- Guardian Life (Columbus, OH)
- The **Group Life/Supplemental Health Claims Case Manager II ** is responsible for making timely and accurate decisions on assigned claims through ... decisions while providing superior customer service to all internal and external customers. The Claims Case Manager II administers claims within a… more
- Metropolitan Council (St. Paul, MN)
- Claims Rep. II (Liability) Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4922693) Apply Claims Rep. II (Liability) Salary ... work would contribute to our organization and the Twin Cities region: The Claims Representative II , (Liability), will effectively handle a balanced workload… more
- Guardian Life (Columbus, OH)
- …share insights and learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II , you will report to our Leader, Appeals ... Guardian is seeking individuals with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is… more
- Elevance Health (Denver, CO)
- **Nurse Case Manager II ** **Location: This is a virtual position.** **Hours: Monday** **- Friday 8:00am to 4:30pm EST and 2-3 late evening 11:30am to 8:00pm ... EST per month.** The **Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- City of New York (New York, NY)
- … who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and distribute cases in ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
- AO Smith (Lebanon, TN)
- Regional Field Service Manager II Date: Apr 16, 2025 Location(s): Lebanon, TN, US, 37090 Company: A. O. Smith Corporation PRIMARY FUNCTION: Regional field ... SCOPE OF RESPONSIBILITY: Position reports to the Field Service Engineering Manager SPECIFIC DUTIES/ACCOUNTABILITIES(List in order of importance) + Aligned with… more
- Baptist Memorial (Memphis, TN)
- … Manager /Director of the Denial Mitigation Department. The Denial Mitigation- Appeal Specialist II RN role reports to the manager of the Denial Mitigation ... Overview Specialist-Denial Mitigation II RN Job Code: 21432 FLSA Status Job...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
- Baptist Memorial (Memphis, TN)
- … Manager /Director of the Denial Mitigation Department. The Denial Mitigation- Appeal Specialist II RN role reports to the manager of the Denial Mitigation ... Overview Specialist-Denial Mitigation II RN Job Code: 21432 FLSA Status Job...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
- Texas A&M University System (College Station, TX)
- …TEEX with complex areas of FMLA, Leave, and Workers Comp. The Leave Specialist II will report to the Employee Relations Manager . Required Qualifications: + ... Job Title HR Leave Specialist II Agency Texas A&M Engineering Extension Service Department...responsible for the DOT Drug Screening processes, TWC unemployment claims , and provides comprehensive leave information to new hires… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... **Job Title:** **Registered Nurse UM II ** **Location: Columbia SC 29229** **Duration: 3+ month's...be obtained within 4 years of hire as a Case Manager . Preferred Education: Bachelor's degree- Nursing… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …we encourage you to apply! Job Description: Summary: Under the direction of the Manager of LTC Benefits, the LTC Benefits Planner (Personal Care Advisor) has the ... and communication with Insured, Insured's family, care providers, and adjudication of the claims . All work is directed under the terms and conditions of the various… more
- Sutter Health (Modesto, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- City of Portland (Portland, OR)
- Senior Workers Compensation Analyst (Analyst II - CPPW) - OPEN UNTIL FILLED Print (https://www.governmentjobs.com/careers/portlandor/jobs/newprint/4860989) Apply ... Senior Workers Compensation Analyst (Analyst II - CPPW) - OPEN UNTIL FILLED Salary $97,510.00...which could change in-person requirements with notice. The hiring manager for this position will have more up-to-date information… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service… more
- Dairyland Power Cooperative (La Crosse, WI)
- …People and their work experience, growth and professional development. **RIGHT OF WAY AGENT II (Hybrid - La Crosse, WI)** **_Hiring Salary Range for Level II : ... of lands and land rights. 5. Investigate and settle landowner damage claims related to construction and maintenance activities. 6. Prepare documents and other… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …to managers and employees and is responsible for overall ER case management; counsels managers on individual performance issues and conducts investigations ... through resolution. + Conduct investigations in response to employee or manager incidents and complaints; involve appropriate departments (bank protection, security)… more
- US Tech Solutions (Chesapeake, VA)
- …all levels to enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face and telephonically assessing, ... and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case... claims to address potential impact on current case management and eligibility. Assessments include the member's level… more
- Middlesex Savings (Westborough, MA)
- …liquidation or sale of the collateral. Manages zero balance or deficiency claims . + Will act as a consultant (workout liaison) for line-administered problem ... services to assist in collection and/or customer rehabilitation efforts. Overall case management for any outside services including appraisers, auctioneers, local… more
- Envista Holdings Corporation (Pomona, CA)
- …personal protective equipment. + With minimal guidance, manages workers' compensation claims and return-to-work programs in collaboration with human resources. + ... + Performs any other projects or duties assigned by Manager . + Travels up to 10% to Southern California...are dependent on the facts and circumstances of each case . The total compensation package for this position may… more