- 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… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for all aspects regarding ... Configuration and Membership and Billing to resolve provider inquiries as defined within Claims Operations procedures. The Claims Representative is required… more
- Texas Veterans Commission (Midland, TX)
- …Financial Operations* **Organization:** **TEXAS VETERANS COMMISSION* **Title:** *TVC - Claims Benefit Advisor (Veterans Services Representative I)* **Location:** ... assisting veterans and eligible persons with the Department of Veterans Affairs claims process. Work involves collaboration with external partners to include the… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking a*RCM Representative Senior*to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely ... Knowledge of applicable federal and state regulations **Title:** *RCM Representative Senior, Third-Party Claims -HB&PB* **Location:** *MN-Minneapolis-Downtown Campus*… more
- Robert Half Accountemps (East Hartford, CT)
- …in East Hartford, CT? Our client is seeking a detail-oriented and organized Medical Claims Representative to join their team on a contract basis. This is ... in compliance with established guidelines. Ensure proper coding and documentation for claims processing. Verify patient eligibility for insurance benefits and… more
- Elevance Health (Boston, MA)
- ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... hours of 7 am - 6 pm EST. The ** Claims Representative I** is responsible for successfully...purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position… more
- Marriott (Bethesda, MD)
- …Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** The Claims Representative is responsible for the administration and disposition of ... medical only (MO) workers compensation (WC) claims . Caseload will be exclusively WC claims ...wellness benefits. Benefits may be subject to generally applicable eligibility , waiting period, contribution, and other requirements and conditions.… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Nights Claims Intake Representative **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell ... (Required) **Work Experience:** Clerical/Administrative **Job Opening ID:** 00596384 Nights Claims Intake Representative (Open) **_"This job description has… more
- Zurich NA (Austin, TX)
- Inbound, Claims Call Center Representative 126049 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's ... and self-motivated Customer Care Professionals to join our dedicated Claims Call Center team in (enter month and date)....position is {enter range here}, with short-term incentive bonus eligibility set at {STIP%}. Job Family: The combined salary… more
- CRC Insurance Services, Inc. (NY)
- … claims appropriately. 6. Analyze claim coverage with insurance carriers to ensure claims are paid accurately. 7. Assess eligibility status of denied ... of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison… more
- Muckleshoot Indian Tribe (Auburn, WA)
- …is responsible for assuming dual responsibility for processing routine and complex health claims as well as providing customer service for assigned accounts and for ... assuming primary responsibility for processing routine complex health claims on multiple assigned accounts. Acts as a resource for client's/community members and… more
- CRC Insurance Services, Inc. (FL)
- …of America) **Please review the following job description:** A Complex Claims Manager - Environmental is responsible for investigating, evaluating, and resolving ... insurance claims related to environmental damage, as well as ...management. **EDUCATION AND EXPERIENCE** The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable… more
- Salt Lake County (Salt Lake City, UT)
- …JOB SUMMARY Manages workers' compensation, auto, and general liability claims from receipt through settlement or litigation including: investigations, determination ... Four (4) years of experience investigating, negotiating, and adjusting claims and claim settlements; of which two (2) years...The following duties and responsibilities are intended to be representative of the work performed by the incumbent(s) in… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …direction and oversight, the incumbent is responsible for managing and analyzing claims handling activities for Claims Examiners; ensuring compliance with legal ... activities may change from time to time. 1. Effectively manage assigned team of Claims Examiners and performance of same. 2. Review all new losses assigned to … more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Sr Claims Examiner **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part Time:** ... up to $50,000 (greater than $50,000 with manager approval/discretion). Manage claims made under our auto liability, general liability, worker's compensation, or… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Manager II, Claims **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part Time:** ... and guide team of salaried exempt examiners in the Claims Department. Act as face of the team to...the following benefits for full-time positions, subject to applicable eligibility requirements, as may be in effect from time… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs and monthly bordereau.… more
- Covenant Health (Lubbock, TX)
- …supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible for ensuring correct coding initiatives are met for ... and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 file formats) and completes… more
- The County of Los Angeles (Los Angeles, CA)
- CONSUMER AND BUSINESS AFFAIRS REPRESENTATIVE I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4580006) CONSUMER AND BUSINESS AFFAIRS ... REPRESENTATIVE I Salary $52,664.88 - $70,977.84 Annually Location Los...fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal… more
- Truist (Wilson, NC)
- …activities. QUALIFICATIONS Required Qualifications: The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable ... workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering… more
