- CVS Health (Oklahoma City, OK)
- …+ Distributes work assignment daily to junior staff. + Trains and mentors claim benefit specialists. + Makes outbound calls to obtain required information ... handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication… more
- CVS Health (Oklahoma City, OK)
- …Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
- Prime Therapeutics (Oklahoma City, OK)
- …+ MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned. + ... drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description**...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Zurich NA (Oklahoma City, OK)
- Sr. TPA Specialist , Complex Claims 125068 Zurich Insurance is currently looking for a Sr TPA Specialist . This position will oversee complex Liability ... Specialist analyzes highly complex coverage situations, evaluates high exposure claims , seeks/grants authority, assigns/explains reserves to senior management… more
- Highmark Health (Oklahoma City, OK)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Zurich NA (Oklahoma City, OK)
- Senior Property Risk Account Engineer 124598 Zurich Resilience Solutions' Risk Engineering, loss-control and consulting services help businesses of all sizes build ... them manage and mitigate risk, improve safety and reduce claims and associated costs. These services add an important...Zurich Resilience Solutions' Property South Team is seeking a Senior Property Risk Account Engineer with large property highly… more
- Zurich NA (Oklahoma City, OK)
- …125444 Zurich North America is currently looking to fill an opening for a Senior Vice President for our Large Contract Surety Underwriting Team. Seeking a candidate ... approach to business relationships and oversight on strategic underwriting practices. The Senior VP is responsible for: + Developing processes and reviewing policies… more