- Meijer (Grand Rapids, MI)
- …and career growth Please review the job profile below and apply today! The Supervisor , Claims Examiners is responsible for overseeing a team of risk management ... ensuring compliance with company policies and industry regulations. The supervisor will also handle complex claims , assist...regulations. The supervisor will also handle complex claims , assist in the implementation of claims … more
- Sedgwick (Grand Rapids, MI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Veterinary Claims | Professional Liability | Remote **PRIMARY ... PURPOSE** **:** To analyze complex or technically difficult veterinary claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Sedgwick (Grand Rapids, MI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation | Jurisdiction: TX,OK,LA | TX License preferred ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...coding is correct. + Refers cases as appropriate to supervisor and management. + Performs other duties as assigned.… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Supervisor , Leave Administration Maintains accountability for the supervision of the Leave Administration team, providing direction, focus, and ... partnerships with Human Resources, and other strategic partners. Essential Functions - Supervisor , Leave Administration + Available and accessible as a deep subject… more
- Molina Healthcare (Grand Rapids, MI)
- …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides ... exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal… more
- Fifth Third Bank, NA (Grand Rapids, MI)
- …previously filed dispute. This may include specialized disputes, including denied claims , reassertions, repeat offenders, and Private Bank client customers. The ... Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems...functions of the job while referring exception cases to Supervisor /Manager. Performance Metrics: + Quality: Maintain a high level… more
- Utilities Service, LLC (Fremont, MI)
- …the crew after receiving/interpreting orders from a General Foreperson/Line Clearance Supervisor . + Conducts field training/retraining, instructing crew on new or ... be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims... claims , etc., and to settle minor damage claims . + Maintains accurate records, timesheets, and reports related… more
- Molina Healthcare (Grand Rapids, MI)
- …they arise, making an assessment when escalation to a Senior Representative, Supervisor , or another Molina department is needed. Takes initiative in preventing and ... **Required Experience** + 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed… more
- Walgreens (Grand Rapids, MI)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... management. Reviews KPI's with Pharmacy Manager, Store Manager, and Healthcare Supervisor . + Develops and maintains good relationships with local medical community… more
- Walgreens (Grand Rapids, MI)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more
- Cummins Inc. (Grand Rapids, MI)
- …required documentation, such as work completed documents, time sheets, warranty claims , quality documents via handwritten forms or business system input screens. ... procedures and legislation and reports any issues / incidents to their supervisor . **RESPONSIBILITIES** **To be successful in this role the following is preferred:**… more
- Fresenius Medical Center (Wyoming, MI)
- …or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial ... patients as necessary. + Assist with various projects as assigned by direct supervisor . + Other duties as assigned. Additional responsibilities may include focus on… more