- Elevance Health (Independence, OH)
- ** Process Expert II - Claims ** **Location: Ohio.** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and ... health, long term services and supports, and psychosocial needs._ The ** Process Expert II ** supports the claims issue research and resolution for Home &… more
- Elevance Health (Boston, MA)
- ** Claims Auditor I, II and Senior** **Location... within Service Experience. Serves as the subject matter expert for the unit. **How you will make an impact ... with appropriate guidance from management and peers. The ** Claims Auditor II ** is responsible for audits...the above, plus : Service as a subject matter expert for Policy and Clinical Guidelines. Associates at this… more
- Adecco US, Inc. (Jacksonville, FL)
- …Prepare necessary state filings within statutory limits. . Manages the litigation process ; ensures timely and cost-effective claims resolution. . Coordinates ... Adecco is assisting a local client recruiting for ** Claims Examiner** opportunities **Remote** . This is an...experience required. . Skills & Knowledge . Subject matter expert of appropriate insurance principles and laws for line-of-business… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems, claims flow, adjudication process , system edits and display screens. Level III ... and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. +...+ Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Performs… more
- Southern Company (Newport News, VA)
- …and protocols relating to all Company operations and Business Units. (Specialist I and II ) * Serve as subject matter expert (SME) to internal Southern Company ... conduct training in some cases when a subject matter expert is needed. (Specialist I and II )...groups (eg, American Gas Association (AGA)). (Specialist I and II ) *Document, analyze and evaluate occupational safety, process… more
- County of El Dorado (Placerville, CA)
- Appraiser I/ II /SR Print (https://www.governmentjobs.com/careers/edcgov/jobs/newprint/5155428) Apply Appraiser I/ II /SR Salary $59,488.00 - $89,232.00 Annually ... is also responsible for assessing taxable business property, boats, airplanes, mining claims and other assessable interests in property. The Assessor prepares and… more
- The County of Los Angeles (Los Angeles, CA)
- HUMAN SERVICES ADMINISTRATOR II - WORKFORCE SYSTEMS DELIVERY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5074095) HUMAN SERVICES ... ADMINISTRATOR II - WORKFORCE SYSTEMS DELIVERY Salary $8,109.28 - $10,928.28...special workforce development programs + As a subject matter expert , prepares training materials and provides training to system… more
- HUB International (Irvine, CA)
- …provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make ... and provide them with innovative solutions. The purpose of the Benefit Analyst II is to support the Account Executives, Advisors and with quoting, reporting and… more
- Cardinal Health (Doral, FL)
- …supplemental insurances including all Medicaid states on paper and online. + Mails all paper claims . + Acts as a subject matter expert in claims processing. ... **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope...in the company system. + Adapts quickly to frequent process changes and improvements. + Is reliable, engaged, and… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II (Non-competitive) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3398717) Apply REGISTERED NURSE II (Non-competitive) ... an exemption for qualifying medical or religious reasons during the onboarding process . Candidates should not present proof of vaccination until instructed to do… more
- Mass Markets (Las Cruces, NM)
- …(TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider ... across multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS) cloud technology solutions… more
- HUB International (Fresno, CA)
- …to effectively managing their health and welfare programs. The Account Manager II acts with a high degree of independent discretion, autonomy, and decision-making ... in managing a book of business. The Account Manager II facilitates positive and effective relationships sales and/or account team colleagues. **DUTIES &… more
- Johns Hopkins University (Baltimore, MD)
- …reconciliation of accounts. This position will monitor and complete purchases, process routine financial transactions, and enter basic financial data into university ... **Specific Duties & Responsibilities** _Procedural Knowledge_ + Serve as departmental expert on coding questions. + Exercises independent judgment and decision… more
- Mass Markets (Killeen, TX)
- …(TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider ... across multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS) cloud technology solutions… more
- American Medical Association (Chicago, IL)
- …of outstanding customer service and the development of operational requirements, process and technology that provide essential customer service outcomes. As a ... Administrative Operations management team and their customer service (call center), claims , and operations teams + Facilitate and oversee the performance management… more
- Leidos (Fort Belvoir, VA)
- **Description** Leidos is seeking a **_SharePoint Subject Matter Expert (SME)_** to partner on a large enterprise IT contract for the DOD to lead SharePoint ... multiple geographic locations. The ideal candidate will be a technical expert responsible for providing guidance, support, and hands-on assistance for SharePoint… more
- The County of Los Angeles (Los Angeles, CA)
- …five (5) years, administering or adjusting California workers' compensation indemnity claims , -AND- possession of a valid California Self Insurance Certification of ... will not be permitted to continue in the examination process . We do not accept password-protected documents. Ensure documents...application or emailing to the exam analyst. Physical Class II Light - This class includes administrative and clerical… more
- The County of Los Angeles (Los Angeles, CA)
- …solutions and programs, in one (1) or more of the following areas . OPTION II : Three (3) years of recent, full-time, paid experience, within the last 5 years, ... is not specifically listed will be reviewed by an IT subject matter expert (s) to determine whether the degree qualifies. NO OUT-OF-CLASS EXPERIENCE OR WITHHOLDS WILL… more
- The County of Los Angeles (Los Angeles, CA)
- …supplies, or facility modifications. + Manages the grant administration process , including identifying funding opportunities; overseeing the development and writing ... findings as established by laboratory analyses; and interprets findings as an expert witness. Requirements REQUIREMENTS TO QUALIFY: OPTION I: A Doctorate degree*… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …are not limited to: The Risk Manager functions as a clinical expert and executes position responsibilities that demonstrate leadership, experience, and creative ... ongoing Proactive Risk Assessments with service leaders to identify clinical, process or operational gaps and lead in mitigating risks, auditing compliance… more