- Percepta (Melbourne, FL)
- …Competitive Make dealerships and independent repair facilities regarding extended service contract coverage and provides claims adjudication per contract ... Automotive Claims RepresentativeAt Percepta, we bring first-class service across...and provides appropriate levels of authorization in an efficient professional manner * Receive inbound calls from contract… more
- MultiPlan (Atlanta, GA)
- …responding to questions regarding interpretation and reimbursement of facility and physician claims per their contract . Escalate issues that could jeopardize ... by interpreting our client's needs and tailoring innovative healthcare cost management solutions. Our commitment to diversity, inclusion and belonging are part… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …degree, seven (7) years of experience is expected. Active PMI Project Management Professional (PMP) Certification and/or PMI-ACP, or CSM, or equivalent. ... products and services to our clients and the market. Technical and Professional Requirements: 7+ years of Project Management experience delivering business… more
- Dexian - DISYS (Baltimore, MD)
- …of audits of financial business records, provider and subscriber medical data, claims , systems reports, medical records, analysis of contract documents, ... Investigations Unit (SIU) InvestigatorLocation: Owings Mills MD (Hybrid)Job Type: 6 months Contract - Possible extension Job Description: Job Duties: The role of the… more
- Creative Financial Staffing (Grand Rapids, MI)
- …supervise all phases of accurate billing of primary, secondary, and tertiary claims to Medicare, Medicaid, Commercial, Work Comp, Automotive, and all others, within ... insurance timely filing limits. Includes billing initial claims , corrected claims , and canceled claims using electronic and paper submission. Responsible to… more
- Butler Aerospace and Defense (Grand Prairie, TX)
- HR AssistantLocation: Grand Prairie, Tx Duration: 3 Month Contract Job ID: #69182 Pay Range: $10-13Please send resume krea @ butler . com This position is an entry ... an office environment. * Respond to ad hoc unemployment claims on behalf of the Company * Respond to...follow rigid rules for document handling and confidentiality * Professional communication skills * Ability to consistently follow standard… more
- Hired by Matrix (Greer, SC)
- …duties such as budget planning, budget steering, invoice processing, and claims management . Aligns receivables/payables with internal and external process ... for Accounts payable posting as needed. Prepares month end reports for management including metrics. Performs month-end entries. Performs other duties as assigned by… more
- MCKINLEY COMPANIES (Orlando, FL)
- …issuance of insurance certificates and invoices to servicers.Support the incident and claims management processes.Assist in incident management and ... to join our team as a Risk Manager. Reporting directly to the VP of Risk Management & Insurance, this role will play a pivotal part in supporting various risk … more
- Bering Straits Native Corporation (Jamestown, ND)
- Overview Visit our website at www.beringstraits.com to apply! SUMMARY Paragon Professional Services, LLC, a subsidiary of Bering Straits Native Corporation is ... Control Representative for US Army Corp or Engineers (USACE), Construction Management Services at Pipestem Dan, Jamestown North Dakota. Candidate will be… more
- Segal (Chicago, IL)
- …client projects and service delivery initiatives (eg, proposals, audits, negotiations, contract reviews, etc.) as needed.| Design and deliver creative pharmacy ... the effectiveness of PBM and Healthcare company cost and utilization management programs and clinical services.Qualifications:| Minimum of 9 years of experience… more
- Segal (Chicago, IL)
- …Tier 1 is the budgeting and rate setting team; Tier 2 manages RFP's, contract reviews, and other non-retainer services; and the Retiree Health team focuses on ... projections; * pricing of benefit changes for health coverages; * analyzing claims costs; * supporting consultants with presentations of financial data to clients;… more
- Schaeffler Group (Wooster, OH)
- …other status protected by applicable law. Keywords: strongertogether; Finance; Job Type: Professional Job Family: Finance Contract Type: Not Applicable Schedule: ... production plant Preparation of the Plant Manager and Plant Management for the Operations Reviews Monthly Reporting Budget vs....entity tasks with plant related impacts (eg Accruals, warranty claims , IC billing of project cost, evaluation of other… more
- Jacobs (Reston, VA)
- …while delivering global solutions to our client's local programs. As a Contract Management Professional , you'll administer construction and other ... applicable experience including contract administration and/or subcontract administration, claims management and drafting / reviewing contract related… more
- Zurich NA (Columbus, OH)
- Senior Claims Professional , Surety 109934 In this role, you will manage a caseload of moderate to high complexity Surety claims from start through settlement ... experience in the Legal area that includes construction and/or contract surety legal claims issuesAND + JD...skills + Ability to multi-task + Organization and time management skills + Ability to work independently + Experience… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …degree plus four years of professional level experience in insurance claims adjusting, nursing, allied heath fields, construction management , or as a ... high profile claims , providing updates to upper management * Ensure the TPA complies with contract...TPA * Assists the Administrator in the development of professional growth and/or improvement plans for unit personnel, and… more
- Axis (Alpharetta, GA)
- …holistic and consistent contract management process, and developing productivity management and tracking for TPA claims & Programs business + Driving ... & Programs Claims_** **_Shared Services Lead_** to join our TPA, Litigation and Vendor Management Services North America Claims team. As a direct report to the… more
- Access Dubuque (Dubuque, IA)
- … claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of claims management processes and procedures for multiple product lines + ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes management reports and… more
- Sedgwick (Roseville, CA)
- …for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes management reports and ... takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract...by client. + Maintains contact with the client on claims and promotes a professional client relationship;… more
- Sedgwick (Columbus, OH)
- … claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of claims management processes and procedures for multiple product lines + ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes management reports and… more
- Sedgwick (Roseville, CA)
- … claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of claims management processes and procedures for multiple product lines + ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes management reports and… more
