- Staffing Now (Tampa, FL)
- …guidelines * Authorize claim payments within established limits; otherwise forward to Claims Manager * Potentially process refunds appeals, disputes and ... to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that all claims... claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and… more
- Spectraforce Technologies Inc (Columbia, SC)
- Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Duration: 3 months assignment(Contract to hire) Shift MONDAY-FRIDAY, 7:30 AM-4PM ONSITE ... and determining primacy for members based on COB guidelines, and processing claims . Candidate does not need customer service/phones experience. Candidates will need… more
- Mindlance (Atlanta, GA)
- Job Title: Claims Examiner - Workers Compensation Location: Remote Job Length: 3 Months (Possibility of extension) Manager 's Note: . Alaska work comp license or ... adjuster's license. Job Overview: Analyze complex or technically difficult workers' compensation claims to determine benefits due. Work with high-exposure claims … more
- Mindlance (Columbia, SC)
- Job Title: Claims Customer Service Advocate Job Location: Columbia, SC Zip Code: 29201 Top 3/5 Skills: . Customer Service . Inbound/outbound call . Data Entry . ... Claims processing Job Responsibilities Responsible for responding to customer...and guidelines and refers these to a lead or manager for resolution. Identifies and reports potential fraud and… more
- Fidelity TalentSource LLC (Westlake, TX)
- …Role The Claims Reconciliations Representative will report to the Senior Manager of the Complex Reconciliations Team. The Representative role will be responsible ... Claims Reconciliation Representative Fidelity TalentSource is your destination...at Fidelity Investments. We are currently sourcing for a Claims Reconciliation Representative to work in Westlake, TX! The… more
- Creative Financial Staffing (Pittsburgh, PA)
- …HR responsibilities include tracking sick and vacation time and workers' compensation claims Preferred Experience for the Accounting Manager : Previous Payroll, ... ACCOUNTING OFFICE MANAGER CFS is managing a high-priority search to...is managing a high-priority search to identify an Accounting/Office Manager for a family-owned business. ABOUT THE COMPANY AND… more
- Penhall Company Inc. (Seattle, WA)
- …to mechanical problems.Monitor equipment and tool warranty programs to insure warranty claims are forwarded to Asset Manager for processingAssist in maintaining ... maintenance schedules and records on all company equipment and tools.Assist Maintenance Manager in the repair and fabrication of equipment by performing basic to… more
- Aequor (Austin, TX)
- …during project execution Work with Project Manager and Project Controls Manager to resolve valid contractor disputes, claims and/or change orders Experience ... for signature, and store for compliance. Ideal Capital Projects Sourcing Manager candidate: 5 years hands-on capital construction experience in procurement and… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …Certification reimbursement Open PTO policy Join us! WHO WE ARE HIRING: PROJECT MANAGER - PMP - Remote POSITION DESCRIPTION: HHS Technology Group is excited about ... expanding and adding an Agile Project Manager to our Professional Services team. This key member...managing projects of similar size and scope in MMIS ( claims , provider, or TPL). 2+ years of hands-on experience… more
- BioAgilytix (Durham, NC)
- …life-saving therapeutics to the patients who need them.We're seeking an experienced Manager of Employee Relations to join us at our Durham location, which ... both our hub for nearly 600 talented employees and our global headquarters. The Manager of Employee Relations will play a pivotal part in fostering a positive work… more
- Insmed Incorporated (Bridgewater, NJ)
- …Workplaces in New York™, and Best Workplaces for Millennials™ lists.OverviewThe Senior Manager , Commercial Analytics, Respiratory will be a key member of the ... skills with SQLAbility to understand different data sets (marketing data, sales, claims , access etc.) to utilize in building models to answer key business… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …and contract compliance. Relationships This individual contributor role reports to the Sr. Manager of Business Assurance and works closely with various teams in PCOR ... relevant experience; at least 3 years in pharmacy or medical claims , formulary analysis, contract analysis, rebate administration, or utilization management controls… more
- MAHLE, Inc (Farmington Hills, MI)
- …Provide input to the preparation of obsolescence claims and negotiate the claims with the customer.Coordinate with the Program Manager , determine what, when ... and how to notify customer in the event of a milestone that is going to be missed, or a test failure occurred, etc. and then be part of the communication loop.Provide customer market intelligence to MAHLE and act as focal point to determine how best to respond… more
- Blanchard Valley Health System (Findlay, OH)
- …support the Legal, Risk Management, and Corporate Compliance Department. The Risk Manager is responsible for planning and directing the Risk Management program from ... (FMEA) etc.) Duty 4: Designs, implements, and maintains programs to reduce claims and incidents, and associated liability. Duty 5: Offers risk educational… more
- OSI Group (Riverside, CA)
- …the company's policies, practices, benefits, and values.Respond to employee and manager requests for assistance on issues relating to policy interpretation, employee ... for supporting documentation and represent company at hearings for unemployment claims .Works closely with the corporate training specialist to support corporate and… more
- Sunbelt Rentals, Inc. (Atlanta, GA)
- …peopleSunbelt Rentals--the fastest growing rental business in North America--is seeking a Service Manager . As a Service Manager , you will manage the servicing of ... equipment service records* Create, update, close and bill work orders* File warranty claims in a timely fashion* Commission New Equipment* Order parts, return parts,… more
- Multi-Color Corporation (Scottsburg, IN)
- …opportunities to increase inventory turns and minimize waste.Process and track supplier claims for material quality issues to ensure timely closure of claims ... .Analyze changing trends in material pricing and availability and recommend necessary action to ensure a continued flow of materials to meet production requirements and identify cost reductions while meeting quality standards. Implement cost saving initiatives… more
- TMC Transportation (Gaston, SC)
- …Employee Ownership - ESOP! TMC Transportation has an immediate opening for a Safety Manager out of our office in Gaston, SC. PRIMARY FUNCTION: The Safety Manager ... accident fault. When TMC driver is determined to be at fault Safety Manager will determine driver's financial liability and seek reimbursement to cover damages.… more
- MCKINLEY COMPANIES (Orlando, FL)
- McKinley is looking for a motivated and energetic Risk Manager to join our team located in Orlando, Florida! Compensation: $70K-$100K Salary + Quarterly Bonus ... seeking a self-motivated and detail-oriented individual to join our team as a Risk Manager . Reporting directly to the VP of Risk Management & Insurance, this role… more
- Creative Financial Staffing (San Juan, PR)
- The Finance Manager team provides timely and accurate financial and management information, reporting solutions, and operational support to maintain the high ... accounts payable, disbursement payments, credit card and merchant facilities, employee claims , and credit control. Ensure effective cash management by forecasting… more
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