- CVS Health (Lansing, MI)
- …clients and the stop loss administrators. Reviews and manages stop loss claim filings. Resolves discrepancies between the amount requested and the amount reimbursed ... carrier. Required Qualifications * 1+ years of experience in claims processing background preferred * 1+ years of experience...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- Sedgwick (Lansing, MI)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- Prime Therapeutics (Lansing, MI)
- …our passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist ... promote client and member satisfaction + Serve as the escalation point for Claims Specialist ; provide guidance and mentoring to ensure team member's knowledge… more
- Lincoln Financial Group (Lansing, MI)
- …73278 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... administering, processing, and adjudicating Accident, Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training to develop… more
- Randstad US (Howell, MI)
- …Insurance offers a collaborative environment that fosters development and growth. As an claims resolution specialist , you will play a vital role in Hanover's ... development within the organization. Responsibilities: + Trainee is responsible for performing claim processing and payment functions on non-complex claims for… more
- Robert Half Office Team (Lansing, MI)
- …We are offering a contract to hire employment opportunity for a Compensation & Benefits Specialist . This role is based in Lansing, Michigan, and involves ... managing and administering employee compensation and benefits . The specialist will also play a...using HRMS and About Time software * Understanding of Benefit Functions and Claim Administration * Experience… more
- Sedgwick (Lansing, MI)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- Prime Therapeutics (Lansing, MI)
- …drives every decision we make. **Job Posting Title** Lead Rebate Billing Specialist **Job Description Summary** Oversee daily operations as outlined by management. ... to assure proper follow up is completed to expedite claims and ensure proper payment. **Job Description** + Lead...by 8% depending on applicant location. To review our Benefits , Incentives and Additional Compensation, visit our Benefits… more
- Sevita (Lansing, MI)
- …a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company's commitment to serve others by ... sending claims to the payer in a timely and accurate...information from different sources Why Join Us? + Full compensation/ benefits package for employees working 30+ hours/week + 401(k)… more
- Walgreens (Grand Ledge, MI)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Eaton Corporation (Lansing, MI)
- …Sector division is currently seeking a SAP Analyst - Plant Maintenance / After Market Specialist . This role can sit anywhere in the United States must be 50 miles ... * iMRO (Maintenance, Repair, and Overhaul). * ACS (Advanced Claims Systems) Warranty tool, Cognitus. * Debugging code and...accepted by this phone number. We know that good benefit programs are important to employees and their families.… more
- Sedgwick (Lansing, MI)
- …Loved Workplace(R) Forbes Best-in-State Employer Provider Network Negotiation Specialist **PRIMARY PURPOSE** **:** To negotiate fee-for-service ancillary contracts ... a healthcare management environment including provider contracting, servicing and benefit interpretation preferred. Two (2) years supervisory experience preferred.… more
- Zurich NA (Lansing, MI)
- Product Specialist I 114106 Zurich North America is currently looking for a Product Specialists to join our Casualty Product Development Team based out of our North ... and endorsement drafting, leading reviews with Corporate Law and Claims Legal, and managing the filing process and Departments...filings within scope of underwriting Basic Qualifications - Product Specialist I + JD and 6 or more years… more
- Sutherland Global Services (Lansing, MI)
- …sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or ... Communicating with insurance plans and researching health plans for benefits and types of coverage + Reviewing contracts and...PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language… more
- HNTB (East Lansing, MI)
- …and databases + Consults with the project team or client/owner related to potential claims , claims avoidance, and claims support. + Prepares reports and ... design build, public private partnership) **Additional Information** Click here for benefits information: HNTB Total Rewards Click here to learn more about… more
- Sedgwick (Lansing, MI)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer DRP Auto QA Specialist - Estimating Experience Required **PRIMARY PURPOSE:** To assess, promote and ... range of starting pay for this role is ($44,000 - $62,000). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k… more
- Intermountain Health (Lansing, MI)
- …(including controlled substance DEA certification), current malpractice coverage and claims history. Queries the National Practitioner Database. 4. Prepares ... which is why we provide our caregivers a generous benefits package that covers a wide range of programs...secure, connected, and engaged. Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based… more