- Humana (Olympia, WA)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Olympia, WA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Ryder System (Olympia, WA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- University of Washington (Seattle, WA)
- … Specialist (Patient Account Representative 2).** This position is responsible for claims review , clearing claim edits, and timely and accurate submission of ... and/or confer with payers by phone. + Process claim attachments and secondary claims . + Review and identify corrected claims to ensure that all necessary… more
- Cardinal Health (Olympia, WA)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Highmark Health (Olympia, WA)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Olympia, WA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Highmark Health (Olympia, WA)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- Otsuka America Pharmaceutical Inc. (Olympia, WA)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- CVS Health (Olympia, WA)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Otsuka America Pharmaceutical Inc. (Olympia, WA)
- …to support product development and regulatory submissions. + Author and review INDs, NDAs, and other regulatory submissions, ensuring accuracy, completeness, and ... wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- University of Washington (Seattle, WA)
- …to the limit of delegated authority. + Establish a system for dispute resolution; review and respond to delay claims ; develop proposed solutions to solve ... Program Manager, the Construction Manager (Healthcare) serves as the University's representative in managing the construction and closeout phase of healthcare… more
- Highmark Health (Olympia, WA)
- …and report improper coordination of benefit billing practices through paid clams review . + Participate as pharmacy representative in onsite member appeals ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more
- PeaceHealth (Vancouver, WA)
- …clinical risk management risk investigations and response to events, potential claims , and grievances presented against caregivers, physicians and the organization ... for potential or actual liability and damages. Collaborating with Claims , collects documents and evidence and maintains work product in accordance with state legal… more
- Target (Lacey, WA)
- …balance proactive protection and real-time mitigation of risks. Our team, including Claims , Insurance, Finance, and Safety allows for a well-rounded approach to ... site safety program. Follow structured routines around data analysis, trend review , Leader Standard Work, hazard assessments and leadership communication. Ensure all… more
- Banfield Pet Hospital (Vancouver, WA)
- …Treatment. + Serve as field point of contact for all EEOC Charges, claims and investigations related to those charges, Labor relations, Ombudsman for appropriate ... hand off and next steps. + Leads AR Case Review calls with P&O Business Partners to ensure consistency,...physical demands and work environment characteristics described here are representative of those that must be met by an… more
- Ryder System (Olympia, WA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** The ... years or more experience in employment law. + Experience managing employment claims raised with federal and/or state administrative agencies. **SKILLS & ATTRIBUTES**… more
- Intertek (Ferndale, WA)
- …record kept for the purpose, and record a unique identifier. + Review client instructions and identify potential problems regarding operations, conflict of interest, ... closed jobs for purposes of billing, volume reconciliation, and claims handling. + Maintain a working geographic awareness of...customers, visit customers and jobsites, and be a positive representative of the Branch and of the Company. +… more
- Allied Universal (Spokane, WA)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... and timely workload management to meet assignment time completion. + Review and verify credentials, including education, training, licensure, and certification, for… more
- Cushman & Wakefield (Seattle, WA)
- …Performance Report, and other reports and documentation, as required * Prepare, review , and give initial approval and as needed all budgets, financial reports ... that tenants and vendors comply with insurance requirements and coordinate all claims , as required KEY COMPETENCIES 1. Communication Proficiency (oral and written)… more