• Estimate Review Specialist Sr

    Sedgwick (Jefferson City, MO)
    …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
    Sedgwick (04/24/25)
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  • Senior Life Science Claims

    Sedgwick (Jefferson City, MO)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... **:** To analyze complex claims specific to the product liability / life sciences...deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as… more
    Sedgwick (05/28/25)
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  • Senior Claims Benefit…

    CVS Health (Jefferson City, MO)
    …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
    CVS Health (06/04/25)
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  • Healthcare Claims Denials Specialist

    CenterWell (Jefferson City, MO)
    …+ High School Diploma or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare collection procedures and ... of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure… more
    CenterWell (04/18/25)
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  • Senior Corporate Compliance…

    Fujifilm (Jefferson City, MO)
    **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... + Keep abreast of new legislation and enforcement matters relevant to the medical device industry as well as industry and compliance best practices. + Perform… more
    Fujifilm (05/21/25)
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  • RCM Healthcare Claims Denials Manager

    CenterWell (Jefferson City, MO)
    …hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech -language pathologists, home health aides, and medical social ... Develop department tools and training programs, along with the Training Specialist , to encourage growth and development. Analyze/monitors their implementation. **Use… more
    CenterWell (04/10/25)
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  • Inpatient Coding Resolution Specialist

    HCA Healthcare (Belton, MO)
    …We care like family! Jump-start your career as an Inpatient Coding Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package that ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (06/04/25)
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  • Senior Medical Stop Loss Underwriter

    Highmark Health (Jefferson City, MO)
    …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
    Highmark Health (05/21/25)
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  • Senior Corporate Compliance Manager…

    United Therapeutics (Jefferson City, MO)
    …you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible ... team members, consultants and stakeholders + Manage Corporate Compliance Operations Specialist II, who is responsible for administration of compliance training and… more
    United Therapeutics (05/21/25)
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  • Associate Medical Stop Loss Underwriter

    Highmark Health (Jefferson City, MO)
    …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more
    Highmark Health (06/03/25)
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  • Principal Regional Field Educator, CAS

    Medtronic (MO)
    …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
    Medtronic (05/31/25)
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  • Supply Technician (Title 32)

    Army National Guard Units (Jefferson City, MO)
    …for reconciliation. Assists in the request, issue, and turn-in of medical supplies and equipment. Maintains hazardous materials handling and environmental safety ... individual occupies a compatible military position. Technicians will not be militarily senior to their full-time supervisor or wage leader (grade inversion). GENERAL… more
    Army National Guard Units (05/17/25)
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