- Public Risk Innovation Solutions and Management (Folsom, CA)
- …to participate in the governance of our JPA. The Workers' Compensation Specialist / Senior Workers' Compensation Specialist is responsible for managing ... catastrophic claims (future medical and possibly indemnity claims at the Specialist level) along with...a liaison role with TPAs and members, conducting on-going field audits as well as online audits of TPAs… more
- Axis Capital (New York, NY)
- …for candidates taking part in the selection process. Job Description AXIS is seeking a Senior Claims Specialist - Environmental Claims to join our ... as well as reporting and presenting about same to senior management In-depth knowledge of claims , litigation,...a plus. Technical knowledge, skills, and training within the field to include: Complex coverage analysis and experience required… more
- Chubb (Englewood, CO)
- Job Description Senior Claim Specialist The ideal candidate will be located in Denver, Colorado. This is a fully remote position (Colorado). Manage claims ... Must have a minimum of 3 years handling property claims in a field environment, conducting inspections, developing scope, addressing coverage, and writing… more
- Molina Healthcare (Long Beach, CA)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
- Eisai, Inc (Phoenix, AZ)
- …difference. If this is your profile, we want to hear from you. The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals through ... products within an assigned territory in a compliant and appropriate manner. The Senior Oncology Sales Specialist represents and promotes assigned brand(s) in… more
- Yamhill County, OR (Mcminnville, OR)
- … field or three years' experience at a level equivalent to a senior office specialist are required. Any satisfactory equivalent combination of experience and ... Yamhill County has one regular, full-time position for a Crime Victims Specialist to perform complex, highly responsible, and specialized support duties involving… more
- Trinity Health (Rensselaer, NY)
- Employment Type: Full time Shift: Day Shift Description: Clinical Quality Specialist - On-site/Rensselaer - FT/DAY Under the direction of the Director of Quality, ... coordinates and implements performance analysis and reporting for Senior Leadership, Clinicians and Administrators in support of Quality Improvement Initiatives.… more
- Highmark Health (Buffalo, NY)
- …the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide ... gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports,… more
- Hastings Mutual Insurance Company (Toledo, OH)
- …and origin, and water mitigation desired. Preferred Industry Designations: Associate in Claims (AIC) Senior Claim Law Associate (SCLA) or Chartered Property ... Insurance is looking for a Property Claim Representative to join its Field Property Claim team! The Property Claim Representative will investigate, evaluate, and… more
- Banner Health (Phoenix, AZ)
- …Ptnt Rel Work Shift: Day Job Category: Risk, Quality and Safety The Senior Director, Clinical Risk Management & Patient Relations will provide strategic and ... to the clinical risk management team and patient relations team. The Senior Director, Clinical Risk Management and Patient Relations has oversight for Clinical… more
- Swinerton Incorporated (Concord, CA)
- …control (integrity and excellence of completed project) *Support estimating staff (bid item specialist ) *Avoid or mitigate claims and conflict *Complete all job ... *Engineering, Construction Management or Architectural degree or equivalent experience * Field construction management experience (8-10 years, including supervisory skills)… more
- Axis (Princeton, NJ)
- …for candidates taking part in the selection process. AXIS is seeking a **_Senior Claims Specialist - Financial Institutions - Claims_** to join our North America ... as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,...plus. + Technical knowledge, skills, and training within the field to include: + Complex coverage analysis and experience… more
- Axis (New York, NY)
- …variety of loss scenarios as well as reporting and presenting about same to senior management + In-depth knowledge of claims , litigation, arbitration, and trial ... AXIS is seeking a _Claims Specialist_ _-_ _Excess_ _Claims_ to join our North America Claims team and will report to the Claims Manager. Under limited direction,… more
- Gilead Sciences, Inc. (Chicago, IL)
- …will improve the lives of patients with life-threatening illnesses worldwide. As a Senior Field Activation Specialist within Gilead's HIV Prevention team, ... (Prevention Specialists, Community Liaisons, Market Access, Medical Scientists, and other field team members) to ensure a seamless customer experience through… more
- City of Jacksonville (Jacksonville, FL)
- Workers' Compensation Specialist Senior Print (https://www.governmentjobs.com/careers/jacksonvillefl/jobs/newprint/4971840) Apply Workers' Compensation ... Specialist Senior Salary $58,703.40 Annually Location Jacksonville, FL Job Type...surgical fee schedule. + Responds to audits and manages field investigations of workers' compensation claims . +… more
- Axis (Short Hills, NJ)
- …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Environmental Claims_** to join our North America ... as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,...plus. + Technical knowledge, skills, and training within the field to include: + Complex coverage analysis and experience… more
- Axis (New York, NY)
- …available upon request for candidates taking part in the selection process. AXIS is seeking a Senior Claims Specialist - Cyber, Media and Crime Claims to ... as well as reporting and presenting about same to senior management * In-depth knowledge of claims ,...plus. * Technical knowledge, skills, and training within the field to include: Complex coverage analysis and experience required… more
- Corewell Health (Farmington Hills, MI)
- …- 4 times per year. Join our team at Corewell Health as an RN Clinical Risk Specialist Senior and play a pivotal role in shaping the future of healthcare quality ... from an approved institution + Experience in the legal field such as with health care claims and health care risk management programs, patient safety, patient… more
- Stryker (Portage, MI)
- Stryker is hiring a ** Senior ** **Staff Clinical Evaluation Specialist ,** this position is **Remote** , supporting our **Instruments Division** . Preference will ... in the Eastern and Central locations of the United States. As a Senior Staff Clinical Evaluation Specialist , you will work closely with cross-functional… more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the ** Senior Revenue Cycle Specialist ** will act as an operational leader ... limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new...Number:** 2501997 **Official Job Title:** : TH Patient Accounting Specialist **Job Field ** : Finance **Primary Location**… more
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