- buyer (New York, NY)
- …the monthly and quarterly reports) and present findings to the appropriate claims service management personnel.Other duties as assigned by senior ... members and providers.Position OverviewClaims Quality Auditor is responsible for reviewing claims to determine if payments have been made correctly. This position… more
- Greenfield Rehabilitation Agency/Rehab Resources (Brookfield, WI)
- …resolve billing issues and ensure that all documentation is in order for claims . Customer Service : Provide clear, courteous, and professional assistance to ... Billing Specialist Responsibilities: Billing and Coding: Accurately prepare and submit claims for therapy services provided to residents, ensuring compliance with… more
- Kin Insurance, Inc. (Washington, DC)
- …delivers a seamless user experience, customized options for coverage, and fast, high-quality claims service . Kin is a fully licensed carrier that offers coverage ... offer seamless bundling, and make every step (from purchasing, servicing to claims ) simple and friction-free, especially in the places traditional insurers often… more
- Everglades Equipment Group (Plant City, FL)
- Founded in 1963, Everglades Equipment Group is a family owned and operated full- service John Deere dealership with 19 locations covering central and south Florida. ... John Deere dealers in the world by prioritizing customer service and satisfaction above all else. Assist the ...reports as needed May process warranty and/or product improvement claims including the computation of charges, submission and follow-up… more
- CHRISTUS Health (Tyler, TX)
- …CHRISTUS services. These services will be provided by monitoring cases and claims , analyzing biometric and health risk assessment data, organizing disease management ... management medical activities to provide the most efficient and effective service .Identify targeted chronic diseases/high risk individuals (with vendor support) and… more
- UnisLink (Phoenix, AZ)
- …of a growing team with long-term career potential? UnisLink is hiring a Medical Claims Clerk to support our billing and operations teams. No prior medical billing ... will include: Acting as the primary resource for printing and mailing secondary claims and appeals for multiple clients. Handling unprinted claims and ensuring… more
- Hallmark Financial (Dallas, TX)
- Job Description: Position Title: Senior Claims Adjuster (Fast Track- Bodily Injury) Job Summary: Investigates, evaluates, negotiates and resolves claims of ... and interaction with insured's and claimants in accordance to established claims procedures and state regulations. Essential Duties and Responsibilities include the… more
- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …Daytime Job Category Professional / Experienced Description The Policy and Claims Research Specialist is responsible for supporting the Payment Integrity initiatives ... as the point of contact for claim related research. Serves as a claims subject matter expert (SME) and handles incoming inquiries regarding Payment Integrity… more
- Hollywood Feed (Memphis, TN)
- …liaison to automation equipment vendors and technical support teams. Coordinate warranty claims , service contracts, and parts ordering as needed. Training & ... in the 1950s, in Memphis, TN, as a pet supply store with friendly and knowledgeable service . More than half a century later, our love for pets is who we are today.… more
- Collectors Holdings, Inc. (Santa Ana, CA)
- …Hong Kong, Toronto, Guadalajara, Dallas, and Paris. We're looking for a Claims Investigator to join our Collectors Claimsteam, providing essential assistance to our ... their times of need. Our team's core responsibility revolves around efficiently handling claims for customers who may have encountered damage or loss of their items… more
- buyer (New York, NY)
- …escalated calls by members and providers requiring intervention.Investigates and resolves claims -related issues as needed.Conducts all other duties or actions as ... workBasic working knowledge of computer systemsProfessional CompetenciesIntegrity and TrustCustomer Service FocusFunctional/Technical skills Written/Oral Communications Dependable, reliable, and demonstrates… more
- buyer (New York, NY)
- …This position will work with our application vendors as well as Claims Operations, Utilization Management, Network Management, and other operational areas to ... budgetary objectivesEnsure continuous delivery of IT services through oversight of service level agreements and monitoring of IT systems vendor performanceOversee… more
- WEL Companies (De Pere, WI)
- …1st Shift Job Category Safety Description POSITION SUMMARY As a Claims Representative, you'll be interacting with WEL departments, drivers, insurance companies, ... information and comments, as well as actions taken. Review claims by approving or disapproving customers claims ....trucks and 700 trailers that provide award winning nationwide service to some of the largest companies in the… more
- Merck & Co. (Rahway, NJ)
- …and category strategy alignment, sourcing and contracting execution, contract and claims management, project and risk management practices, and supplier relationship ... by project, lead negotiations for certain contracts, purchase agreements, and service contracts to secure the best terms and conditions. Required/Preferred… more
- JobElephant (Las Vegas, NV)
- …or other conference/event attendance, travel arrangements and submission of travel claims for reimbursement. Acceptance of Summons/Complaints ( Service ) on behalf ... or other conference/event attendance, travel arrangements and submission of travel claims for reimbursement.Legal Counsel Support: Assist the General Counsel for… more
- Insmed Incorporated (NJ)
- …studies and clinical trial endpoint selection, disease natural history, medical claims and electronic health records, database analyses, economic models, and ... leadership programs, mentorship connections, and networking opportunitiesEmployee resource groups, service and recognition programs, and meaningful opportunities to connect,… more
- Insmed Incorporated (NJ)
- …programming skills with SQLAbility to understand different data sets (marketing data, sales, claims , access etc.) to use in building models to answer key business ... leadership programs, mentorship connections, and networking opportunitiesEmployee resource groups, service and recognition programs, and meaningful opportunities to connect,… more
- Insmed Incorporated (NJ)
- …with global markets beneficial)Experience with secondary data [e.g., APLD medical claims data, audited TRx data (IQVIA or Symphony Health), and epidemiology ... leadership programs, mentorship connections, and networking opportunitiesEmployee resource groups, service and recognition programs, and meaningful opportunities to connect,… more
- AC Pro (Fontana, CA)
- …all properties. Partner with HR, Safety, and Operations on worker's compensation claims and return-to-work programs. Promote company values of kindness and customer ... service among night staff Manage schedules, associate evaluations, attendance,...the military Career Advancement and Development Opportunities. Years of Service (YOS): We value and appreciate everyone's hard work… more
- Interior, Bureau of Indian Affairs (Portland, OR)
- …casework services to assist with processing applications, reviewing referrals, service requests, interviewing applicants, assessing client's needs and the needs ... and assets. Provide technical interpretation and guidance of the Bureau's Social Service Program and IIM accounts. Initiate and/or cooperate with other agency… more
