- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …Integrity initiatives and projects. This role will act as the point of contact for claim related research. Serves as a claims subject matter expert (SME) and ... Acts as a claims subject matter expert (SME) and resource/support for claim edit and payment policy initiatives Conducts in-depth research on complex claim … more
- UnisLink (Phoenix, AZ)
- …part of a growing team with long-term career potential? UnisLink is hiring a Medical Claims Clerk to support our billing and operations teams. No prior medical ... will include: Acting as the primary resource for printing and mailing secondary claims and appeals for multiple clients. Handling unprinted claims and ensuring… more
- Ally (Trenton, NJ)
- …for a Field Adjuster that can appraise and/or adjust physical damage and mechanical claims within an assigned territory and key point or other assigned location for ... on insured and claimant vehicles. * Handle catastrophe losses as directed by claim management. * Initiate the total loss handling process for conclusion by the… more
- FM (Parsippany, NJ)
- …make a difference in the future - yours, your clients', and the company's? The Claims team within our New York Operations in Parsippany has a great opportunity ... solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research;...summer 2026! When you join FM as a Property Claims intern, you can bring your talents to life… more
- FM (Johnston, RI)
- …solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research; risk ... challenging roles. Underpinning FM's excellent client service is our Claims Group - with a dedicated team of over...hand with our clients to minimize disruption and restore operations . **Schedule & Location** This is a full-time, office-based… more
- Carrot (Des Moines, IA)
- …troubleshoot and resolve issues An innovative spirit to push the boundaries of claims operations Preferred Qualifications: Literacy in Spanish (to support the ... Bachelors Degree 1-3 years of relevant work experience including claims submission/processing experience Highly detail-oriented and organized Structured thinker and… more
- Mom's Meals (Ankeny, IA)
- …medical administrative assistance, or healthcare finance + Previous experience with electronic claims , such as electronic 835/837 claim and remit files, Zirmed, ... performing specified financial tasks in support of the day-to-day operations of the Billing/Revenue Cycle Department.We're looking for someone...drive collections, is a team player, and ensure every claim is handled with care and urgency. PTO and… more
- Eisai, Inc (Nutley, NJ)
- …is your profile, we want to hear from you. The Associate Director, Compliance Operations will be a key member of Eisai's US Ethics & Compliance team, responsible ... identify potential compliance risks or violations Partner with Commercial Operations , IT, and Finance to understand existing systems and...Drug, and Cosmetic Act - Anti-Kickback Statute - False Claims Act - OIG/DOJ Guidance - Federal and State… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …office. This role will support the execution of Premera's corporate wide claim payment accuracy strategy through conducting claim audits, identifying trends ... billing investigation. This role requires a deep understanding of medical claims adjudication, coding compliance, and regulatory guidelines. You will be responsible… more
- Mom's Meals (Ankeny, IA)
- …responsible for performing specified financial tasks in support of the day-to-day operations of the Billing/Revenue Cycle Department.We're looking for someone with a ... drive collections, is a team player, and ensure every claim is handled with care and urgency. PTO and...Validate accuracy of system posted A/R payments + Backup claims denial team as needed + Prepare and submit… more
- Towne Park (San Antonio, TX)
- …initiatives and Towne Park cultural perspectives are incorporated within the area's operations . The Senior Account Manager is responsible for escalating issues to ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls… more
- Tutor Perini (Sylmar, CA)
- …on experience. Tutor Perini Corporation is seeking a **Director of Finance Operations ** for our office in **Sylmar, CA** . **About Tutor Perini Corporation** ... **_Extraordinary Projects need Exceptional Talent_** **DESCRIPTION** The **Director of Finance Operations ** will report to the **Vice President of Finance … more
- ReturnPro (Miami, FL)
- …Category Transportation Description ReturnPro is seeking a Parcel Shipping Operations & Optimization Coordinator to drive efficiency, accuracy, and ... cost-effectiveness across our parcel shipping operations . This role plays a critical part in managing...logistics improvements, including label generation and reverse shipment handling. Claims & Exceptions Management Track and manage damage or… more
- Towne Park (Monterey, CA)
- …- 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and ... for use in a safe and efficient manner + Knowledge of Towne Park's claim check, ticketing and key box training, policies and procedures + Knowledge of Towne… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …CSS, CPMA) or equivalent. **Preferred Qualifications** + Knowledge of health plan operations and claim adjudication processes. + Experience with facility, ... Integrity office. This role is responsible for conducting pre-payment and post-payment claim audits to identify improper payments due to billing errors, coding… more
- Aveanna Healthcare (Brainerd, MN)
- …responsible for the administrative and leadership functions associated with all operations of an Aveanna branch. Additionally, this individual is responsible for ... regulations Oversight if internal billing and collection efforts to generate clean claim Aveanna Healthcare Offers: Quarterly bonus plan 401(k) with Company match… more
- Hyndman Area Health Center (Bedford, PA)
- …insurance Opportunity for advancement Paid time off Vision insurance Summary: The Operations Manager has various duties and responsibilities to guarantee HAHC is ... and state rules and regulations. Responsible for Risk Training and activities. The Operations Manager will act as the Organization's Risk Manager and comply with all… more
- Hawaiian Electric (Honolulu, HI)
- Engineer I / Engineer, Operations - Oahu Date:Oct 11, 2025 Location: Honolulu, Hawaii (HI), US, 96814 Company: hawaiianel We recognize our competitive advantage -- ... to fill at either the Engineer I or Engineer, Operations ; whichever level is most suited to the qualifications...or questions. Provides information to assist with investigations on claims . Performs field checks, as required. + Provides after-hour… more
- Valvoline Global (Cincinnati, OH)
- **Why Valvoline Global Operations ?** At **Valvoline Global Operations ** , we're proud to be **The Original Motor Oil** , but we've never rested on being first. ... introduced the world's first branded motor oil, staking our claim as a pioneer in the automotive and industrial...Driven** Valvoline has a rewarding opportunity as a **Manufacturing Operations Manager II** . We whole-heartedly adopt a 'never… more
- EV Realty (Los Angeles, CA)
- …backbone of the electrified supply chain, we'd love to meet you. The Role As Operations Manager you will manage EV Realty's site and charging operations to ... structured and thoughtful processes, coordinating cross functionally, to oversee all operations partners and third-party vendors. You will be responsible for the… more
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