- Prime Therapeutics (Columbus, OH)
- …**Responsibilities** + Leverage strong understanding of claims processing to provide research support for products; assist in resolution of business and ... our passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist … more
- State of Minnesota (Duluth, MN)
- **Working Title: Claims Manager** **Job Class: Compliance Services Officer Senior ** **Agency: Labor & Industry Dept** + **Job ID** : 77373 + **Location** : ... is responsible for managing a caseload of workers' compensation claims assigned to the SCF because the employer did...decisions and issues presented in case management activities. . Research and analytical skills to interpret and apply case… more
- American Family Insurance - Corporate (Madison, WI)
- …the test strategy and plan for complex projects. You will oversee the research on complex system issues and coordinate resolution . Evaluate business system ... automations + Annual security audit review + Incident and problem management resolution + Oversee requests for Enterprise Claims Center (ECC) administrative… more
- Architect of the Capitol (Washington, DC)
- …operation. Serves as technical expert for DI/DR on all Conciliation Program, Dispute Resolution (DR) and EEO-related issues, claims , contacts, etc. Oversees all ... is located in the Architect of the Capitol (AOC), Diversity, Inclusion and Dispute Resolution Office (DI/DR). The incumbent of the position is an attorney and the… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Bilfinger Industrial Services Inc. (The Woodlands, TX)
- Senior Legal Counsel - The Woodlands, TX The...Bilfinger North America Inc. and its subsidiaries in the resolution of any litigation, arbitration, or claims ... and prepare them for elevated roles. The Role The Senior Legal Counsel role will report directly to the...external counsel, consultants, and internal teams engaged in the resolution of any litigation, arbitration, or claims … more
- USAA (Columbus, OH)
- …territory: **Indianapolis/Ft Wayne, IN or Cincinnati/Columbus/Cleveland, OH** . As a Senior Field Property Insurance Adjuster, you will work within established ... evaluate, negotiate, and settle moderate to large loss complex property content insurance claims presented by or against our members. You will confirm and analyzes… more
- USAA (Washington, DC)
- …Come be a part of what makes us so special! As a dedicated Senior Property Adjuster, you will work within established guidelines and framework to investigate, ... evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyze coverage, recognize liability… more
- Baptist Memorial (Jackson, MS)
- …for the correction of primary/secondary rejected claims , the resubmission of rejected claims , along with resolution of all delinquent insurance claims on ... objective of this position is to ensure correct processing of all insurance claims of all hospitals. Able to interpret & implement specified insurance billing… more
- UTMB Health (Galveston, TX)
- …correspondence according to procedures * Identifies denials and underpayments for appeal * Reviews, research , and processes denied claims * Appeal claims as ... (Remote) Senior Patient Account Specialist - Revenue Cycle HB...be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional… more
- Henry Ford Health System (Troy, MI)
- …departments understand and meet contracted service agreements. + Coordinate problem resolution with Claims Processing, Business Configuration Team, Provider ... performance improvement initiatives (eg leakage avoidance) and member growth. The Senior Provider Contract Administrator (SPCA) will be responsible for supporting… more
- New York State Civil Service (Menands, NY)
- …Incumbent will be assigned to the Conciliation Bureau within the office of Issue Resolution . The Senior Attorney will be required to have extensive knowledge of ... NY HELP Yes Agency Workers' Compensation Board Title Senior Attorney/Assistant Attorney 1/2/3 (NY HELPS), WCB Item...When the Civil Service commission adopts the NY HELPS resolution , if a temporary NY HELPS employee is satisfactorily… more
- Ankura (Atlanta, GA)
- …and Access + Experience in damages and investigative work focused on contractual disputes, claims , and litigation + Ability to research , including the use of the ... Construction professionals are recognized as leading experts in providing construction dispute resolution and advisory services for some of the world's most complex… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Discover Your Career at Emory University** Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate ... the diversity and excellence of our academic community. **Description** The Senior EUSHIP (Emory Student Health Insurance Plan) Insurance Specialist will prioritize… more
- Ankura (Lexington, NY)
- …experience is highly preferred + Experience in investigative work focused on contractual claims and disputes + Ability to research , including the use of ... are recognized as leading experts in providing construction dispute resolution and advisory services for some of the world's...Ankura's Construction Disputes & Advisory practice is seeking a Senior Associate. As a Senior Associate in… more
- Crawford & Company (Skowhegan, ME)
- …to prioritize tasks and discern the essential from the non-essential. + Research and investigative abilities; negotiating, conflict resolution and persuasion ... for moderately complex to highly complex residential and commercial property claims by conducting thorough field investigations to evaluate damages and determine… more
- MTA (New York, NY)
- …required to provide advice and support to various departments in the defense and resolution of claims arising under various agreements. The incumbent is required ... Senior Associate Counsel-Leasing & Transactions Job ID: 7638...project initiatives, including document review and analysis and legal research and requiring the ability to understand advanced technical,… more
- PRGX (Bentonville, AR)
- …agreements, paperwork and electronic documents + Builds relationships with vendors + Provides senior level input/ research on claims challenged by client + ... Analyses and assesses problems regarding client's claims procedure and business operations based on appropriate audit...impact for client and the business Problem identification & Resolution + Takes a systematic and logical approach to… more
- Fairview Health Services (St. Paul, MN)
- …has a new work from home opportunity. We have an opportunity for a Senior Patient Financial Services (PFS) Representative to join our DME Billing Team! This position ... skills for dealing with customer, Self-pay/Collections de-escalations tactics, payment research Timely processing and follow-up of patient requests for payment… more
- VHC Health (Arlington, VA)
- Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This position is responsible for leading, coordinating, and supporting the ... of the Epic hospital billing module installation. Responsibilities include serving as the senior point of contact with clinical areas that are the primary users of… more