- Humana (Olympia, WA)
- **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 (Olympia, WA)
- …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 (Olympia, WA)
- _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
- University of Washington (Seattle, WA)
- … Specialist (Patient Account Representative 2).** This position is responsible for claims review , clearing claim edits, and timely and accurate submission of ... and/or confer with payers by phone. + Process claim attachments and secondary claims . + Review and identify corrected claims to ensure that all necessary… more
- Highmark Health (Olympia, WA)
- …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
- Ryder System (Olympia, WA)
- _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
- Highmark Health (Olympia, WA)
- …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 (Olympia, WA)
- …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. (Olympia, WA)
- …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
- Pfizer (Bothell, WA)
- …with the following teams: + Work directly with agency partners to review , and translate media optimization reporting to business objectives + Implement the ... industry and healthcare environment, specifically with an understanding of healthcare claims data and its application to marketing optimization + We look… more
- PeaceHealth (Vancouver, WA)
- …clinical risk management risk investigations and response to events, potential claims , and grievances presented against caregivers, physicians and the organization ... for potential or actual liability and damages. Collaborating with Claims , collects documents and evidence and maintains work product in accordance with state legal… more
- University of Washington (Seattle, WA)
- …to the limit of delegated authority. + Establish a system for dispute resolution; review and respond to delay claims ; develop proposed solutions to solve ... Program Manager, the Construction Manager (Healthcare) serves as the University's representative in managing the construction and closeout phase of healthcare… more
- RxBenefits (Seattle, WA)
- …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
- Intertek (Ferndale, WA)
- …record kept for the purpose, and record a unique identifier. + Review client instructions and identify potential problems regarding operations, conflict of interest, ... closed jobs for purposes of billing, volume reconciliation, and claims handling. + Maintain a working geographic awareness of...customers, visit customers and jobsites, and be a positive representative of the Branch and of the Company. +… more
- Allied Universal (Seattle, WA)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... and timely workload management to meet assignment time completion. + Review and verify credentials, including education, training, licensure, and certification, for… more