- Sedgwick (Madison, WI)
- …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 ... on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims... benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific… more
- Sedgwick (Madison, WI)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Liability **PRIMARY PURPOSE:** To analyze mid- and ... higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best… more
- Sedgwick (Sun Prairie, WI)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to ... mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...pay for this role is_ **_$50,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- Ryder System (Madison, WI)
- …small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. **ESSENTIAL FUNCTIONS** Investigates, ... to medium exposure 3rd party property damage and cargo claims pursued against Ryder Ensures the most appropriate and...long-term incentive plan based on the level and/or type. Benefits Information: **For all Full-time positions only** : Ryder… more
- SSM Health (Madison, WI)
- …Evenings, Nights and Weekends Location: 4639 Hammersley Road Madison, WI 53711 Benefits SSM Health offers competitive compensation and Comprehensive Benefits ... the following: processing insurance payments, following up on denied claims , and resolving credit balances. May work in multiple...component of a patient's obligation using the third party claims processing and payment rules. Bills claims … more
- Kelly Services (Madison, WI)
- **As a Customer Service Representative , you will serve as a key contact and liaison for customers to ensure their total satisfaction. You will interact with ... including order entry, pricing, expediting, billing, order maintenance, credit and claims **Skills & Requirements** + Strong communication skills + Ability to… more
- Graybar (Madison, WI)
- Are you ready? As an Outside Sales Representative with our Industrial sales team, you will develop new prospects and maintain contacts with established customers for ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
- Molina Healthcare (Madison, WI)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… more
- Molina Healthcare (Madison, WI)
- …& ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed ... apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… more
- Humana (Madison, WI)
- …ensure interaction between the company and members are optimized. Expanded Benefits Consumer Representative Internship provides transitioning service members ... will be required to confirm eligibility. **Job Description** The Expanded Benefits Consumer Service Operations Professional Intern will utilize Humana's Medicaid… more
- United Therapeutics (Madison, WI)
- …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
- American Packaging (Columbus, WI)
- …packaging career you've been looking for. With competitive salaries, excellent benefits , 401(k) plans and tuition reimbursement programs, we nurture our employees ... all CCF credits, rework billed, and miscellaneous cash collected for freight carrier claims . + As needed, provide sales reports and assist with reconciliation. Other… more
- HealthEdge Software Inc (Madison, WI)
- …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
- Humana (Madison, WI)
- …investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC ... Fraud Examiner) or AHFI (Accredited Healthcare Fraud Investigator) **Additional Information** + Benefits starting day 1 of employment + Competitive 401k match +… more
- Trustmark (Madison, WI)
- …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
- Ford Motor Company (Madison, WI)
- …and state arbitrations. **What you'll do ** + Act as Ford's corporate representative in consumer "lemon law" litigation in California + Be knowledgeable regarding ... Provide training and direction to a team of Consumer Claims Analysts located in California + Ensure that all...additional vacation time. For a detailed look at our benefits , click here: This position is a leadership level… more
- HealthEdge Software Inc (Madison, WI)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... It opens the door to new value-based reimbursement models, benefits plans and provider contracts. The complete suite of...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more