- Sedgwick (Lansing, MI)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- CVS Health (Lansing, MI)
- …clients and the stop loss administrators. Reviews and manages stop loss claim filings. Resolves discrepancies between the amount requested and the amount reimbursed ... carrier. Required Qualifications * 1+ years of experience in claims processing background preferred * 1+ years of experience...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- Lincoln Financial Group (Lansing, MI)
- …at a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. As an LTD Claims ... and reviewing medical records and making timely and ethical claim determinations. You'll complete a thorough training program that...and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when… more
- Lincoln Financial Group (Lansing, MI)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...and reviewing medical records, and making timely and ethical claim determinations. You'll complete a thorough training to develop… more
- Lincoln Financial Group (Lansing, MI)
- …to staff our ever-growing claims organization. As a Short Term Disability Claims Specialist , you will be responsible for conducting initial and ongoing ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- CVS Health (Lansing, MI)
- …for invoice processing and member accumulators: eligibility, accumulators, invoices, and claims detail. Job Duties 1. New group and renewal group implementations ... communities. The Company offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k) retirement savings plan,… more
- Lincoln Financial Group (Lansing, MI)
- … Specialists to staff our ever-growing claims organization. As a Leaves Claims Specialist , you will be responsible for administering and managing leave ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- Randstad US (Howell, MI)
- …Insurance offers a collaborative environment that fosters development and growth. As an claims resolution specialist , you will play a vital role in Hanover's ... development within the organization. Responsibilities: + Trainee is responsible for performing claim processing and payment functions on non-complex claims for… more
- Robert Half Office Team (Lansing, MI)
- …We are offering a contract to hire employment opportunity for a Compensation & Benefits Specialist . This role is based in Lansing, Michigan, and involves ... managing and administering employee compensation and benefits . The specialist will also play a...using HRMS and About Time software * Understanding of Benefit Functions and Claim Administration * Experience… more
- Lincoln Financial Group (Lansing, MI)
- …multiple diagnoses and claim factors. + You will analyze and process claims by investigating and obtaining a wide range of complex information. You will apply ... to bring on a **Long Term Disability (LTD) Technical Specialist II** to our Group Protection Organization in a...will be responsible for managing highly complex Long-Term Disability claims for a variety of customers. These claims… more
- Sedgwick (Lansing, MI)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- Prime Therapeutics (Lansing, MI)
- …drives every decision we make. **Job Posting Title** Lead Rebate Billing Specialist **Job Description Summary** Oversee daily operations as outlined by management. ... to assure proper follow up is completed to expedite claims and ensure proper payment. **Job Description** + Lead...by 8% depending on applicant location. To review our Benefits , Incentives and Additional Compensation, visit our Benefits… more
- Sevita (Lansing, MI)
- …a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company's commitment to serve others by ... sending claims to the payer in a timely and accurate...information from different sources Why Join Us? + Full compensation/ benefits package for employees working 30+ hours/week + 401(k)… more
- Walgreens (Grand Ledge, MI)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Centene Corporation (Lansing, MI)
- …Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Job Description ... **Position Purpose:** The Pharmacy Resolution Specialist receives and responds to calls from members, provider/physician's offices, and pharmacies. This role makes… more
- Sedgwick (Lansing, MI)
- …Loved Workplace(R) Forbes Best-in-State Employer Provider Network Negotiation Specialist **PRIMARY PURPOSE** **:** To negotiate fee-for-service ancillary contracts ... a healthcare management environment including provider contracting, servicing and benefit interpretation preferred. Two (2) years supervisory experience preferred.… more
- Sutherland Global Services (Lansing, MI)
- …sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or ... Communicating with insurance plans and researching health plans for benefits and types of coverage + Reviewing contracts and...PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language… more