- Lincoln Financial (Omaha, NE)
- …**Requisition #:** 74647 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... coaching and development to perform in this fast-paced environment. As a Claims Customer Care Associate , you will be responsible for answering claimants… more
- Molina Healthcare (Omaha, NE)
- …and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree or ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
- Zurich NA (Omaha, NE)
- …you. Overview: + Monitor business processes to identify opportunities for customer care 's improvements. + Handle first and third-party claims taking ... Auto Claims Call Center Senior Represent 127692 Zurich is...area OR + Zurich Certified Insurance Apprentice including an Associate Degree and No prior experience required in the… more
- Walgreens (Omaha, NE)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Fiserv (Omaha, NE)
- …on a global scale, come make a difference at Fiserv. **Job Title** Fraud & Dispute Associate **What does a great Fraud & Dispute Associate do at Fiserv?** As a ... Fraud & Dispute Associate , you will provide support to Fiserv clients' card...portfolio chargeback programs (debit, credit, prepaid). You will investigate claims , compare multiple avenues of processing disputes/chargebacks, and decide… more
- Walmart (Omaha, NE)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Molina Healthcare (Omaha, NE)
- …and regulatory requirements, while meeting production goals. * Communicates with health care providers to clarify questions and request any missing information. * ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. *… more
- Walmart (Omaha, NE)
- …thinking You will make an impact by: * Ensuring high-quality products are taken care of and available for our members * Ensuring shelves are clean, maintaining ... area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up,… more
- Molina Healthcare (Omaha, NE)
- …**I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a managed ... care or healthcare environment. + Strong verbal and written communication skills. To all current Molina employees: If you are interested in applying for this… more
- Walmart (Papillion, NE)
- …appropriately merchandising and completing required documentation Tracks and processes claims by returning damaged goods handling liquidation merchandise maintaining ... company-paid life insurance **-Paid time off benefits** include PTO, parental leave, family care leave, bereavement, jury duty, and voting. You will also receive PTO… more
- Walmart (Council Bluffs, IA)
- …area in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... company-paid life insurance **-Paid time off benefits** include PTO, parental leave, family care leave, bereavement, jury duty, and voting. You will also receive PTO… more
- Molina Healthcare (Omaha, NE)
- …to Molina Medicare's maximum STAR ratings. **Job Qualifications** **Required Education** Associate 's Degree or 4 years of Medicare grievance and appeals experience. ... **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing/resolution, including 2 years in a manager… more
- Molina Healthcare (Omaha, NE)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... participates in special projects as requested. **JOB QUALIFICATIONS** **Required Education** Associate degree in Business or equivalent combination of education and… more
- Walmart (Papillion, NE)
- …are aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides ... you'll do ** How You'll Make An Impact: + Provide evidence-based vision care to ensure patients health and well-being by recommending and prescribing medications and… more
- Omaha Children's Hospital (Omaha, NE)
- …When necessary, works with payer representatives to correct and resubmit affected claims for payment. **Essential Functions** + Identifies and communicates trends in ... Work special projects assigned by Manager/Supervisor * Review and analyze claims and perform appropriate action for claim resolution. **Education Qualifications** +… more
- Molina Healthcare (Omaha, NE)
- …in FWA or related work. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Health Care Anti-Fraud Associate (HCAFA). + Accredited Health Care Fraud ... investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable… more
- Molina Healthcare (Omaha, NE)
- …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care . + ... and special initiatives as appropriate. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience… more