- The Staff Pad (Helena, MT)
- …years' experience in hospital charge capture review, medical record review, and claims auditing, and in working with regulatory and policy compliance issues related ... BS, BA, AA from an accredited school or equivalent work experienceLICENSE/CERTIFICATION/REGISTRY: N/APandoLogic. Category:Healthcare, Keywords:Healthcare Revenue Integrity Specialist , Location:Helena,… more
- Sedgwick (Helena, MT)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- Lincoln Financial Group (Helena, MT)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... support our west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short Term Disability or Integrated Absence… more
- State of Montana (Helena, MT)
- …Water Court in collecting, checking, processing, recording, and maintaining water right claims , evidence, records, and case documents. The Specialist provides ... a benefit today and for future generations. We are actively seeking an *Adjudication Specialist * who values the vast resources in our treasure state as much as we… more
- Zurich NA (Helena, MT)
- Senior Design/Construction Management Consulting Specialist 113183 Zurich is looking for a highly skilled **Senior Design/Construction Management Consulting ... Specialist ** within Risk Engineering and our Zurich Resilience Solutions...prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims… more
- State of Montana (Helena, MT)
- …the agency complies with all federal reporting requirements. This Program Specialist will also enforce required policies on independent local contractors ... for HUD including HUD-managed properties throughout the state: o Special damage/vacancy claims ; o Annual rent increases; o Approving and processing HAP payments; o… more
- Travelers Insurance Company (Helena, MT)
- …of the scene and to provide technical advice and consultation to attorneys and claims staff associated with the loss. + Conduct research and testing, prepare reports ... (verbal and written), and to aid the claims and legal staff with the scientific aspects of...needed to support the overall functions of Risk Control, Claims Services, and Underwriting. Such materials may include newsletters,… more
- Sutherland Global Services (Helena, MT)
- …sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or ... PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language...billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school… more
- State of Montana (Helena, MT)
- …HUD, including HUD-managed properties throughout the state: o Special damage/vacancy claims ; o Annual rent increases; o Approving and processing housing assistance ... complete training in person before hybrid work schedules begin. **Title:** *Program Specialist Rental Assistance* **Location:** *Helena* **Requisition ID:**… more
- Travelers Insurance Company (Helena, MT)
- …invoice issuance, policy issuance, etc.). - Coordinates with Claim when foreign claims are at issue and assistance is needed. - Assists Reinsurance Accounting ... with billing and payment reconciliation and collection when needed. -Develops and maintains a set of formal, written Standard Operating Procedures for the international placement process. - Leads the development and implementation of an efficient data… more
- Guardian Life (Helena, MT)
- …The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide evaluation of ... of RTW. Serve as educational resource on vocational rehab aspect of claims . Educate parties involved in claim management regarding the extent of functional… more
- Prime Therapeutics (Helena, MT)
- …This role is responsible for mentoring and training the Eligibility Specialist . **Responsibilities** + Serves as subject matter expert representing eligibility on ... eligibility files, verification of letters of authority and some claims analysis. + Other duties as assigned **Minimum Qualifications**...2 years of experience in healthcare, PBM, Eligibility or claims processing + Must be eligible to work in… more
- Highmark Health (Helena, MT)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Wolters Kluwer (Helena, MT)
- …increase operational efficiency and reduce costs. Corporate legal and insurance claims departments trust our innovative technology and end-to-end customer experience ... and achieving new business growth. As an Enterprise Software Sales Industry Leader Specialist this role will play a pivotal role in driving new business development… more
- Zurich NA (Helena, MT)
- …and customer satisfaction. + Participating in leadership team meetings to provide specialist guidance and enable the implementation of policies, projects and change ... industryOR + Bachelor's Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance industryAND + Experience in… more
- SMX (Helena, MT)
- …+ Serves as the liaison with vendors and brokers to resolve employee claims . + Provides coaching and responds to escalated 401(k) inquiries from employees relating ... and/or benefits administration in government contracting + Certified Employee Benefits Specialist (CEBS) or related Human Resources certification a plus. + Knowledge… more
