- AUROBINDO (Durham, NC)
- …resumes, conducting phone screens, and interviewing.Assist with benefits administration including medical , dental, vision, COBRA and 401(k), health and welfare open ... (FMLA, STD, etc.), Visas and Immigration (H1B, L1, etc.), Workers Compensation claims , Unemployment Claims , etc.Committee member for all employee activities… more
- Eisai, Inc (Indianapolis, IN)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... place.Collaborate with regional leaders and cross-functional teams (eg, Market Access, Medical , HEOR, Marketing) to understand and address account needs through… more
- Eisai, Inc (Phoenix, AZ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... oral markets with approved indications, helping targeted customers, such as Medical Oncologists, Hematologists, Endocrinologists, and nurses, etc. learn about the… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... pharmaceutical laws and industry guidelines including the Anti-Kickback Statute, False Claims Act, federal and state pricing-related laws and regulations, PhRMA Code… more
- City of New York (New York, NY)
- …on the claim submission and, issuing verification letters to claimants and medical providers; 2) Review and disallow claims for improper service or for ... are made; 5) Send delay or verification letter to medical providers as per the required rules prior to...to gather information relevant to the investigation of the claim ; 13) Investigate, identify, and report fraudulent claims… more
- City of New York (New York, NY)
- …and settle claims within delegated monetary authority level; 8) Review medical providers and law firms to ensure all entities are in Financial Management ... available sources to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims , utilize statistical… more
- Travelers Insurance Company (Irvine, CA)
- …time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical ... is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical...possible outcome. Work in collaboration with specialty resources (ie medical and legal) to proactively pursue claim … more
- City of Portland (Portland, OR)
- …the City in settlement negotiations, including restitution, arbitration, or small claims hearings. + Experience managing electronic claim records using ... have one or more of the following: + Senior Claim Law Associate (SCLA) or Associate in Claims...package, including but not limited to + Health Care ( Medical , Vision and Dental) + Carrot Fertility + Wellness… more
- Travelers Insurance Company (Reading, PA)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… more
- Travelers Insurance Company (Richardson, TX)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- Travelers Insurance Company (Walnut Creek, CA)
- …for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim ... if a claim is compensable under Workers Compensation including evaluating claims for potential fraud. + Achieve a positive result by returning an injured… more
- CVS Health (Franklin, TN)
- …+ Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. + Documents claim information in the ... timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and… more
- Samsung SDS America (Plano, TX)
- …related to logistics claims handling and support continuous improvements to minimize claim recurrence. + Identify trends and root causes of claims through ... top-level third-party logistics company. The Innovation Operation Manager & Claims is responsible for leading process improvement initiatives and logistics-related… more
- Axis (Chicago, IL)
- …for candidates taking part in the selection process. AXIS is seeking a Senior Claim Director, Specialty Complex Claims to join our North America Claims ... America Claims teams regarding coverage issues, coverage disputes and claim handling issues, time limited demands, emerging issues, including strategic direction… more
- CVS Health (Springfield, IL)
- …team(s). Directs workflow to ensure the efficient and accurate processing of medical claims by establishing and monitoring productivity and quality metrics, ... claim processing. Advises team members in resolving complex or escalated claims issues by providing guidance on claim handling procedures, policy… more
- Sedgwick (Charlotte, NC)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - Liability Are you looking for an...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Black & Veatch (Overland Park, KS)
- …corporate claim management processes and procedures. + Manages contract claims and risk issues related to prime agreements and/or subcontract agreements. + ... agreements prior to commitment and provides advice on potential claim issues. + Manages project specific claims ...of health care benefits including but not limited to medical , dental and vision insurances along with disability and… more
- Travelers Insurance Company (Tampa, FL)
- …mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and ... multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files,...records, and reviews medical bills,… more
- CVS Health (Franklin, TN)
- …team(s). Directs work flow to ensure the efficient and accurate processing of medical claims by establishing and monitoring productivity and quality metrics, ... + Advises team members in resolving complex or escalated claims issues by providing guidance on claim ...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- Robert Half Legal (York, PA)
- …clients in navigating complex issues. * Oversee and manage a team of Insurance Claim Managers to ensure effective handling of claims processes. * Provide expert ... with account teams and major insurance carriers to facilitate prompt and effective claim resolutions. * Address intricate insurance claims challenges with a… more
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