- CVS Health (Boston, MA)
- …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
- HCA Healthcare (Manchester, NH)
- …Time Away From Work Program (paid time off, paid family leave, long- and short -term disability coverage and leaves of absence) + Employee Health Assistance Fund that ... the risk manager to review and evaluate an applicant's claims history and National Practitioner Data Bank or other...process in accordance with the facility's fair hearing and appeals policy as well as legal and regulatory requirements.… more