- Sedgwick (Lincoln, NE)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
- Sedgwick (Lincoln, NE)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process ... low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...+ Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files… more
- Guardian Life (Lincoln, NE)
- …drive to be the best at what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively managing Leave of Absence programs and ... Clients, Claimants, Nurse and Disability Case Managers, Risk Management. The FML Claims Case Manager II recognizes the importance of compliance and regulatory… more
- Molina Healthcare (Omaha, NE)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- Veterans Affairs, Veterans Health Administration (Omaha, NE)
- …including patient transport, Special Mode Travel (SMT), mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility transfers, ... while assuring program effectiveness. They serve as the Contracting Officer Representative for all transportation contracts, including common carrier, Special Mode,… more
- United Therapeutics (Lincoln, NE)
- …the pharmaceutical and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code, the Sunshine ... to the Food Drug and Cosmetic Act, the False Claims Act, Anti-Kickback Statute, the Sunshine Act and other...healthcare related laws and regulations + Serve as Legal representative on the Company's promotional review committee, including review… more
- Sysco (Lincoln, NE)
- …HR processes (eg coordinate and conduct new associate orientation, unemployment claims processes, onboarding and exit interviews, transitional return to work, leave ... correctness, or creativity). **Physical Demands:** + The physical demands described here are representative of those that must be met by an employee to successfully… more
- HealthEdge Software Inc (Lincoln, NE)
- …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
- HealthEdge Software Inc (Lincoln, NE)
- …issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite ... of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working...None **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- Ford Motor Company (Lincoln, NE)
- …and state arbitrations. **What you'll do ** + Act as Ford's corporate representative in consumer "lemon law" litigation in California + Be knowledgeable regarding ... vehicle buyback requests + Provide training and direction to a team of Consumer Claims Analysts located in California + Ensure that all training guides / educational… more
- Ryder System (Lincoln, NE)
- …information (ie, on time delivery, percentage of scheduled deliveries, claims , OS&D, incidents and delivery exceptions, etc.) **Additional Responsibilities** + ... application process or to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current Employees:** If you… more
- Product Connections (Lincoln, NE)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
- Cushman & Wakefield (Lincoln, NE)
- …that tenants and vendors comply with insurance requirements and coordinate all claims as required * Proactively inspect the facility, systems, rooms, common areas, ... in varying weather conditions. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully… more
- Humana (Lincoln, NE)
- …investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC ... of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and… more
- HealthEdge Software Inc (Lincoln, NE)
- …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... (USA Only):** Exempt **Work Environment:** The physical demands described here are representative of those that must be met by an employee to successfully… more
- HealthEdge Software Inc (Lincoln, NE)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... Employment:** Full-time, permanent **Work Environment:** The physical demands described here are representative of those that must be met by an employee to… more
- Trustmark (Lincoln, NE)
- …necessary. + Learns to underwrite pending files received for review and contestable claims files for underwriting. + Works with reinsurer on cases that require ... mentoring to less experienced Underwriters. + Acts as the underwriting representative at producer VIP meetings for assigned territory. Effectively explains… more