- Sedgwick (Baton Rouge, LA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... Lead **PRIMARY PURPOSE** : To act as an intermediary between clients and auto claims team; handle and track any escalations appropriately, lead and educate in client… more
- 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 Household ... motivated **Assistant** **Cl** **aims Manager** to assist in all aspects of claims management, to support and promote process improvement methodologies and best… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4534112) Apply Property Claims Manager ... baccalaureate degree plus four years of professional level experience in insurance claims adjusting, nursing, allied heath fields, construction management, or as a… more
- Sedgwick (Baton Rouge, LA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Liability **PRIMARY PURPOSE** : To analyze complex or ... technically difficult general liability claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Baton Rouge, LA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... surety and surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Baton Rouge, LA)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- Carrington (Baton Rouge, LA)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims...and requirements that resulted in the loss. + Keep Supervisor informed of all trends and problems including, but… more
- Prime Therapeutics (Baton Rouge, LA)
- …passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist Senior role ... This position will serve as an escalation resource and mentor for Claims Specialists. **Responsibilities** + Leverage strong understanding of claims processing… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- ORS SUPERVISOR Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4547354) Apply ORS SUPERVISOR Salary $3,649.00 - $7,157.00 Monthly ... Central + Description + Benefits + Questions Supplemental Information ORS Supervisor Office of Unemployment Insurance Division: Tax Operations Location: East Baton… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Law Unit of the DOTD Legal Section. Under the oversight of an Attorney Supervisor , Attorney 4, and other senior attorneys, this position is responsible for providing ... representing the department in negotiation, mediation, or litigation in connection with claims for damages suffered by the department, disputes relating to the… more
- Mathematica (Baton Rouge, LA)
- …predictions with a large multiyear sample of Medicare beneficiaries with detailed claims data about millions of people. Mathematica's team reached the second round ... involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Walmart (Donaldsonville, LA)
- …Manages facility-level training and execution of asset protection, safety, and claims and receiving procedures by reviewing the application of policies, procedures, ... training needs. Develops and delivers training as needed. Manages claims and receiving operations by ensuring proper policies and...of college. Option 2: 1 year's experience as a supervisor in a multi-department environment. Option 3: 1 year's… more
- Mathematica (Baton Rouge, LA)
- …large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide decision-making about ... and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and Medicare or Medicaid...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …new and existing, complex reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as well ... Must be able to create and maintain required databases as determined by supervisor . + A strong understanding of physician charge practices and billing methodologies… more
- Mathematica (Baton Rouge, LA)
- …and maintaining clinical quality measures, supporting states with implementing all-payer claims databases, alternative payment models, or tools to support analytics, ... policy issues. * Familiarity with Medicare or Medicaid enrollment, claims , financial, or program data is preferred. * Excellent...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …to share and connect with your coworkers **POSITION PURPOSE** Resolves benefit and claims inquiries via the telephone from our members or providers in the call ... This role does not manage people + This role reports to this job: SUPERVISOR , CUSTOMER SERVICE + Necessary Contacts: Enrollment & Billing, Claims , Provider… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …This role does not manage people + This role reports to this job: SUPERVISOR , ENROLLMENT & BILLING + Necessary Contacts: In order to effectively fulfill this ... position, the incumbent must be in contact with:Accounting, Actuarial, BET, Claims , Compliance, Customer Service, Finance, Legal, Sales and Marketing, Underwriting,… more
- Advantage Solutions (Baton Rouge, LA)
- …geographic area to maximize revenue and profit and lowering workman's compensation claims by enforcing a safe work environment + Additional responsibilities as ... assigned by one's supervisor or other manager related to the position/department **Supervisory...Job duties include additional responsibilities as assigned by one's supervisor or other manager related to the position/department. This… more
- UNUM (Baton Rouge, LA)
- …and responses as needed and related to network operations + Manages the Supervisor over Provider Onboarding and Credentialing and the team that manages the provider ... improvement in the provider onboarding, credentialing and re-credentialing process, claims and network data specialist workflows, and overall provider experience.… more
- Humana (Baton Rouge, LA)
- …years or more years of equivalent work experience in Grievance and Appeals, Claims , Authorizations, CMS, Provider Disputes and/or healthcare industry + 1 or more ... insights/findings to Senior Leadership + 2 or more years of leadership ( Supervisor , Manager or above) experience + Strong knowledge of Medicare and Medicaid… more