- Zurich NA (Salt Lake City, UT)
- 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
- Molina Healthcare (West Valley City, UT)
- …experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits , subrogation, and ... complaints from Molina members, providers and related outside agencies. + Research claims appeals and grievances using support systems to determine appeal and… more
- Molina Healthcare (West Valley City, UT)
- …processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's ... apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… more
- Prime Therapeutics (Salt Lake City, UT)
- …+ 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
- Highmark Health (Salt Lake City, UT)
- …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...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more