- USAA (Phoenix, AZ)
- …and impactful. The Opportunity It is all about learning and growing. Our Customer Service Claims Representative role may be a new career for you. Theres a lot to ... Norterra Drive, Phoenix, AZ 85085) as a Customer Service Claims Representative. You will be part of an outstanding...contact service center, where you will focus on providing claims service to members regarding the initial contact on… more
- USAA (Phoenix, AZ)
- …what truly makes us special and impactful. The Opportunity As a dedicated Manager, Claims Operations, you will lead and be accountable for auto, and other claims ... employees understand how their work and contributions support the overall claims and Enterprise strategies. Proactively find opportunities to improve operational… more
- USAA (Phoenix, AZ)
- …and impactful. The Opportunity It is all about learning and growing. Our Associate Auto Claims Representative role may be a new career for you. Theres a lot to ... Phoenix office (1 Norterra Drive, Phoenix, AZ 85085) as a Customer Service Auto Claims representative. Your work will focus on adjusting non-injury auto claims … more
- AUROBINDO (Durham, NC)
- …(FMLA, STD, etc.), Visas and Immigration (H1B, L1, etc.), Workers Compensation claims , Unemployment Claims , etc.Committee member for all employee activities ... (holiday parties, picnics, etc.) and organizational announcements Qualifications - Skills & RequirementsExcellent verbal and written communication, interpersonal communication, conflict resolution ability, time management, negotiation. Must read, write, and… more
- Intercare Holdings Insurance Services, Inc. (Rocklin, CA)
- Job Type Full-time Description Summary: Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the ... Claims Supervisor. In accordance with applicable statutes and in...the case toward closure. Assure that all assigned indemnity claims have an up to date plan of action… more
- Formation Bio (New York, NY)
- …and understanding of modalities found within EHR datasets incl. Billing claims , lab results, visit notes, images Experience in biomedical feature engineering, ... eg variable transformations and derivatives You're fluent in SQL and Python, and you've built and maintained production-grade pipelines that support analytics, science, or operational workflows. You have hands-on expertise with modern data infrastructure,… more
- Eisai, Inc (Indianapolis, IN)
- …(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 ... transparency and disclosure laws).Experience networking, establishing, and maintaining strong business relationships across multidisciplinary matrix teams within Eisai.Sr. Area Business Leader- OncologyMinimum 5 years of sales management experience in a… more
- Molina Healthcare (Long Beach, CA)
- …Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts. Analyzes complex business problems and ... product meets the intended functional and operational requirements. Provide Level II claims support to internal teams and directly with providers as needed Monitor… more
- Progressive Casualty Insurance Company (Concord, CA)
- …Apply today and take the first step to Destination: Progress. As a claims adjuster specialist , you'll play a critical role managing attorney represented bodily ... injury (BI) claims . An ideal candidate will have experience managing an...independently and directly with attorneys to negotiate and settle claims . By joining our organization, you'll have the support… more
- CAPPS (Midland, TX)
- …assisting veterans and eligible persons with the Department of Veterans Affairs claims process. Work involves collaboration with external partners to include the ... rulings, and state law in the adjudication process. *Prepares and files claims and appeals with supporting evidence for successful adjudication. *Advises and assists… more
- Teva Pharmaceuticals (North Wales, PA)
- …to make a difference with. The opportunity Position Summary: The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, ... paid for historical outstanding utilization that is routinely submitted with Medicaid claims . Must have ability to work independently and make recommendation on… 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 of ... that health plans and providers must follow to resolve billing disputes. The Claims Negotiation Specialists primary goal will be to maximize cost savings through… more
- Eisai, Inc (Nutley, NJ)
- …pharmaceutical laws and industry guidelines including the Anti-Kickback Statute, False Claims Act, federal and state pricing-related laws and regulations, PhRMA Code ... and FDA regulatory guidelines.Serves as the legal representative for market access materials on promotional review committees.Proactively informs assigned business client of important legal, enforcement and other industry developments, including DOJ and OIG… more
- Eisai, Inc (Phoenix, AZ)
- …(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 ... transparency and disclosure laws) preferred.Demonstrated skills at building and maintaining professional relationships with key customers and others in the customer influence network, preferred.Experience in business analytics to understand and analyze… more
- Auto-Owners Insurance (Knoxville, TN)
- …Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims ... resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job requires mastery of claims… more
- Reserv (Atlanta, GA)
- …cutting-edge AI and automation technology to bring efficiency and simplicity to claims . Founded by insurtech veterans with deep experience in SaaS and digital ... claims , Reserv is venture-backed by Bain Capital and Altai...automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance… more
- Sedgwick (Roseville, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Roseville, CA **California workers compensation claims ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver...: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Kaiser Permanente (Anaheim, CA)
- …employers/carriers to obtain authorization for treatment or report status of claims . Review of records to identify potential billing opportunities and transfer ... Successfully passed a medical terminology test. Knowledge of Workers Compensation claims Processing. Cash handling experience. Ability to research, summarize and… more
- CB Consulting Group (Boston, MA)
- Job Description: CLAIMS MANAGER: Paralegals and Attorneys looking to get away from billable hour requirements - this job is for you! Third-party insurance company ... seeks Claims Manager to join their team in either Boston or Philadelphia. Ideal candidates are attorneys with 2 years of experience in civil litigation, OR… more
- Gallagher (Columbus, OH)
- …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 ... the proper course of action, and appropriately resolve claims Interact extensively with various parties involved in the...our clients exhibiting empathy through each step of the claims process Handle claims consistent with clients'… more
