- Premier Administrative Solutions (Clearwater, FL)
- Overview Health Insurance Medical Claims Examiner (Initial Training On Site - 90 days - Remote position after training in FL) Must live within a reasonable ... Summary: The Medical Claims Examiner adjudicates medical claims based on health policy provisions and... Examiner adjudicates medical claims based on health policy provisions and established guidelines. Essential Duties and… more
- Formation Bio (New York, NY)
- …join the Data Platform team at Formation Bio to help transform Electronic Health Records (EHR) data into structured, analytics-ready assets. In this role, you'll be ... and understanding of modalities found within EHR datasets incl. Billing claims , lab results, visit notes, images Experience in biomedical feature engineering,… more
- Trinity Health (Livonia, MI)
- Employment Type: Full time Shift: Description: Claims Analyst Location: Trinity Health PACE Corp Michigan, Livonia, MI Status: Full time Shift: 730 am to 4 pm or ... experience preferred. Experience with Medicare reimbursement rules and CMS-1500 & UB-04 claims preferred. Previous experience with PACE Health Plan Operation,… more
- AUROBINDO (Durham, NC)
- …with benefits administration including medical, dental, vision, COBRA and 401(k), health and welfare open enrollment, and wellness program initiatives.Assist with ... etc.), Visas and Immigration (H1B, L1, etc.), Workers Compensation claims , Unemployment Claims , etc.Committee member for all...- where applicable FSA (Flexible Spending Accounts) - Both Health Care & Dependent Care Available HSA ( Health… more
- TRP Infrastructures (Fort Worth, TX)
- …keeping. Problem-solving and decision-making skills. Experience in risk management and claims processing. Benefits * Health Insurance *Dental Insurance *Vision ... Workers' Compensation and Liability Specialist you will manage and process the claims related to workplace injuries and accidents, ensuring compliance with relevant… more
- Eisai, Inc (Indianapolis, IN)
- …healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking ... to hear from you. The Area Business Leader (ABL) will engage with assigned health systems for Eisai's oncology portfolio and manage a team of sales professionals.… more
- Mary Free Bed Rehabilitation Hospital (Grand Rapids, MI)
- …Job Qualifications *Prior experience in health navigation *Experience with health insurance claims management Physical Requirements for Essential Job ... Health Navigator -RN Health Navigator RN Summary The Health Navigator helps our members move through the healthcare system through educating members and… more
- Michael Page (Skokie, IL)
- …Review: Oversee the review and approval of product labels, marketing materials, and health claims to ensure compliance with legal and regulatory requirements. ... foods. Committed to science, quality, and consumer trust, they create advanced health and wellness products that meet top industry standards and anticipate market… more
- Gallagher (Downers Grove, IL)
- …Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to ... role is eligible for fully remote work. How you'll make an impact Apply claims management experience to execute decision-making to analyze claims exposure, plan… more
- Chubb (Southfield, MI)
- …to a brighter future for employees everywhere! We are seeking a skilled Senior Claims Representative to enhance our team. Reporting to the Claims Team Leader, ... you will play a vital role in investigating and managing claims promptly and equitably, in line with established best practices. Key Responsibilities: Conduct… more
- Cynet Systems (Baltimore, MD)
- …functions. Education Level: High School Diploma. Experience: 3 years experience in health care claims /service areas or office support. Preferred Qualifications: ... which may include benefit verification, authorization creation and management, claims inquiries and case documentation. 35% Reviews authorization requests for… more
- Curative HR LLC (Monrovia, CA)
- Claims Negotiation Specialists are needed to combat rising healthcare costs and empower health plans! Until recently, surprise medical bills were a leading cause ... instead prescribing a system of negotiation and arbitration that health plans and providers must follow to resolve billing...and providers must follow to resolve billing disputes. The Claims Negotiation Specialists primary goal will be to maximize… more
- Sedgwick (Brea, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation, Claims Examiner | Hybrid - Brea, CA Are you looking for an opportunity ... best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing… more
- Eisai, Inc (Nutley, NJ)
- …healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking ... pharmaceutical laws and industry guidelines including the Anti-Kickback Statute, False Claims Act, federal and state pricing-related laws and regulations, PhRMA Code… more
- Eisai, Inc (Phoenix, AZ)
- …healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- EssilorLuxottica (Mason, OH)
- …industry. Discover more by following us on LinkedIn. GENERAL FUNCTION The Sr Analyst, Claims Testing is responsible for the complete claims validation for client ... testing. The Sr Analyst with be the liaison to Claims Testing Manager, Director Claims & Payments...complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various… more
- Sedgwick (Marlton, NJ)
- …in Financial Services & Insurance Industry Advancement Program | Workers Compensation Claims Representative Trainee | Marlton, NJ Are you looking for an impactful ... trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. ARE YOU AN IDEAL CANDIDATE? We are seeking… more
- Corvel (Norristown, PA)
- The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while ... adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance,… more
- FBL Financial Group (West Des Moines, IA)
- Catastrophe Claims Representative Inside Are you looking for an exciting career where you can directly impact someone's life? We are seeking a service-minded ... individual to join our Catastrophe (CAT) Claims team! Who We Are: With Farm Bureau Financial...We offer an enhanced 401K with a match, low-cost health , dental, and vision benefits, and life and disability… more
- Alexander Shunnarah Trial Attorneys (Boston, MA)
- …litigation. If you're passionate about client advocacy and have experience as a Claims Adjuster or Personal Injury Case Manager/Legal Assistant, this role is perfect ... flowing. What You Need At least two years of bodily-injury insurance claims -adjusting experience handling full liability evaluation and settlement authority of fifty… more
