- Zoltek-Toray Group (St. Louis, MO)
- …of contact for all workers' compensation matters. Responsible for managing claims , coordinating with insurance providers, ensuring compliance with state and federal ... regulations, and supporting employees through the claims process. Conduct and analyze exit interviews to identify trends, uncover root causes of employee turnover,… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- EquipmentShare (St. Louis, MO)
- Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting applications for a future Claims Representative in the St. ... that truly cares. We're accepting applications for a future Claims Representative role at our rental facility...on claim trends, outcomes, and customer feedback for management review . + Team Collaboration: Work closely with other departments,… more
- Sedgwick (Jefferson City, MO)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Ryder System (Jefferson City, MO)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Mass Markets (MO)
- …staff and managerial for resolution as needed + Attend meetings and training and review all new training material to stay up to date on changes to program ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (MO)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... through problems solving and effective call handling + Attend meetings and training and review all new training material to stay up to date on changes to program… more
- Highmark Health (Jefferson City, MO)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Jefferson City, MO)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- USAA (St. Louis, MO)
- …to ensure compliance with laws, regulations, and policy provisions. + Review claims /suppliers for fraud indicators and refers to Special ... require face-to-face interactions with members and third parties. + Review facts of loss and vehicle damage to determine...inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves… more
- Highmark Health (Jefferson City, MO)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- Towne Park (Kansas City, MO)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... Maintains timely rhythms and transparency with Area/District Manager. Establishes rhythms to review compliance to standards for their account. - 10% Ensures that the… more
- BJC HealthCare (St. Louis, MO)
- …Patient Accounts Representative I is responsible for ensuring the timely review , collection and resolution of all payor and patient accounts. This position ... the Role** BJC HealthCare is seeking a Patient Accounts Representative I to join our insurance follow up team....provides on-going analysis & review review of insurance verifications and account… more
- CVS Health (Jefferson City, MO)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- BJC HealthCare (St. Louis, MO)
- …Information About the Role** BJC HealthCare is seeking an experience patient accounts representative for our credits and refunds team! If you have experience with ... the country. **Preferred Qualifications** **Role Purpose** The Patient Accounts Representative II serves as a subject matter expert in...as a subject matter expert in ensuring the timely review , collection and resolution of all payor and patient… more
- Curia (Springfield, MO)
- …and effectively documented in order to provide traceability and substantiation of any claims to be made in the investigation. This position primarily works in the ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Prime Therapeutics (Jefferson City, MO)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more
- Burns & McDonnell (St. Louis, MO)
- …and consult with the Legal Department as required. + Expert in the review , negotiation, approval, and execution of prime contracts, subcontracts, and change orders. ... Request for Information (RFI's), submittals, change management, contract closeout, and claims mitigation. + Analyze and approve internal and external reports… more
- Burns & McDonnell (Kansas City, MO)
- …with the Legal Department as required. + Be an expert in the review , negotiation, approval, and execution of prime contracts, subcontracts, and change orders. + ... Request For Information (RFI), submittals, change management, contract closeout, and claims mitigation. + Analyze and approve internal and external reports including… more
