• Long Term Disability

    MetLife (Cary, NC)
    …lives of our customers and our communities. The LTD Claims Specialist II evaluates long term disability insurance claims in accordance with plan ... and within prescribed time service standards. In this role, the LTD Claims Specialist is required to exercise independent judgment, critical thinking skills,… more
    MetLife (11/09/24)
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  • Long Term Disability

    MetLife (Cary, NC)
    …. Provide timely and accurate communication, information gathering, and rendering decisions on Long - term Disability (LTD) claims according to provisions ... of high level topics, factors to consider in the administration of claims , and examples of claim situations. Essential Business Experience and Technical Skills:… more
    MetLife (11/09/24)
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  • Lead Long Term Disability

    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...we're leading the global transformation of an industry we've long defined. United in purpose, diverse in perspective, we're… more
    MetLife (08/30/24)
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  • Associate Claims Specialist…

    MetLife (Cary, NC)
    … in a timely and accurate manner. Principal Responsibilities: . Manages assigned caseload of long - term disability (LTD) claims . . Determines whether to ... suspend, terminate, or pay claims . . Updates current claims records (inputs...Ability to think abstractly . Keyboarding skills Equal Employment Opportunity/ Disability /Veterans If you need an accommodation due to a… more
    MetLife (11/01/24)
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  • Senior Claims Representative - REMOTE

    Ryder System (Raleigh, NC)
    …The position may also be eligible to receive an annual bonus, commission, and/or long - term incentive plan based on the level and/or type. Benefits Information: ... Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Senior Claims Representative handles complex and mid-to-high exposure bodily injury… more
    Ryder System (11/02/24)
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  • Pharmacy Point Of Sale Transition Claims

    Humana (Raleigh, NC)
    …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures accuracy for pharmacy… more
    Humana (10/29/24)
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  • Staff VP Claims Operations (Original…

    Elevance Health (Durham, NC)
    …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... **Staff VP Claims Operations (Original Claims )** **Location:** Successful...employment without regard to age, citizenship status, color, creed, disability , ethnicity, genetic information, gender (including gender identity and… more
    Elevance Health (11/12/24)
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  • Mechanical Claims Adjuster

    DriveTime (Raleigh, NC)
    …+ **But Wait, There's More.** 401(K), Company paid life insurance policy, short and long - term disability coverage to name a few. + **Growth Opportunities.** ... which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative… more
    DriveTime (10/26/24)
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  • Team Leader, Absence Claims Management

    Guardian Life (Raleigh, NC)
    …future opportunities. + Collaborate with internal business partners including Short Term Disability , Long Term Disability , Service, Sales and Account ... work experience; integrated absence management preferred. + 5+ years of disability claims experience. + 3+ years of demonstrated leadership experience. +… more
    Guardian Life (11/08/24)
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  • Medical Director-- Claims Management

    Humana (Raleigh, NC)
    …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to… more
    Humana (10/29/24)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Raleigh, NC)
    …will be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a clinical ... this role you will provide coaching and guidance to claims regarding medical management **What you'll be doing** *...company, business unit and individual. Other rewards may include long - term incentives, sales incentives and Lincoln's standard… more
    Lincoln Financial Group (10/16/24)
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  • Senior Coordinator Revenue Cycle

    CVS Health (Raleigh, NC)
    term life insurance plan to eligible employees, and short- term and long term disability benefits. CVS Health also offers numerous well-being ... be responsible for: Managing a high volume of medical claims that have denied by refuting the denials within...is eligible for a CVS Health bonus, commission or short- term incentive program in addition to the base pay… more
    CVS Health (11/13/24)
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  • Senior Disability Underwriter

    Humana (Raleigh, NC)
    …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... of our caring community and help us put health first** The Senior Disability Financial Underwriter computes rates for both renewing and prospective moderate to… more
    Humana (10/29/24)
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  • Commercial Project Manager

    Stantec (Raleigh, NC)
    …stock purchase program, life and accidental death & dismemberment (AD&D) insurance, short- term / long - term disability plans, emergency travel benefits, ... System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. + Oversee and approve development and management of the Project… more
    Stantec (10/02/24)
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  • RWD Business Analyst

    Norstella (Raleigh, NC)
    …and vision benefits + Basic life and AD&D Benefits + 401k retirement plan + Short and Long Term Disability + Paid parental leave + Open vacation policy _Th_ ... service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard… more
    Norstella (11/16/24)
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  • System VP Revenue for Revenue Operations - Patient…

    UNC Health Care (Chapel Hill, NC)
    …Formulates objectives and priorities, and implements plans consistent with the long - term interests of the organization. Capitalizes on opportunities and ... drives impactful results across the revenue cycle, focusing on claims management, payer performance, cash management, payment posting and...manages risks. Takes a long - term view and builds a shared vision… more
    UNC Health Care (11/07/24)
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  • Researcher Senior - Safety and Epidemiology…

    Elevance Health (Cary, NC)
    …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... communicates requirements to the programming group. + Conduct review of administrative claims data and statistical output to ensure the superior quality of research… more
    Elevance Health (10/16/24)
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  • Clinical Investigation Lead

    Humana (Raleigh, NC)
    …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... and business priorities **Role Desirables** + Demonstrated experience working with healthcare claims data sets, including medical coding and medical claims . +… more
    Humana (11/09/24)
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  • Lead Research Scientist

    Humana (Raleigh, NC)
    …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key… more
    Humana (11/09/24)
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  • Manager Medical Coding

    Humana (Raleigh, NC)
    …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... 6 or more years of work experience related to claims with an understanding claims lifecycles/healthcare revenue...gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy… more
    Humana (10/29/24)
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