- TEKsystems (Madison, WI)
- …Description: + The Customer Service Representatives will be taking inbound calls regarding benefits and claims status. + They'll be handling between 50-70 calls ... providers and members. + Answer provider phone questions regarding claim status and benefits + Assist with enrollee phone questions regarding claim status and … more
- Ryder System (Madison, WI)
- …with Commercial Auto claims is a plus. **SUMMARY** The Liability Claim Representative II handles property damage claims and low to mid-range bodily injury ... by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ Experienced with handling Auto Liability claims to include Property damage Bodily Injury claims… more
- Ryder System (Madison, WI)
- …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 and property damage claims under Ryder's self-administered liability program. This position investigates...long-term incentive plan based on the level and/or type. Benefits Information: **For all Full-time positions only** : Ryder… more
- Sedgwick (Madison, WI)
- …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 ... on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims... benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific… more
- Sedgwick (Sun Prairie, WI)
- …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....Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every… more
- Sedgwick (Madison, WI)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...for this role is_ **_$50,000- $55,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- Guardian Life (Madison, WI)
- …also receive the same amount of attention and care. In addition to the typical benefits package that you would receive from another employer, we have gone above and ... drive to be the best at what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively managing Leave of Absence programs and… more
- SSM Health (Madison, WI)
- …Evenings, Nights and Weekends Location: 4639 Hammersley Road Madison, WI 53711 Benefits SSM Health offers competitive compensation and Comprehensive Benefits ... the following: processing insurance payments, following up on denied claims , and resolving credit balances. May work in multiple...component of a patient's obligation using the third party claims processing and payment rules. Bills claims … more
- Graybar (Madison, WI)
- Are you ready? As an Outside Sales Representative with our Industrial sales team, you will develop new prospects and maintain contacts with established customers for ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
- Molina Healthcare (Madison, WI)
- …& ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed ... apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… more
- Molina Healthcare (Madison, WI)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… more
- United Therapeutics (Madison, WI)
- …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
- HealthEdge Software Inc (Madison, WI)
- …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
- HealthEdge Software Inc (Madison, WI)
- …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
- Humana (Madison, WI)
- …investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC ... Fraud Examiner) or AHFI (Accredited Healthcare Fraud Investigator) **Additional Information** + Benefits starting day 1 of employment + Competitive 401k match +… more
- Cardinal Health (Madison, WI)
- …steps include patient referral intake, investigating all patient health insurance benefits , and proactively following up with various partners including the ... practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 years'...member (when applicable) * Resolve patient's questions and any representative for the patient's concerns regarding status of their… more
- Trustmark (Madison, WI)
- …necessary. + Learns to underwrite pending files received for review and contestable claims files for underwriting. + Works with reinsurer on cases that require ... mentoring to less experienced Underwriters. + Acts as the underwriting representative at producer VIP meetings for assigned territory. Effectively explains… more
- HealthEdge Software Inc (Madison, WI)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... It opens the door to new value-based reimbursement models, benefits plans and provider contracts. The complete suite of...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more