- Sedgwick (Lansing, MI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** ... : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Sedgwick (Lansing, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY ... PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury … more
- Sedgwick (Detroit, MI)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr . (Repair Solutions) **PRIMARY PURPOSE:** To review all estimates ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your… more
- LG Energy Solution (Holland, MI)
- …such items as physicians' reports on employee health, workers' compensation insurance claims , medical restrictions on employee work, and the policies and ... Summary The Occupational Health Nurse is responsible for the prevention, recognition , and treatment of on-the-job illness and injuries. This position requires… more
- University of Michigan (Ann Arbor, MI)
- …Title** Research Area Specialist Senior /Intermediate **Job Title** Research Area Specialist Sr **Work Location** Ann Arbor Campus Ann Arbor, MI **Modes ... Research Area Specialist Senior /Intermediate Apply Now **Job Summary**...and participate in data collection and verification involving electronic medical record, and survey data for internal and for… more
- Corewell Health (Farmington Hills, MI)
- …- 4 times per year. Join our team at Corewell Health as an RN Clinical Risk Specialist Senior and play a pivotal role in shaping the future of healthcare quality ... of patient related injuries and manage the resolution of pre-notice claims . Essential Functions + Reviews and provides recommendations regarding the development… more
- Stryker (Portage, MI)
- Stryker is hiring a ** Senior ** **Staff Clinical Evaluation Specialist ,** this position is **Remote** , supporting our **Instruments Division** . Preference will ... in the Eastern and Central locations of the United States. As a Senior Staff Clinical Evaluation Specialist , you will work closely with cross-functional… more
- Molina Healthcare (Grand Rapids, MI)
- …complaints from Molina members, providers and related outside agencies. + Research claims appeals and grievances using support systems to determine appeal and ... grievance outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business… more
- Molina Healthcare (Traverse City, MI)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
- LG Energy Solution (Holland, MI)
- …such items as physicians' reports on employee health, workers' compensation insurance claims , medical restrictions on employee work, and the policies and ... The Occupational Health Nurse is responsible for the prevention, recognition , and treatment of on-the-job illness and injuries. This...duties as assigned by the EHS Team or Nurse Sr . Specialist Qualifications: + Bachelor of Science… more
- Highmark Health (Lansing, MI)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Medtronic (MI)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more