- Sedgwick (Shreveport, LA)
- …(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 (Baton Rouge, LA)
- **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 (Baton Rouge, LA)
- …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
- Prime Therapeutics (Baton Rouge, LA)
- …our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior Treasury Claim Analyst is ... for providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs.… more
- Evolent (Baton Rouge, LA)
- …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
- Otsuka America Pharmaceutical Inc. (Baton Rouge, LA)
- Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical well-being. ... This Role** Help Us Transform the Way Mental Health Care is Delivered Are you passionate about reshaping how...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Travelers Insurance Company (Baton Rouge, LA)
- **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
- Prime Therapeutics (Baton Rouge, LA)
- …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 (New Iberia, LA)
- …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 (Baton Rouge, LA)
- **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
- Walmart (Shreveport, LA)
- …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 (Baton Rouge, LA)
- …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 (Alexandria, LA)
- …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 (Baton Rouge, LA)
- …appropriately 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
- Highmark Health (Baton Rouge, LA)
- …is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The incumbent ... services and charges; will monitor internal referrals from sources such as claims , customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert… more
- Humana (Baton Rouge, LA)
- …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
- Walmart (Winnfield, LA)
- …mentoring of associates assigning duties settingclear expectations providing associate recognition communicating expectations consistently and effectively ensuring ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Walmart (Donaldsonville, LA)
- …facility level training and execution of asset protection safety functions and claims and receiving procedures by reviewing the application of policies procedures ... training needs and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Humana (Baton Rouge, LA)
- …into allegations of fraud, waste, and abuse involving providers who submit claims to Humana's Louisiana Medicaid line of business. The Investigators conduct ... interviews, write investigative reports, analyze medical records and billed claims data, as well as collaborate with Humana's Program Integrity partners. As a Fraud… more
- Humana (Baton Rouge, LA)
- …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