- Sedgwick (Olympia, WA)
- …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
- CVS Health (Olympia, WA)
- …And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ... amount levels on customer service platforms, specifically by using technical and claims processing expertise. + Apply medical necessity guidelines, determine… more
- CVS Health (Olympia, WA)
- …handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Olympia, WA)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Molina Healthcare (Tacoma, WA)
- …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
- Highmark Health (Olympia, WA)
- …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
- Highmark Health (Olympia, WA)
- …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
- Skookum Contract Services (Bremerton, WA)
- …taxes, retroactive pay, and garnishments. + Audit and review Payroll Specialist duties; mentoring, training, and supporting in all payroll administration matters. ... + Assist Sr . ERP Payroll Administrator in monitoring Vacation/Sick leave reports...adequate documentation. + Manage employment verification tasks and unemployment claims . + Review time submitted through time tracking from… more
- Amazon (Seattle, WA)
- …as you balance executive meetings, team leadership, and collaboration with specialist leaders, solutions architects, or service teams. The position demands a ... carriers to architect secure, compliant cloud solutions for policy administration, claims processing, underwriting automation, and risk modeling * Drive cloud… more