- WEL Companies (De Pere, WI)
- …Job Shift 1st Shift Job Category Safety Description POSITION SUMMARY As a Claims Representative , you'll be interacting with WEL departments, drivers, insurance ... information and comments, as well as actions taken. Review claims by approving or disapproving customers claims ....Review claims by approving or disapproving customers claims . Review insurance invoices for accuracy. Investigate when damage… more
- Conduent (WI)
- …given during training and based on business need. **About the Call Center Representative role:** Claims inquires or debit card denials. Questions regarding ... culture where individuality is noticed and valued every day. **Remote Call Center Representative ** Our call center associates are members of a supportive team. Your… more
- Essentia Health (Superior, WI)
- …assigned Required Qualifications: + 1 year experience as a pharmacy technician, medical assistant, claims representative in a managed care role or in a coding ... Qualifications: + 2 years' experience as a pharmacy technician, medical assistant, claims representative in a managed care role or in a coding role… more
- Essentia Health (Superior, WI)
- …Preferred Qualifications: + 2 years' experience as a pharmacy technician, medical assistant, claims representative in a managed care role or in a coding ... role + Licensed/Certified in field of experience (CPhT, CMA, etc.) + Associate degree or higher preferred + Leadership Experience Employee Benefits at Essentia Health: At Essentia Health, we're committed to supporting your well-being, growth, and work-life… more
- Artera (Madison, WI)
- Claims Specialist Summary Title: Claims Specialist ID:1773 Location:Madison, WI Department:Legal More about this job > Description JOB PURPOSE: Manage all ... claims while under the general supervision of the ...to 20 pounds. The physical demands described here are representative of those that must be met by an… more
- Travelers Insurance Company (Brookfield, WI)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer ... statements. + Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or… more
- Cardinal Health (Madison, WI)
- …things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- SSM Health (Fond Du Lac, WI)
- …or more of the following: processing insurance payments, following up on denied claims , and resolving credit balances. May work in multiple functional areas. **Job ... component of a patient's obligation using the third party claims processing and payment rules. Bills claims appropriately. + Follows up on denied claims … more
- ManpowerGroup (Milwaukee, WI)
- …manufacturer of work truck attachments and equipment is seeking a Technical Service Representative to join their team. As a Technical Service Representative , you ... will align successfully in the organization. **Job Title: Technical Service Representative ** **Location: Milwaukee, WI** **Pay Range: $50k to $77K** **What's the… more
- Humana (Madison, WI)
- …of our caring community and help us put health first** The Appeals Representative 4 - IRT (Internal Review Team) Investigates and resolves member and practitioner ... to determine if an appeal or further request is warranted. The Appeals Representative 4 IRT (Internal Review Team) + Review documents + Building cases +… more
- Packing Corp of America (Eau Claire, WI)
- …responsibility. People * Customers * Trust Position Summary: Human Resources Representative is responsible for providing administrative and human resource support to ... containerboard and corrugated packaging in the United States. The Human Resources Representative provides full employment cycle support to multiple plants with a… more
- Molina Healthcare (Milwaukee, WI)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes...3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+… more
- Molina Healthcare (WI)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working… more
- Graybar (Milwaukee, WI)
- Make a difference. As a Customer Service Representative , you will serve as a key contact and liaison for customers to ensure their total satisfaction. You will ... including order entry, pricing, expediting, billing, order maintenance, credit and claims **Skills & Requirements** + Strong communication skills + Ability to… more
- Graybar (Milwaukee, WI)
- Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
- Generac Power Systems (Waukesha, WI)
- …company, we continue to push new boundaries. The Technical Service Representative I - Electromechanical is responsible for providing technical assistance and ... dealer technicians how to navigate Generac's warranty systems and submit claims electronically **Minimum Job Requirements** + Associates degree or equivalent… more
- Highmark Health (Madison, WI)
- …August 2016. + Experience in Provider Data Management, Customer Services or Claims . + Microsoft office experience (ie Word, Excel, PowerPoint, etc.) **Preferred** + ... File systems. + Experience with the Customer Service inquiry system or claims processing concepts. **Knowledge, Skills and Abilities** + Good written and verbal… more
- Molina Healthcare (WI)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- US Bank (Brookfield, WI)
- …maintenance such as signer revisions, process special handling requests, intake fraud claims , onboard new relationships to the bank, and facilitate the opening and ... closing of accounts and related services. Perform monetary transactions such as book transfers, cashier's check issuance, manual wire transfers, stop payments, loan payments, advances, fee refunds and adjustments. Provide depository support such as adjustment… more
- Molina Healthcare (Kenosha, WI)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
