- Sedgwick (Lansing, MI)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Assistant Claims Team Lead - Workers Compensation Are you ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Oracle (Lansing, MI)
- …and regulatory knowledge (eg, medical necessity, level of care, clinical validation) to lead the appeals initiative to review denied claims , create write-ups for ... **Job Description** Oracle Clinical AI Assistant (CAA) allows providers and their support staff...coding by applying power of generative AI. Our diverse team of creators and inventors are building the future… more
- Sunrise Senior Living (Troy, MI)
- …ensures compliance through supervising and coaching team members. + Achieve the Team Member Engagement goals and actively lead in the Engagement Improvement ... you build meaningful relationships with residents, their families, and team members alike, you will also gain joy in...controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly… more
- University of Michigan (Ann Arbor, MI)
- …CNS is accountable for collaborating with members of the health care team to design, implement, and measure safe, cost-effective, evidence-based care strategies. The ... supporting cost-effective, safe nursing practices. + Collaborates with the multidisciplinary team using the nursing process to integrate the nursing perspective into… more
- Trinity Health (Spring Lake, MI)
- …and diagnostic testing in timely fashion with proper documentation. + Works denied claims for missing prior authorization or referral within the EMR system. + ... arrangements as necessary per payer guidelines in communication with the care team . + Maintains and updates reference materials as they pertain to insurance… more