Job offers: Claims Management


Mid-Sr. Level Recruiter

The Judge Group :: San Jose, California :: over 30 days ago

... successful in recruiting, you can be promoted to an Account Executive, or continue in recruiting and join the ranks of lead recruiter, delivery manager or recruiting management. Requirements: - Minimum 6 months experience recruiting (technology or healthcare preferred) - 4 year degree, or relevant work experience - Key Traits: Energetic, ...

Best Version Media

Sales Executive

Best Version Media :: Flushing, Michigan :: over 30 days ago

... building your own book of business Networking within professional organizations Prospecting, appointment setting, and face-to-face presentations Actively collaborate with management to create dynamic plans and goals Benefits Include: The highest commission and earnings in our industry. The position has long-termed, sustained revenue. This provides ...

Best Version Media

Sales Account Executive

Best Version Media :: Valley View, Pennsylvania :: over 30 days ago

... building your own book of business Networking within professional organizations Prospecting, appointment setting, and face-to-face presentations Actively collaborate with management to create dynamic plans and goals Benefits Include: The highest commission and earnings in our industry. The position has long-termed, sustained revenue. This provides ...

Personal Injury Litigation Legal Assistant

Legal Solutions Group, PC :: Jacksonville, Florida :: yesterday

... thriving practice. JOB REQUIREMENTS: 4+ years with personal injury case management experience. Workers' compensation and medical negligence experience ... organized. Solid work history. Experience requesting records, reports, & bills. Draft legal correspondence, demand packages and set up injury claims. QUALIFIED CANDIDATES WILL BE CONTACTED

Utilization Management Nurse Reviewer-Care Authorizations

Medical Mutual :: Cleveland, Ohio :: yesterday

Utilization Management Nurse Reviewer-Care Authorizations Description *COMPETITIVE PAY AND SIGN ON BONUS* Performs utilization management activities to ensure the provision of safe, ... regarding covered and non-covered care for medical/surgical and/or psychiatric claims as well as appropriate network utilization. #cb ESSENTIAL FUNCTIONS: Evaluates ...

Clinical Prior Authorization Pharmacist

BroadPath Healthcare Solutions :: Tucson, Arizona :: yesterday

... and reviewing/evaluating the health surveys and utilization data for program management and development. The Clinical Prior Authorization Pharmacist will coordinate with ... year clinical experience. Knowledge of PBM industry, formulary management, pharmacy claims and managed care principles and practices desired. Exceptional clinical skills and ...

General Manager, University Division - Colonial Parking

Marlyn Group LLC :: Washington, District of Columbia :: yesterday

... and follows set opening and closing procedures. * Advises levels of operational management on issues and decisions related to location profitability, P&L ... and subsequent internal processes for continuous improvement. * Reviews incident claims, internal audit scores and Workers Comp trends and works with senior management ...

Part D Pharmacist

BroadPath Healthcare Solutions :: Tucson, Arizona :: yesterday

... drug therapy. The Part D Pharmacist will use evidence based medicine, utilization management criteria, and clinical guidelines to ensure appropriate utilization management is ... review of Medicare Part D coverage determinations, appeals and grievance and claims audits, preferably for a health plan or a pharmacy organization * Strong time ...

Boat Service Manager

White River Marine Group / Bass Pro Shops :: Memphis, Tennessee :: yesterday

... 10. Manage and ensure accuracy of unit and parts inventories. 11. Ensure warranty claims are created, submitted and warranty payments received on a timely basis. 12. Ensure ... AND ABILITIES Proficiency with PC-based word processing, spreadsheets, data based management and electronic point of sale and inventory management systems Demonstrated strong ...

Human Resource Generalist

Brown Brown Insurance :: Longwood, Florida :: yesterday

... - Services Division - Financial Services - Trade Credit - Surety Bonds - Risk Management - National Programs - Recruiting - Mergers & Acquisitions - Investor Relations ... health, and life benefits, and paid time off reports - Reports Workers Compensation claims and handles follow up including FMLA and STD appropriately - Maintains timekeeping ...

Senior Accountant

Armed Forces Benefit Association :: Virginia, Illinois :: yesterday

... Job Responsibilities include: Reconciling revenue received from members and death claims expense to subsidiary ledgers and preparing reports and supporting analysis as ... to analyze and summarize large amounts of financial data and prepare accurate management reports in a timely manner Self-starter, with the ability to work independently, ...

Logistics Supervisor

American Plastic Toys :: Walled Lake, Michigan :: yesterday

... and approve deductions/charge-backs for shipping-related penalties. - Process claims against carriers for lost or damaged freight. - Provide main point-of-contact for ... or equivalent experience. - Minimum of two years of distribution/manufacturing management experience, consumer product industry preferable. - Sound working knowledge of ...

Hospital Inpatient Reimbursement Specialist

Nemours :: Jacksonville, Florida :: yesterday

... to ensure the departmental collection goals are met or exceeded as established by management. Primary Responsibilities Work accounts/invoices until all charges are paid or ... filing order, request necessary adjustments/reversal of adjustments or refile claims. Distribute payments for assigned financial class to ensure payments are posted to ...

Logistics Supervisor

Georgia-Pacific :: Perry, Florida :: yesterday

... warehouse and shipping standards are fully implemented and followed * Lead investigations to resolution of customer transit and loading claims * Owner of department document controls and records management (RIM) Knowledge Skills Abilities * Desire to seek and incorporate input from others when resolving issues and developing continuous ...

Claims Service Supervisor

CSAA Insurance Services LLC :: Colorado Springs, Colorado :: yesterday

... considering opportunities with us! Questions? TalentAcquisition@cs Job Title Claims Service Supervisor Requisition Number R1625 Claims Service Supervisor (Open) ... quality processing. Essential Functions / Principal Responsibilities Operations Management * Directs, supervises and evaluates workflow of claims with no injury exposures; ...

Service Specialist

CSAA Insurance Services LLC :: Walnut Creek, California :: yesterday

... as acquired by obtaining Personal Lines license Strong analytical and risk management skills (e.g., ability to recognize trends and report anomalies for process ... MS Office documents and spreadsheets Basic analytical skills 10 key by touch Basic Claims knowledge (depending on roles and responsibilities) Intermediate familiarity with ...

Project Analyst

WellCare :: Tampa, Florida :: yesterday

Department:Operations/Claims Reports to: Sr. Director Claims Location: 7840 Woodland Corporate Blvd, Tampa FL 33634 Provides support to department in managing, planning, and monitoring ... of moderately complex project activities. * Assist in all phases of project management: project planning, implementation and monitoring results. * Technical resource ...

Coding Research Analyst, Associate - REMOTE

WellCare :: Tampa, Florida :: yesterday

Department: Operations - Payment Integrity Reports to: Claims Coding Rules Supervisor Location: Remote Escalation point for Operations Team assist with research, review and response to complex medical ... Demonstrated problem solving skills * Beginner Demonstrated time management and priority setting skills Licenses and Certifications: A license in ...

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