• Claims Representative I…

    Elevance Health (Durham, NC)
    ** Claims Representative I ( Health and Dental )** **Location:** Remote, within 50 miles of an Elevance Health pulse point. **Hours:** An 8-hour shift, ... hours of 7 am - 6 pm EST. The ** Claims Representative I** is responsible for successfully...spreadsheets, etc.) strongly preferred. + Previous experience working in health claims is strongly preferred. ** For… more
    Elevance Health (09/26/24)
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  • Liability Claims Representative

    Sedgwick (Raleigh, NC)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… more
    Sedgwick (08/01/24)
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  • Commercial Auto Claims

    Sedgwick (Raleigh, NC)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Commercial Auto Claims Representative - Liability **PRIMARY PURPOSE** : To analyze and ... process low to mid-level auto physical damage claims . Commercial auto claims experience is preferred....package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
    Sedgwick (08/07/24)
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  • Customer Care Representative I

    Elevance Health (Cary, NC)
    **Customer Care Representative I** **Location:** Remote, within 50 miles of an Elevance Health pulse point. **Hours:** An 8-hour shift, Monday - Friday, between ... the hours of 8 am - 6 pm EST. The **Customer Care Representative I** is responsible for successfully completing the required basic training. Able to perform basic… more
    Elevance Health (09/28/24)
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  • Grievances & Appeals Representative

    Humana (Raleigh, NC)
    **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 4 manages client denials and concerns by ... with clinical and other Humana parties. The Grievances & Appeals Representative 4 assumes ownership and leads advanced and highly specialized… more
    Humana (09/27/24)
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  • Team Leader, Absence Claim Managment (STD)

    Guardian Life (Raleigh, NC)
    …plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits + Dental plan + Vision plan + Health care accounts - flexible ... **Job Posting Title** **Team Leader, Absence Claims Management (STD)** **Job Description** The **Team Leader,...spending, health reimbursement, and health savings accounts + Critical illness insurance **Life and… more
    Guardian Life (09/14/24)
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  • Case Manager

    Cardinal Health (Raleigh, NC)
    …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off ... non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health , a subsidiary of Cardinal Health , helps specialty pharmaceutical… more
    Cardinal Health (09/24/24)
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  • Reimbursement Coordinator

    Cardinal Health (Raleigh, NC)
    …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off ... patient and/or program + Resolve patient's questions and any representative for the patient's concerns regarding status of their...practices, preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience + 1-2 years'… more
    Cardinal Health (08/23/24)
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  • Vocational Rehabilitation Consultant I

    Guardian Life (Raleigh, NC)
    …plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits + Dental plan + Vision plan + Health care accounts - flexible ... Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide...spending, health reimbursement, and health savings accounts + Critical illness insurance **Life and… more
    Guardian Life (07/31/24)
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  • Human Resources Manager

    City of Durham (Durham, NC)
    …& RESPONSIBILITIES The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this ... Conducts budgeting and financial analysis of employee benefits programs. Monitors high-cost claims , targets problem claims areas. + Ensure adequate estimates,… more
    City of Durham (09/14/24)
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  • Commercial Project Manager

    Stantec (Raleigh, NC)
    …**Benefits Summary:** Regular full-time and part-time employees have access to medical, dental , and vision plans, a wellness program, health saving accounts, ... 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
    Stantec (07/03/24)
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  • Director, Senior Counsel, Regulatory & Compliance…

    United Therapeutics (Durham, NC)
    …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
    United Therapeutics (07/24/24)
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  • Customer Service Representatives/Healthcare…

    Sutherland Global Services (Raleigh, NC)
    …attentive, goal-oriented individuals to support the expanding needs of one of our largest health insurance company customers. In this role, you will need to be able ... dedicated workspace **Duties & Responsibilities;** + Assist providers with claims and claims investigations + Status Inquiries...enjoy;** + Competitive pay rate of $16/hour + Medical, dental and vision benefits + Paid training + Global… more
    Sutherland Global Services (09/21/24)
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