- Sedgwick (Lansing, MI)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... guidance to less experienced team members on complex cyber claims Reporting and Analytics: + Prepare detailed claim...for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- Zurich NA (Lansing, MI)
- Senior Claims Specialist Construction Professional Liability Claims 118830 Zurich North America is seeking a **Senior Construction Professional Liability** ... ** Claims Specialist -** to support Claims ...of damages allowed by law. + Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available… more
- Molina Healthcare (MI)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... to contracting ( benefit and provider), network management, credentialing, prior authorizations, fee...authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding… more
- Trinity Health (Farmington Hills, MI)
- …appropriately maximizing reimbursement based upon services delivered and ensuring that the claim is paid/settled in the most timely manner possible: + Supports ... and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to...in the assigned state. **Experience working with PB medical claims processing denials and appeals needed** **Experience working with… more
- Travelers Insurance Company (Lansing, MI)
- …claims , as well as General Liability Coverage B claims and E&O claims involving Life Sciences insureds. Provides quality claim handling throughout the ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Sedgwick (Grand Rapids, MI)
- … claims and executes technical and jurisdictional requirements for accurate claims processing, benefit review and interpretation of regulations, financial ... exposure claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Makes independent claim determinations, based on the information received, to approve complex … more
- Travelers Insurance Company (Lansing, MI)
- …level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- Sedgwick (Lansing, MI)
- …information and claim status either by phone, written correspondence and/or claims system. + Participates in and maintains a quality service culture within the ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Service Center Specialist - Background in Auto Insurance Required **PRIMARY PURPOSE** : To assist… more
- Amgen (Detroit, MI)
- …including formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims ... lives of patients while transforming your career. **Field Reimbursement Specialist - Detroit, MI** **What you will do** Let's...HCPs on how the products are covered under the benefit design (Commercial, Medicare, Medicaid) + Serve as a… more
- WK Kellogg Co (Battle Creek, MI)
- …for you to join us in this effort. WK Kellogg is seeking a Consumer Affairs Specialist who will a ct as the liaison to front-line reps or personally respond to ... difficult or sensitive consumer issues. The specialist will s ort and reallocate customer and consumer...retrieval on routine, serious quality issues and/or product liability claims . They will review consumer contact data, identify and… more
- Henry Ford Health System (West Bloomfield, MI)
- …exciting impact on patient care. GENERAL SUMMARY: The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription ... individuals. Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE… more
- Henry Ford Health System (Rochester Hills, MI)
- …SUMMARY: Eligible for $2,500 Sign on Bonus The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior ... opportunity to join Henry Ford Health as a Pharmacy Benefits Specialist . Make an impact on patient...a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception… more
- City of Detroit (Detroit, MI)
- …our employees. Part of the reason for the low turnover rate is the exceptional benefit package listed below. Benefits include, but are not limited to the ... Contract and Procurement Specialist III Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4802071) Apply Contract and Procurement Specialist … more
- State of Michigan (Grand Rapids, MI)
- Services Specialist 9-12 - Adult Services - Kent County Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4814322) Apply Services Specialist ... 11:59 PM Eastern Bargaining Unit UNITED AUTO WORKERS (UAW) + Description + Benefits + Questions Job Description The MDHHS mission is to provide opportunities,… more
- State of Michigan (Lansing, MI)
- Administrative Law Specialist 13-P15 Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4783842) Apply Administrative Law Specialist 13-P15 ... 5:00 PM Eastern Bargaining Unit NON-EXCLUSIVE REPRESENTED EMPLOYEE (NERE) + Description + Benefits + Questions Job Description This position as a Administrative Law … more
- R1 RCM (Detroit, MI)
- …reducing operating costs and enhancing the patient experience. As our Physican Underpayment Specialist you provide value to our client through a mix of subject ... and government-based fee schedules to identify underpayments + Understand and articulate claim and contract details to facilitate proper billing and reimbursement +… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- Travelers Insurance Company (Lansing, MI)
- …level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . ... conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.… more
- University of Michigan (Ann Arbor, MI)
- …competitive salary with excellent benefits ! **Hourly range for Clinical Nurse Specialist $48.58-$73.39 / hour** The benefit package includes: + Excellent ... CLINICAL NURSE SPECIALIST (CNS)- University Hospital- 5A Ortho/Trauma Surgical Unit...and become a victor for the greater good. **What Benefits can you Look Forward to?** Nursing at Michigan… more
- Robert Half Accountemps (Livonia, MI)
- Description We are offering a contract for a Collections Specialist role in the Financial Services industry, based in Livonia, Michigan. This role will predominantly ... customer inquiries and disputes related to their credit accounts * Administer claims related to customer accounts and collections * Efficiently process customer… more