- HomeSafe Alliance (Baton Rouge, LA)
- **Title:** Assistant Claims Manager (Military Move) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military ... are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects...related 4-year degree preferred + Minimum 3-4 years personal property claims adjusting experience preferred + Prior… more
- HomeSafe Alliance (Baton Rouge, LA)
- …is better than the last. We are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of claims management, to ... **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per... and make payments and chargeback assessments for cargo, property damage, inconvenience claims , and MCO Demand… more
- HomeSafe Alliance (Baton Rouge, LA)
- …working in an administrative/data processing role within Military Move, personal property or cargo claims environment highly preferred. **Job Functions:** ... **Title:** Claims Administrator (SCA) HHG/Military Move **_HomeSafe Alliance_** is...**_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per… more
- Crawford & Company (Shreveport, LA)
- …with injured worker, employer and physicians. + Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure ... worker/disabled individual. + May obtain records from the branch claims office. + May review files for claims...one of the below: + Certification as a case manager from the URAC-approved list of certifications (preferred); +… more
- Crawford & Company (New Orleans, LA)
- …direction, supervises the investigation, management, and timely disposition of Liability claims within account, carrier and/or company guidelines, and assists the VP ... and/or Assistant VP of Claims in managing the Service Center. Responsibilities + Establishes...AIC, AEI and/or CPCU) + Where applicable, has passed state licensing requirements for line(s) of insurance handled. +… more
- World Insurance Associates, LLC. (Lake Charles, LA)
- …solutions. Our rapid growth and market leading presence has created opportunities throughout the state and we offer top talent the choice to work from one of our ... multiple offices throughout the region. Position Overview The Commercial Lines Account Manager will play an integral role in driving our mission to deliver… more
- Elevance Health (Metairie, LA)
- **CarelonRx Account Manager II** **Location:** This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of one of ... Health PulsePoint locations listed on the requisition. The **CarelonRx Account Manager II** is responsible for retention and operational excellence that… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …in accordance with the Department's Record Retention Policy and the Content Manager Program. Independently review all project files for each subrecipient to ensure ... compliance with documentation in preparation for State Management Review. 25% Assist in reviewing and processing...for efficient operation of the unit or section including claims processing and programmatic technical assistance as needed. Reviews… more
- HUB International (New Orleans, LA)
- …global insurance and employee benefits broker, providing a broad array of property , casualty, risk management, life and health, employee benefits, investment and ... + **Strong community support and involvement through HUB Gives** **SUMMARY:** An Account Manager assists the Producer in the day-to-day needs of the business. This… more
- Elevance Health (Metairie, LA)
- …of utilization and/or fraudulent activities by healthcare providers through prepayment claims review, post-payment auditing, and provider record review. **How you ... will make an impact:** + Develops, maintains, and enhances the claims review process. + Assists management with developing unit goals, policies, and procedures. +… more
- Elevance Health (Metairie, LA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... HS diploma or equivalent and a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Elevance Health (Metairie, LA)
- …office**_ The **Provider Reimburse Admin** ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Metairie, LA)
- ** Manager I Customer Care - Multi** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of ... our Elevance Health PulsePoint locations. The ** Manager I Customer Care - Multi** will be responsible...for a combination of operations functions that might include claims , customer service, membership, mail, document management, appeals, etc.… more
- HUB International (New Orleans, LA)
- …global insurance and employee benefits broker, providing a broad array of property , casualty, risk management, life and health, employee benefits, investment and ... Issue auto ID cards, binders, certificates & Evidence of Property + Order loss runs and input information +...checking rates, ordering worksheets and invoicing + Support Account Manager and Account Executives - provide updates once policy… more
- Elevance Health (Metairie, LA)
- …communications regarding formulary changes. + Ensures appropriate formulary set-up and claims adjudication. + Serves as a clinical pharmacy resource to pharmacy ... benefit management and pharmacy operations teams. + Ensures compliance with state /federal mandates and contractual agreements. + Researches and synthesizes detailed… more
- Elevance Health (Metairie, LA)
- …of proposal activities and responses with other operating areas such as Claims , Underwriting, Sales, and Specialty companies assuring their actions come together as ... of Columbia (Washington, DC), Maryland, Nevada; New York; Washington State In addition to your salary, Elevance Health offers...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Metairie, LA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... gender, race, or any other category protected by federal, state , and local pay equity laws. *The salary range...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Metairie, LA)
- …plus. + Previous experience in high-volume operations (Medical Review, Appeals, Claims , Customer Service) strongly preferred. + Working Specialty or Front-end ... submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Metairie, LA)
- …+ Provides analytic support during complex provider negotiations. + Analyzes claims experience to identify cost of care initiative opportunities. + Measuring ... submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more