- Axis (Princeton, NJ)
- …Accommodation is available upon request for candidates taking part in the selection process. Claims Associate -Primary Casualty Triage * **Please note this is ... * KEY DUTIES & RESPONSIBILITIES: o Handle General Liability claims for a wide variety of AXIS policyholders written...policyholders written in various jurisdictions and reporting to the Claims Manager; o Triaging of first notification of loss,… more
- Kohl's (Glen Allen, VA)
- …the day-to-day Riskonnect system database, certificate of insurance requests, claim assignments/ triage and assist Risk Management team in administrative tasks vital ... + Administer database user controls to provide assurance that claims are entered completely and accurately and that only...Retail experience + Experience using RisKonnect or other RMIS + Associate 's Degree or equivalent experience Pay Starts At:… more
- CVS Health (New Albany, OH)
- …is delivered today. We are health care innovators. The Care Management Associate supports comprehensive coordination of medical services including Care team intake, ... Promotes/supports quality effectiveness of Healthcare Services. The Care Management Associate position duties include (not all encompassing): - Responsible for… more
- CVS Health (Charleston, WV)
- …growth. We will support you all the way!Position Summary:The Care Management Associate (CMA) role is a full time remote telework position. Qualified candidates ... population health members, and carries a caseload. The Care Management Associate supports comprehensive coordination of medical services including Care Team intake,… more
- Magellan Health Services (Honolulu, HI)
- …information regarding a variety of services including: educating providers on claims , member eligibility, benefits, EAP services, claim status, and authorization ... crisis calls with appropriate resource. + Facilitates routine referrals and triage decisions not requiring clinical judgment. + Comprehensively assembles and enters… more
- CVS Health (Springfield, IL)
- …services. Promotes/ supports quality effectiveness of healthcare services. The Care management Associate : Responsible for initial review and triage of Care Team ... more personal, convenient and affordable. Position Summary The Care Management Associate supports comprehensive coordination of medical services including Care Team… more
- CVS Health (Charleston, WV)
- …care more personal, convenient and affordable. Position Summary The Care Management Associate (CMA) role is a full time remote telework position. Qualified ... population health members, and carries a caseload. The Care Management Associate supports comprehensive coordination of medical services including Care Team intake,… more
- Providence (WA)
- …best people, we must empower them._** **Providence Health Plan is calling an Associate Utilization Review Specialist who will:** + Be responsible for all core ... (PA) + Concurrent Review (CCR) + SNF + Clinical Claims + Coordinate and execute the medical review and...regulatory and compliance requirements, including timeliness + Consult, or triage to, appropriate subject matter experts internally and across… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …research areas centered around rare diseases and immune disorders. **Summary** The Associate Director, Privacy & Compliance Investigations, is a member of the ... the investigative team, this position is responsible for the triage of complaints, research of assigned compliance cases, development...Bribery Act (2010), US fraud and abuse and false claims laws, and relevant industry codes on interactions with… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Triage and develops case leads for the department, using various data sources and employing statistical analysis and reporting ... skills. **ESSENTIAL FUNCTIONS:** + Reactively perform triage on calls, tips, alerts, and gathers, compiles and...data bases and systems to support leads. Analyzes detailed claims files and performs financial calculations to assess financial… more
- LA Care Health Plan (Los Angeles, CA)
- …or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member information, document ... stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data… more
- Molina Healthcare (Richmond, KY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update...from requirements to deployment, including work assignment, prioritization, issue triage etc. + Complex projects with some mentoring +… more
- Grifols Shared Services North America, Inc (Research Triangle Park, NC)
- …for execution of routine instrument maintenance and basic troubleshooting of triage lab equipment. + Communicates technical guidance to clients through email ... Response Team. + Monitors regulatory compliance for customer testing and potential claims . + Continued development with ongoing training to enhance communication and… more
- HUB International (Riverside, CA)
- …provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make ... document retrieval from carrier websites + May perform a triage role on behalf of the team: review incoming...individual queues based on priority and skill level of associate _The expected salary range for this position is_… more
- Russell Sage College (Albany, NY)
- …The Administrative Assistant is a ten month position that reports to the Associate Vice President for Student Life for Student Wellness and supports all Health ... Wellness Center. + Schedule and verify patient appointments. + Triage for health and counseling while checking patients in...patient arrival. + Manage the complex schedule of the Associate Vice President for Student Life for Student Wellness… more
- Trustmark (Columbus, OH)
- …- goal is to resolve the item completely the first time + Triage inquiries/issues completely in order to fully understand the inquiry, from the producer, ... knowledge of voluntary administration including premium billing & administration, eligibility, claims and payroll deduction and service model + Proven ability to… more
- Progress Rail Services Corp. (Albertville, AL)
- …. **Education / Training:** * High School diploma or equivalent is required; * Associate 's degree in IT related field; preferred; * Bachelor's degree in an IT ... as needed; * Global incident routing including validation, processing, triage , routing decision points and assignment; * Prioritize production-critical issues… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …mitigations. + Manage end-to-end incident management process, from initial ticket triage to prioritization and resolution. + Develop and update comprehensive ... of monolithic apps. + Understanding of EDI transactions (Eligibility, Claims , enrollment, authorization etc), standards (X12, EDIFACT) and experience troubleshooting… more
- South Middlesex Opportunity Council (Framingham, MA)
- …entire management team. + Monitor caseloads and work with the clinic intake specialist to triage and assign cases from a waitlist. + Work with the front office and ... as required by payors and state agencies. Monitor weekly claims reports and assist in correcting billing issues. +...As part of the responsibilities of this position, the Associate Clinic Director will have direct or incidental contact… more
- University of Virginia (Charlottesville, VA)
- …the emergency department and acute care floors to determine patient acuity, perform triage , and construct an initial care plan * With training, competency in several ... review activities as requested. * Prepares and attends to all reports, claims , and correspondence necessary or appropriate to the performance of professional… more