- Humana (Salt Lake City, UT)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Salt Lake City, UT)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Ryder System (Salt Lake City, UT)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Highmark Health (Salt Lake City, UT)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Nucor Steel Auburn, Inc. (Salt Lake City, UT)
- …located at the Nucor Fabrication location. Manage bid lists daily; print & review reports, incoming transmittals and plans from customers; Track the assignment of ... has full knowledge of the market. + Assist in the resolution of claims and disputes between Nucor Rebar Fabrication and customers. + When necessary, assist… more
- Ryder System (Salt Lake City, UT)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Owens & Minor (Salt Lake City, UT)
- …and secure the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review /appeals payments. + Ability to edit and ... related factors such as experience, skills, education and location.** **Summary:** The representative is to service the needs of our customers by accurately billing… more
- Highmark Health (Salt Lake City, UT)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- CVS Health (Salt Lake City, UT)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Otsuka America Pharmaceutical Inc. (Salt Lake City, UT)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- Prime Therapeutics (Salt Lake City, UT)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more
- RxBenefits (Salt Lake City, UT)
- …team also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will ... across internal stakeholders to foster collaborative and efficient work products + Review for accuracy and finalize all current account pricing comparisons for… more
- Ken Garff Automotive Group (Salt Lake City, UT)
- …and licensing o Fixed assets o Document security, retention and archiving o Claims management o Sales and Use Tax reporting o General Ledger Support/Maintenance o ... Supporting Annual GAAP Financial Audits + Review and audit documents for completeness and accuracy. QUALIFICATIONS: To perform this job successfully, an individual… more