- Lincoln Financial (Raleigh, NC)
- …**Requisition #:** 74647 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... coaching and development to perform in this fast-paced environment. As a Claims Customer Care Associate , you will be responsible for answering claimants… more
- Sedgwick (Raleigh, NC)
- …(CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management (CPHRM) preferred. ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Professional Liability (A&E, D&O, EPL) Will focus...to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and… more
- Carrington (Raleigh, NC)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation on ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Carrington (Raleigh, NC)
- …processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines ... and changing priorities. **What you'll need:** + High School diploma required; Associate /Bachelor Degree in accounting or other related field preferred. + Two (2)… more
- Chiesi (Cary, NC)
- …adult populations), RARE (treatment for patients with rare and ultra-rare diseases) and CARE (products and services that support special care and consumer-facing ... Every one of us is Chiesi." Who we are looking for Purpose The Associate Director, Real World Evidence is a scientific role will collaborate with and support… more
- Evolent (Raleigh, NC)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both… more
- Travelers Insurance Company (Raleigh, NC)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- University of North Carolina- Chapel Hill (Chapel Hill, NC)
- …health care delivery science. * Prior experience analyzing administrative health care data (EHRs, health insurance claims , or cancer registry data). * ... especially around the time of diagnosis, and uncovering drivers of cancer care disparities across populations defined by race, ethnicity, income, and geography. This… more
- Prime Therapeutics (Raleigh, NC)
- …our passion and drives every decision we make. **Job Posting Title** Associate Health Informatics Analyst **Job Description** Design, document, develop and roll out ... **Responsibilities** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out… more
- Walgreens (Raleigh, NC)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Cherry Bekaert (Raleigh, NC)
- **Description** **Summary of Responsibilities:** The Senior Associate will work closely with the Cherry Bekaert FAO (Finance & Accounting Outsourcing) team, ... our clients in the insurance, service and related industries. The Sr. Associate will also assist in an administrative project management capacity, spearheading… more
- GRAIL (Durham, NC)
- …to adopt innovative, safe, and effective technologies that can transform cancer care . We are a healthcare company, pioneering new technologies to advance early ... and healthcare companies. For more information, please visit grail.com . The Associate Director will proficiently lead the Prior Authorization, Billing Data Entry,… more
- Walmart (Durham, NC)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Highmark Health (Raleigh, NC)
- …opportunities aligned to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes and quality of care received, and optimal ... member/patient and provider experiences with care delivery. A key responsibility is developing methodologies to identify impactable cohorts for cost savings… more
- Walmart (Durham, NC)
- …thinking You will make an impact by: * Ensuring high-quality products are taken care of and available for our members * Ensuring shelves are clean, maintaining ... area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up,… more
- Walmart (Raleigh, NC)
- …merchandising; and completing required documentation. Tracks and processes claims by returning damaged goods; handling liquidation merchandise; maintaining ... company-paid life insurance **-Paid time off benefits** include PTO, parental leave, family care leave, bereavement, jury duty, and voting. You will also receive PTO… more
- Humana (Raleigh, NC)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- UNC Health Care (Raleigh, NC)
- …: Responsible for physician relations and activities at UNC Health Care . **Responsibilities** : Physician Relations: Serve as a relationship manager, ambassador, ... execute physician outreach that supports strategic growth, clinical integration, and care access. Collaborate with physicians, service line, and hospital leadership… more
- Humana (Raleigh, NC)
- …this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor partners, with a focus ... and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- …Specialty Medicine products at different stages of development for a global health- care market. The specific duties assigned to the Director, Global Clinical ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director and 6-9...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more