- Humana (Tulsa, OK)
- …part of our caring community and help us put health first** The Senior Claims Research & Resolution Professional manages claims operations that ... settlements both for and against the organization. The Senior Claims Research & Resolution Professional work assignments involve moderately complex to… more
- Bank of America (Phoenix, AZ)
- Senior Claims Analyst (Commercial/Small Business Fraud Research & Decision) Phoenix, Arizona **Job Description:** At Bank of America, we are guided by a ... claims and escalations including in-depth analysis for fraud and non-fraud claims , handling complex decisions based on analytical research , established… more
- PPL Corporation (Louisville, KY)
- …documents, interviewing witnesses, and conducting research . + Negotiate appropriate resolution of claims with claimants, claimants' attorneys, or the ... documents, interviewing witnesses, and conducting research . + Negotiate appropriate resolution of claims with claimants, claimants' attorneys, or the… more
- Blue KC (Overland Park, KS)
- …adoption financial assistance** **Employee discount program** **Job Description Summary:** The Senior Workers' Compensation Claims Adjuster is responsible for ... and claims processes, reporting and regulatory requirements. + Excellent research and investigative skills. Ability to clearly express and synthesize case facts,… more
- Hartford HealthCare (Hartford, CT)
- …a clinical care organization, a regional home care system, an array of senior care services, a mobile neighborhood health program and a comprehensive physical ... Corporation ("HHC") manages and resolves all professional and general liability claims covered by HHC's subsidiary Hartford HealthCare Indemnity Services, Ltd.… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... resolving, assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- PruittHealth (Norcross, GA)
- …all Medicaid billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s)...billing and are skilled at problem solving and account resolution . They work well within a team and help… more
- USAA (Los Angeles, CA)
- …**experince** to join our Field Team in Los Angeles, CA. As a Senior Field Property Insurance Adjuster, you will work within established guidelines and framework ... evaluate, negotiate, and settle moderate to large loss complex property content insurance claims presented by or against our members. You will confirm and analyzes… more
- Axis (Red Bank, NJ)
- …upon request for candidates taking part in the selection process. The Senior Claim Operations Assistant, functions as a service liaison between brokers, insureds ... professional staff by providing necessary claim operational support to AXIS North America Claims . This role is a critical, foundational role that supports AXIS North… more
- Houston Methodist (Houston, TX)
- …EEOC charges, business practice complaints, and Texas Workforce Unemployment Claims . Identifies appropriate options for management/ senior leadership ... At Houston Methodist, the Senior Human Resources (HR) Generalist position is responsible for performing HR responsibilities at the subject matter expert level… more
- Henry Ford Health System (Grand Rapids, MI)
- …departments understand and meet contracted service agreements. + Coordinate problem resolution with Claims Processing, Business Configuration Team, Provider ... performance improvement initiatives (eg leakage avoidance) and member growth. The Senior Provider Contract Administrator (SPCA) will be responsible for supporting… more
- Ankura (Atlanta, GA)
- …and Access + Experience in damages and investigative work focused on contractual disputes, claims , and litigation + Ability to research , including the use of the ... Construction professionals are recognized as leading experts in providing construction dispute resolution and advisory services for some of the world's most complex… more
- Ankura (Lexington, NY)
- …experience is highly preferred + Experience in investigative work focused on contractual claims and disputes + Ability to research , including the use of ... are recognized as leading experts in providing construction dispute resolution and advisory services for some of the world's...Ankura's Construction Disputes & Advisory practice is seeking a Senior Associate. As a Senior Associate in… more
- Crawford & Company (Skowhegan, ME)
- …to prioritize tasks and discern the essential from the non-essential. + Research and investigative abilities; negotiating, conflict resolution and persuasion ... for moderately complex to highly complex residential and commercial property claims by conducting thorough field investigations to evaluate damages and determine… more
- PRGX (Bentonville, AR)
- …agreements, paperwork and electronic documents + Builds relationships with vendors + Provides senior level input/ research on claims challenged by client + ... Analyses and assesses problems regarding client's claims procedure and business operations based on appropriate audit...impact for client and the business Problem identification & Resolution + Takes a systematic and logical approach to… more
- Church & Dwight Co., Inc. (Princeton, NJ)
- …biggest impact because: Together We Have the Power to Win. Role Summary The Senior Research & Development Chemist will provide technical expertise and lead the ... will also be responsible for troubleshooting current, unstable formulas and providing a resolution . You will report to the Director of Product Development at Hero… more
- VHC Health (Arlington, VA)
- Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This position is responsible for leading, coordinating, and supporting the ... of the Epic hospital billing module installation. Responsibilities include serving as the senior point of contact with clinical areas that are the primary users of… more
- BAE Systems (Mclean, VA)
- …community, federal and civilian agencies, and troops deployed around the world. As Senior Counsel, you will ensure the business is in compliance with, and operates ... in its transactions while protecting the company against potential claims and litigation. You will be required to utilize...President and Chief Counsel, Intelligence & Security. As the Senior Counsel, you will: + Ensure that the business… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …and Network Coding Sr. Manager is responsible for leading the research development, proposal, implementation, and maintenance of BCBSMA's Corporate Payment ... stakeholders to assess organizational impact and develop recommendations to management for resolution . This role is eligible for our Flex persona. Your Day to… more
- Center For Health Information And Analysis (Boston, MA)
- …role in evidence-based decision-making. We are looking to hire a skilled Senior Database/ETL Test Engineer to work alongside our other talented test engineers ... using CHIA's bug tracking tool and assist in their resolution . Here are the important qualifications we are looking...querying LARGE volumes (terabytes) of health data, preferably medical claims , dental claims , pharmacy claims ,… more