsible for administering ... and managing requests relating to Short Term Disability , the Family and Medical Leave...company, business unit and individual. Other rewards may include long - term incentives, sales incentives and Lincoln's standard… more
- Trustmark (Raleigh, NC)
- …state and federal laws. Claim types include Wellness, Hospital Indemnity, Accident, Life, Long - Term Care (LTC), Disability and Critical Care. **Key ... colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and… more
- Lincoln Financial Group (Raleigh, NC)
- …will be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a clinical ... this role you will provide coaching and guidance to claims regarding medical management **What you'll be doing** *...company, business unit and individual. Other rewards may include long - term incentives, sales incentives and Lincoln's standard… more
- Walmart (Clayton, NC)
- …leave, family care leave, bereavement, jury duty, and voting. Other benefits include short- term and long - term disability , company discounts, Military ... Manages facility-level training and execution of asset protection, safety, and claims and receiving procedures by reviewing the application of policies, procedures,… more
- Stantec (Raleigh, NC)
- …stock purchase program, life and accidental death & dismemberment (AD&D) insurance, short- term / long - term disability plans, emergency travel benefits, ... System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. + Oversee and approve development and management of the Project… more
- MetLife (Cary, NC)
- …call center call to file their claims , or to service their active claims . Call types include callers with disability , pregnancy and other serious health ... with us. This is a full-time virtual position. Group Disability : What You Can Expect Group disability ...an understanding of company products as well as administrative, claims , underwriting and marketing functions. * A passion for… more
- Norstella (Raleigh, NC)
- …AD&D Benefits + 401k Retirement Plan with Company Match + Company Paid Short & Long - Term Disability + Paid Parental Leave + Education Reimbursement + Paid ... integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data, to drive… more
- 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 (Cary, NC)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... office**_ The **Provider Reimburse Admin** ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- 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, ... are all pharmacy processes and processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How you… more
- CVS Health (Raleigh, NC)
- … term life insurance plan to eligible employees, and short- term and long term disability benefits. CVS Health also offers numerous well-being ... and interprets medical policies and procedures, including service authorization, claims review, discharge planning, and medical reviews performed through the… more
- CVS Health (Raleigh, NC)
- … term life insurance plan to eligible employees, and short- term and long term disability benefits. CVS Health also offers numerous well-being ... but not limited to client pricing (retail and mail), claims adjudication (including functionality on all adjudication platforms), business...is eligible for a CVS Health bonus, commission or short- term incentive program in addition to the base pay… more
- J&J Family of Companies (Raleigh, NC)
- …sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long - term disability , business accident insurance, and group legal ... savings plan (401(k)). | This position is eligible to participate in the Company's long - term incentive program. | Employees are eligible for the following time… more