- EY (Austin, TX)
- …working world for all.Location: Austin.The opportunityEY's Insurance and Federal Claims Services practice specializes in assisting policyholders to prepare, present, ... and resolve complex insurance claims resulting from events like fires, floods, hurricanes, tornadoes,...team offers a unique combination of accountants with prior claims experience, former insurance adjusters with engineering backgrounds, former… more
- Staffing Now (Tampa, FL)
- …guidelines * Authorize claim payments within established limits; otherwise forward to Claims Manager * Potentially process refunds appeals, disputes and ... to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that all claims... claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and… more
- Aequor (Austin, TX)
- …during project execution Work with Project Manager and Project Controls Manager to resolve valid contractor disputes, claims and/or change orders Experience ... for signature, and store for compliance. Ideal Capital Projects Sourcing Manager candidate: 5 years hands-on capital construction experience in procurement and… more
- BioAgilytix (Durham, NC)
- We're seeking an experienced Manager of Employee Relations to join us at our Durham location, which serves as both our hub for nearly 600 talented employees and our ... global headquarters. The Manager of Employee Relations will play a pivotal part...entities, including but not limited to workers compensation, unemployment claims , verification of employment, etc. Assists with the development,… more
- Option Care Health (Dublin, OH)
- …financial assistance program).Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where ... missing).Assist Patient Registration Supervisor and Manager with special assignments as needed. Supervisory ResponsibilitiesDoes this position have supervisory… more
- Insmed Incorporated (Bridgewater, NJ)
- …Workplaces in New York™, and Best Workplaces for Millennials™ lists.OverviewThe Senior Manager , Commercial Analytics, Respiratory will be a key member of the ... skills with SQLAbility to understand different data sets (marketing data, sales, claims , access etc.) to utilize in building models to answer key business… more
- Spectraforce Technologies Inc (Columbia, SC)
- Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Duration: 3 months assignment(Contract to hire) Shift MONDAY-FRIDAY, 7:30 AM-4PM ONSITE ... and determining primacy for members based on COB guidelines, and processing claims . Candidate does not need customer service/phones experience. Candidates will need… more
- Mindlance (Atlanta, GA)
- Job Title: Claims Examiner - Workers Compensation Location: Remote Job Length: 3 Months (Possibility of extension) Manager 's Note: . Alaska work comp license or ... adjuster's license. Job Overview: Analyze complex or technically difficult workers' compensation claims to determine benefits due. Work with high-exposure claims … more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Role:Job SummaryPrimarily responsible for the investigation and management of workers' compensation claims . Conducts a 1 to 3-point contact on the managed claims ... the facts of the case or the claim type; determines compensability of claims , manages the medical treatment program, and assists in the return-to-work process. This… more
- Colorado Housing and Finance Authority (CO)
- …advanced to the sub-servicer for loans in loss mitigation, which includes partial claims and foreclosure claims . Monitor receipt of all loan modification ... there are any issues. This individual reports to the Manager of Servicing and Post Closing. essential functions *...funds advanced to sub-servicer as it relates to partial claims and loan modifications. * Monitors the portfolio of… more
- Fidelity TalentSource LLC (Westlake, TX)
- …Role The Claims Reconciliations Representative will report to the Senior Manager of the Complex Reconciliations Team. The Representative role will be responsible ... Claims Reconciliation Representative Fidelity TalentSource is your destination...at Fidelity Investments. We are currently sourcing for a Claims Reconciliation Representative to work in Westlake, TX! The… more
- Everglades Equipment Group (Largo, FL)
- Department: Parts & Service Reports to: Aftermarket Manager or Lead person Supervises: None Location: Purpose: Responsible for selling, receiving, and delivery of ... parts, attachments and accessories. Assist the Aftermarket Manager in maintain accurate, timely reports, work orders and records relative to the parts and service… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …Integrated Product Development Plans, Target Product Profiles and Target Product Claims , and presentation of product development plans and budget to internal ... processes.Providing proactively regular strategic and tactical status updates to their manager and governance on progress, risks, opportunities and challenges, and… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …Accountability team in alignment with theses and the NN WAY: Direct manager of individuals on the Government Accountability Team Physical Requirements 10-20% ... functional knowledge and understanding of the Anti-kickback Statute, the False Claims Act, FDA rules and regulations regarding the promotion of pharmaceuticals,… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …Maintains awareness of potentially compensable events and refers to the Patient Safety Manager and the NGHS claims staff in a timely manner.Conducts ... Tasks and ResponsibilitiesUnder the supervision of the of Patient Safety Manager , conducts risk management, patient safety, and privacy/compliance (when authorized)… more
- TMC Transportation (Gaston, SC)
- …Employee Ownership - ESOP! TMC Transportation has an immediate opening for a Safety Manager out of our office in Gaston, SC. PRIMARY FUNCTION: The Safety Manager ... accident fault. When TMC driver is determined to be at fault Safety Manager will determine driver's financial liability and seek reimbursement to cover damages.… more
- Sunbelt Rentals, Inc. (Radcliff, KY)
- …peopleSunbelt Rentals--the fastest growing rental business in North America--is seeking a Service Manager . As a Service Manager , you will manage the servicing of ... equipment service records* Create, update, close and bill work orders* File warranty claims in a timely fashion* Commission New Equipment* Order parts, return parts,… more
- EDI Staffing (Long Beach, CA)
- …Support the centralization of information for using OnBase for content management Support claims in load processes and procedures Lead all Encounter and EDI related ... with SQL Server 2012 Experience with Transactional Systems, specifically X12 Claims , Eligibility and Authorization transactions EZCAP and EZEDI experience preferred… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …Certification reimbursement Open PTO policy Join us! WHO WE ARE HIRING: PROJECT MANAGER - PMP - Remote POSITION DESCRIPTION: HHS Technology Group is excited about ... expanding and adding an Agile Project Manager to our Professional Services team. This key member...of Medicaid, MMIS, Decision Support Systems (DSS), eligibility/enrollment systems, claims process or related experience with a state agency… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …reimbursement Open PTO policy Join us! WHO WE ARE HIRING: PROJECT MANAGER (PMP CERTIFIED) POSITION DESCRIPTION: HHS Technology Group is excited about expanding ... and adding a Project Manager to our Professional Services team. This key member...of State government experience in Medicaid, MMIS, eligibility/enrollment systems, claims process or related experience Proven track record of… more
