- GAP Solutions Inc (Indianapolis, IN)
- …Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or ... each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Elevance Health (Indianapolis, IN)
- ** Claims Representative I** **Location** - **Virtual** : This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law. The ** Claims Representative I** is responsible for successfully completing the required basic training.… more
- Artera (Indianapolis, IN)
- Claims Specialist Summary Title: Claims Specialist ID:1776 Location:Indianapolis, IN Department:Legal More about this job > Description JOB PURPOSE: Manage all ... claims while under the general supervision of the ...to 20 pounds. The physical demands described here are representative of those that must be met by an… more
- Sedgwick (Indianapolis, IN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **Senior Disability Representative - Make a Meaningful ... : **At Sedgwick,** **caring counts** **. We're a global leader in claims management, and we're looking for experienced, compassionate professionals to join us… more
- Sedgwick (Indianapolis, IN)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr **Our teams connect! We collaborate onsite and have a hybrid ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Sedgwick (Indianapolis, IN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Care Team Representative **Our teams connect! We collaborate onsite and have a hybrid work ... Purdue Road Suite 501 Indianapolis, IN 46268** **.** **Entry-level, Care Team Representative ** Are you looking for an impactful job requiring no prior experience… more
- Sedgwick (Indianapolis, IN)
- …Fortune Best Workplaces in Financial Services & Insurance Leave of Absence Representative **Leave of Absence Representative ** **Our teams connect! We collaborate ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Sedgwick (Indianapolis, IN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Representative - bilingual French **Must be bilingual- French speaking and able to ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) and accommodation efforts through… more
- Cardinal Health (Indianapolis, IN)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Travelers Insurance Company (Indianapolis, IN)
- …Compensation Claim Professional Trainee, you will handle all aspects of a workers compensation claims . In this role, you will learn how to help our customers and ... needed for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim… more
- Humana (Indianapolis, IN)
- …caring community and help us put health first! The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic ... clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require… more
- Humana (Indianapolis, IN)
- …of our caring community and help us put health first** The Appeals Representative 4 - IRT (Internal Review Team) Investigates and resolves member and practitioner ... to determine if an appeal or further request is warranted. The Appeals Representative 4 IRT (Internal Review Team) + Review documents + Building cases +… more
- Highmark Health (Indianapolis, IN)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... sales and customer service to respond to client/broker/member inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies. Consult with dental director/dental advisers regarding clinical-related questions and… more
- Ryder System (Indianapolis, IN)
- …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims ,...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Highmark Health (Indianapolis, IN)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
- CDM Smith (Indianapolis, IN)
- …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
- Otsuka America Pharmaceutical Inc. (Indianapolis, IN)
- …in wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related updates, strategies, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Utilities Service, LLC (Greenwood, IN)
- …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
- Prime Therapeutics (Indianapolis, IN)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation of… more
- Highmark Health (Indianapolis, IN)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a… more
