- MetLife (Cary, NC)
- …degree . 3 to 5 years of related professional business experience . Individual Disability Income claims experience. Equal Employment Opportunity/ ... pending, ongoing and appeal reviews. . Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and… more
- Lincoln Financial Group (Raleigh, NC)
- …for this opportunity. **Requisition #:** 74082 **The Role at a Glance** As an **LTD Claims Specialist ** , you will manage a workload of Long-Term Disability ... phone and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits...on the performance of the company, business unit and individual . Other rewards may include long-term incentives, sales incentives… more
- MetLife (Cary, NC)
- …* Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. Provides timely, ... balanced and accurate claims reviews, documentation and recommended decisions in a time...development and provide detailed, balanced feedback to leadership on individual , team, customer or site performance and offers solutions… more
- Lincoln Financial Group (Raleigh, NC)
- …to staff our ever-growing claims organization. As a STAT / PFL Claims Specialist , you will be responsible for conducting initial and ongoing interviews ... and e-mail to gather information regarding the Short Term Disability claim. + Collaborating with fellow case managers, nurse...diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and… more
- Deloitte (Raleigh, NC)
- Manager/ Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... contributing to the development of junior staff. Your role As a Manager/ Specialist Master you will bring considerable technical expertise to deliver effective… more
- Actalent (Cary, NC)
- Actalent is hiring an Employee Service Specialist for a permanent role supporting all incoming requests for our internal employees and technical consultants. The ... Employee Service Specialist (ESS) is responsible for ensuring Actalent's technical consultants...human resources, internal partners, and corporate benefits teams. This individual will eventually process and support timecard collection with… more
- Gilead Sciences, Inc. (Durham, NC)
- …lives of patients with life-threatening illnesses worldwide. As a Prevention Specialist within Gilead's - Greensboro territory, you will represent Gilead's products ... and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office… more
- GE Vernova (Cary, NC)
- …between approved project financial data and books + Support project close out and claims /Provide support to tenders + Oversee the planning function on the project + ... benefits include tuition assistance, adoption assistance, paid parental leave, disability insurance, life insurance, and paid time-off for vacation...and for any reason, in its sole discretion. No individual has a vested right to any benefit under… more
- GE Vernova (Cary, NC)
- …between approved project financial data and books + Support project close out and claims /Provide support to tenders + Oversee the planning function on the project + ... benefits include tuition assistance, adoption assistance, paid parental leave, disability insurance, life insurance, and paid time-off for vacation...and for any reason, in its sole discretion. No individual has a vested right to any benefit under… more
- Intermountain Health (Raleigh, NC)
- …and supplemental documentation to perform their duties + Participates in individual or group continued education opportunities and new tool/resource learning and ... preferred KNOWLEDGE, SKILLS, AND ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The… more
- HealthEdge Software Inc (Raleigh, NC)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for...and level of the job being performed by the individual (s) assigned to this position. They are not intended… more
- Ford Motor Company (Raleigh, NC)
- …with their ownership experience. + Work closely with the Ford Regional Escalation Specialist to provide oversight and direction to the California Lemon Law team ... Provide training and direction to a team of Consumer Claims Analysts located in California + Ensure that all...active employee resource groups * Paid time off for individual and team community service * A generous schedule… more
- Sedgwick (Raleigh, NC)
- …allocations. + Uses specialized knowledge to assess the needs of the individual case and creates customized correspondence for any applicable providers that will ... effectively documents clear and concise information with handling planner, specialist , client, and supervisor while maintaining client's privacy and confidentiality;… more