- Molina Healthcare (Milwaukee, WI)
- …including accurate and timely implementation and maintenance of critical information on claims databases. Validate data to be housed on databases and ensure ... knowledge/skills/abilities:** * Establishes and maintains benefits, provider contracts, fee schedules, claims edits, and other system settings in the claim payment… more
- Molina Healthcare (Milwaukee, WI)
- …years leadership/supervisory experience required * Progressive management experience to manage complex work systems and workflows required * Knowledge of pre-edit ... Access, Word and Excel * Knowledge and understanding of claims processing systems and medical claims * Knowledge of HMO, PPO, POS, MCO, Medicare, Medicaid,… more
- Zurich NA (Milwaukee, WI)
- …Surety Regional Leader 113231 Zurich is currently looking for a VP, Territory Director for our Commercial Surety Group in the Central Region. The Central region ... and oversight on strategic underwriting practices. The VP, Territory Director , Commercial Surety is responsible for: + Managing a...Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance… more
- Centers for Independence (Milwaukee, WI)
- …and treatment plan addendums + Monitors client's Prior Authorization status submits new claims as necessary and responds to member's insurance providers as needed to ... and Families and Youngstar. + Assumes responsibility for the director in the absence of the director ....groups. + Partners with clients to identify and resolve complex or sensitive issues. + Helps create a work… more