- Zurich NA (Boise, ID)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- St. Luke's Health System (Boise, ID)
- …of colleagues, St. Luke's is truly a great place to work. **Overview:** The Senior Pharmacy Benefits Specialist assists our members in identifying and ... accurately process prior authorization requests for medications under the pharmacy benefits . + Facilitate resolutions to issues involving claims adjudication,… more
- Molina Healthcare (Boise, ID)
- …and timely validation and maintenance of critical provider information on all claims and provider databases (using SQL, Excel, and QNXT). Staff ensure adherence ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- CVS Health (Boise, ID)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication… more