- Staffing Now (Oklahoma City, OK)
- The Quality Assurance Specialist reports to the Director of Customer CareIn this role you will be responsible for monitoring and rating member service ... the areas of Part C, Part D, Medicare Parts A & B, Medicare claims billing, and payments QUALIFICATIONS Intermediate to advance knowledge in Microsoft Word and… more
- Zurich NA (Oklahoma City, OK)
- RCIS Crop Claims Specialist 116561 Zurich is looking for an RCIS Crop Claims Specialist to work out of Kansas state. This incumbent will work from a ... is a great opportunity to serve the agricultural community. As a Crop Claims Specialist , your primary accountabilitiles will include: + Work the most complex … more
- Sedgwick (Oklahoma City, OK)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
- Lincoln Financial Group (Oklahoma City, OK)
- …73468 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... administering, processing, and adjudicating Accident, Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training to develop… more
- Lincoln Financial Group (Oklahoma City, OK)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... support our west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short Term Disability or Integrated Absence… more
- Ryder System (Oklahoma City, OK)
- …Chain Services in the World! **SUMMARY** This position handles physical damage claims under Ryder's self-insured, self administered liability program. In addition to ... Investigates and resolves low to high exposure physical damage claims pursued against Ryder and our insured customers +...the most appropriate and cost effective resolution of all claims is reached, and that a high level customer… more
- Trustmark (Oklahoma City, OK)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Critical Care. **Key Accounabilities:** + Demonstrates strong understanding and performs claims handling processes and procedures related to Wellness, Hospital and… more
- BrightSpring Health Services (Oklahoma City, OK)
- …Adjudication Specialistwill be responsible for all aspects of pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of ... Paid Time Off & Holidays Responsibilities + Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer policies and guidelines.… more
- The Hertz Corporation (Oklahoma City, OK)
- **A Day in the Life:** The Recovery Specialist is responsible for managing claims including billing, collections, and adjustments. This role partners with ... and works with customers and insurance carriers to resolve claims over the phone and through email. We expect...**What You'll Do:** + Contact accounts to resolve outstanding claims quickly and accurately. + Research and document collection… more
- Zurich NA (Oklahoma City, OK)
- Senior Design/Construction Management Consulting Specialist 113183 Zurich is looking for a highly skilled **Senior Design/Construction Management Consulting ... Specialist ** within Risk Engineering and our Zurich Resilience Solutions...prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims… more
- Walgreens (Oklahoma City, OK)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Defense Logistics Agency (Oklahoma City, OK)
- …will be performed in a developmental capacity. Serves as a Contract Specialist responsible for acquisition planning, preparation of cost and price analysis for ... Requirements Conditions of Employment Qualifications To qualify for a Contract Specialist your resume and supporting documentation must support: A. Basic Contracting… more
- Travelers Insurance Company (Oklahoma City, OK)
- …of the scene and to provide technical advice and consultation to attorneys and claims staff associated with the loss. + Conduct research and testing, prepare reports ... (verbal and written), and to aid the claims and legal staff with the scientific aspects of...needed to support the overall functions of Risk Control, Claims Services, and Underwriting. Such materials may include newsletters,… more
- Sutherland Global Services (Oklahoma City, OK)
- …sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or ... PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language...billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school… more
- Love's Travel Stops & Country Stores (Oklahoma City, OK)
- …leave, Qualified Medical Child Support Orders, Explanation of Benefits, 401(k), life claims , or other benefits + Foster strong vendors relationships through regular ... + Oversee benefits enrollments, COBRA, terminations, changes, accident and death claims , ensuring efficient and accurate processing + Lead the annual benefits… more
- Travelers Insurance Company (Oklahoma City, OK)
- …invoice issuance, policy issuance, etc.). - Coordinates with Claim when foreign claims are at issue and assistance is needed. - Assists Reinsurance Accounting ... with billing and payment reconciliation and collection when needed. -Develops and maintains a set of formal, written Standard Operating Procedures for the international placement process. - Leads the development and implementation of an efficient data… more
- CROSSMARK (Oklahoma City, OK)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **Qualifications** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Guardian Life (Oklahoma City, OK)
- …The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide evaluation of ... of RTW. Serve as educational resource on vocational rehab aspect of claims . Educate parties involved in claim management regarding the extent of functional… more
- Prime Therapeutics (Oklahoma City, OK)
- …This role is responsible for mentoring and training the Eligibility Specialist . **Responsibilities** + Serves as subject matter expert representing eligibility on ... eligibility files, verification of letters of authority and some claims analysis. + Other duties as assigned **Minimum Qualifications**...2 years of experience in healthcare, PBM, Eligibility or claims processing + Must be eligible to work in… more
- Highmark Health (Oklahoma City, OK)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
