- Sedgwick (Frankfort, KY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** ... : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Sedgwick (Lexington, KY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability (A&E, D&O) **ESSENTIAL ... + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and...of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and officers, life… more
- Molina Healthcare (Lexington, KY)
- …complaints from Molina members, providers and related outside agencies. + Research claims appeals and grievances using support systems to determine appeal and ... grievance outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business… more
- Valvoline Global (Lexington, KY)
- …You'll Make an Impact** Valvoline Global Products is seeking an energetic ** Senior Marketing Specialist ** to drive installer channel marketing success through ... platforms, program guidelines, promotion execution, co-op fund accruals, approvals, and claims submission processes. + Monitor and report on all program performance… more
- Highmark Health (Frankfort, KY)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- CVS Health (Frankfort, KY)
- …will respond, manage, and resolve escalated and complex global issues for claims /calls and plan sponsor support teams. The **Plan Sponsor Liaison** will proactively ... issues with account executives, sales representatives, installation managers and the claims office as appropriate. + Assist customers and sales in understanding… more
- Banner Health (KY)
- …looking to leverage your abilities - you belong at Banner Health. As the Senior Revenue Integrity Charge Error Tech you will be responsible for timely resolution of ... edge, Banner Systems (MS4, CERNER, Finthrive collections(web based), nthrive claims **Monday - Friday: 8 hours shifts - AZ...of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable… more
- Highmark Health (Frankfort, KY)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more