- Lundbeck (Deerfield, IL)
- …of business, legal, regulatory and compliance issues, including FDA regulations, False Claims Act, Anti-Kickback Statute, OIG guidance, the PhRMA Code, the Sunshine ... agreements and certain medical affairs agreements. + Serves as legal representative on various business and operational committees. + Provides guidance and… more
- TEKsystems (Delavan, WI)
- About the Role: We are seeking a detail-oriented and customer-focused Claims Representative to join our team. This role is responsible for resolving claims ... with company interests, ensuring timely and accurate resolution of claims . Location: Delavan, Wisconsin, 53115 Hybrid (3 days onsite:...lunch) * Process credits, returns, and debits for customer claims in a timely manner (could be due to… more
- Molina Healthcare (Kenosha, WI)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- Molina Healthcare (Kenosha, WI)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... necessary information to providers, members and pharmacies. * Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. * Effectively communicates plan benefit information, including but not limited to: formulary… more
- Molina Healthcare (Kenosha, WI)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- Walworth County (Elkhorn, WI)
- …reimbursement from State and other agencies for DHHS services, managing the claims process to maximize reimbursement. Timely prepares all monthly, quarterly and ... annual fiscal reports/ claims for HHS federal and state funding. Participates in...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… more
- CDM Smith (Kenosha, WI)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...above. This pay range is a good faith estimate representative of all experience levels for this position based… more
- Utilities Service, LLC (Burlington, WI)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... methods, operation of equipment, etc. + Furnishes General Foreperson and utility representative with reports of orders completed, units of work completed, crew time,… more
- Custom Truck One Source (Union Grove, WI)
- …designs to reduce installation time, increase build quality and prevent future warranty claims . This position will also require the associate to review and help ... equipment is a plus. **PHYSICAL DEMANDS** + The physical demands described here are representative of those that must be met by an employee to successfully perform… more
- Acosta Group (Crystal Lake, IL)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
- ZF (Vernon Hills, IL)
- …to established ISO procedures. + Bill credits for returned goods that meet ISO Claims Policy. Bill orders and send ASN's according to customer requests. + Pick and ... environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully… more
- National Express (Carpentersville, IL)
- …events to ensure excellence in customer service. + Ability to Investigate claims and incidents of questionable conduct, accidents etc. + Computer literacy skills ... _At National Express our goal is to be a diverse workforce that is representative of the communities we serve. All employment decisions are based on business needs,… more
- Aerotek (Deerfield, IL)
- …potentially lead to a full time job offer into our Sales Development Representative program that will accelerate your sales career! **Why Aerotek?** Aerotek is an ... + Shadow Field Support during the unemployment process including claims and hearings **Minimum Education/Experience/Abilities/Skills:** + Currently enrolled in… more
- CDM Smith (Kenosha, WI)
- …specialists when appropriate throughout the process. * Obtains the applicant representative 's agreement that all disaster-related damage was described and quantified ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
