- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Claims Review Representative 3 makes appropriate claim decision based on ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3...and state and federal legislation. The Claims Review Representative 3 performs advanced… more
- Highmark Health (Oklahoma City, OK)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- USAA (Oklahoma City, OK)
- …to field provider method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members ... the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to...maintenance of insurance adjuster license within 90 days and 3 attempts. **What sets you apart:** + 5+ years… more
- Prime Therapeutics (Oklahoma City, OK)
- …partnerships with various levels of leadership within the organization, acting as a representative of the broader Reporting and Analytics team + Coach and provide ... of work experience in data analysis and reporting + 3 years of SQL experience + Must be eligible...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- CACI International (Oklahoma City, OK)
- …purchase and/or shipment of goods, materials, and services. **Responsibilities:** + Review requisition, solicit/evaluate bid, recommend and select supplier for award ... and reasonable prices. + Negotiate with suppliers and settles damage claims , rejections, losses, return of materials, over-shipments, cancellations, and engineering… more