- Fujifilm (Harrisburg, PA)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Sedgwick (Harrisburg, PA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Travelers Insurance Company (Wyomissing, PA)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- UPMC (Pittsburgh, PA)
- …of excellence to which all work is to conform. The expertise of the Authorization Specialist Senior shall include an in depth working knowledge in the area of ... notifications, edits, denials, across service areas or business units. The Authorization Specialist Senior shall demonstrate the philosophy and core values of… more
- Insight Global (Norristown, PA)
- Job Description Insight Global is looking for a Claims Specialist to join a third party workers compensation organization. The Claims Specialist manages ... standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due;… more
- Guardian Life (Bethlehem, PA)
- …Overview:** We are seeking a highly skilled and proactive **Data Management Operations Specialist ** to join our Data Management team in the insurance industry. This ... governance and quality. This is a unique opportunity to work closely with senior leadership and contribute to the evolution of data management within a fast-paced… more
- Highmark Health (Harrisburg, PA)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Geisinger (Danville, PA)
- …billing in regards to precertification or coding changes that need to occur for claim resolution. + Responsible for timely completion of the ABN process to ensure ... and members and the Geisinger family We offer healthcare benefits for full time and part time positions from...dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of… more
- United Therapeutics (Harrisburg, PA)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
- Highmark Health (Harrisburg, PA)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Robert Half Finance & Accounting (Pittsburgh, PA)
- …policies and procedures, preparing and maintaining Employee Handbook + Performing benefit administration to include claims resolution, invoice approval, and ... analyze results and implement related initiatives. + Coordinate with Credentialing Specialist for clinical staff hiring and retention of personnel and licensure… more
- Medtronic (PA)
- …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