- Humana (Tulsa, OK)
- …part of our caring community and help us put health first** The Senior Claims Research & Resolution Professional manages claims operations that ... settlements both for and against the organization. The Senior Claims Research & Resolution Professional work assignments involve moderately complex to… more
- MyFlorida (Tallahassee, FL)
- SENIOR CLAIMS PROCESSING SPECIALIST - 36000384 Date: May 31, 2024 Location: TALLAHASSEE, FL, US, 32301 The State Personnel System is an E-Verify employer. For ... . Requisition No: 830447 Agency: Department of Lottery Working Title: SENIOR CLAIMS PROCESSING SPECIALIST - 36000384 Pay Plan: Lottery… more
- Travelers Insurance Company (Hunt Valley, MD)
- …and execute a strategic file management plan that achieves optimal file resolution , including as appropriate: research and recommendation of counsel; litigation ... and enthusiastic team player with extensive industry experience to join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic… more
- Travelers Insurance Company (Overland Park, KS)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... resolving, assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Bilfinger Industrial Services Inc. (The Woodlands, TX)
- Senior Legal Counsel - The Woodlands, TX The...Bilfinger North America Inc. and its subsidiaries in the resolution of any litigation, arbitration, or claims ... and prepare them for elevated roles. The Role The Senior Legal Counsel role will report directly to the...external counsel, consultants, and internal teams engaged in the resolution of any litigation, arbitration, or claims … more
- PruittHealth (Norcross, GA)
- …all Medicaid billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s)...billing and are skilled at problem solving and account resolution . They work well within a team and help… more
- USAA (Washington, DC)
- …Come be a part of what makes us so special! As a dedicated Senior Property Adjuster, you will work within established guidelines and framework to investigate, ... evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyze coverage, recognize liability… more
- Baptist Memorial (Jackson, MS)
- …for the correction of primary/secondary rejected claims , the resubmission of rejected claims , along with resolution of all delinquent insurance claims on ... objective of this position is to ensure correct processing of all insurance claims of all hospitals. Able to interpret & implement specified insurance billing… more
- UTMB Health (Galveston, TX)
- …correspondence according to procedures * Identifies denials and underpayments for appeal * Reviews, research , and processes denied claims * Appeal claims as ... (Remote) Senior Patient Account Specialist - Revenue Cycle HB...be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional… more
- Henry Ford Health System (Troy, MI)
- …departments understand and meet contracted service agreements. + Coordinate problem resolution with Claims Processing, Business Configuration Team, Provider ... performance improvement initiatives (eg leakage avoidance) and member growth. The Senior Provider Contract Administrator (SPCA) will be responsible for supporting… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Discover Your Career at Emory University** Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate ... the diversity and excellence of our academic community. **Description** The Senior EUSHIP (Emory Student Health Insurance Plan) Insurance Specialist will prioritize… more
- Ankura (Atlanta, GA)
- …and Access + Experience in damages and investigative work focused on contractual disputes, claims , and litigation + Ability to research , including the use of the ... Construction professionals are recognized as leading experts in providing construction dispute resolution and advisory services for some of the world's most complex… more
- Ankura (Lexington, NY)
- …experience is highly preferred + Experience in investigative work focused on contractual claims and disputes + Ability to research , including the use of ... are recognized as leading experts in providing construction dispute resolution and advisory services for some of the world's...Ankura's Construction Disputes & Advisory practice is seeking a Senior Associate. As a Senior Associate in… more
- Abbott (South Portland, ME)
- …mothers, female executives, and scientists. **The Opportunity** The position of ** Senior Manager, Clinical Operations** is within our Infectious Disease business ... located in **South Portland, Maine** . In this role, the ** Senior Manager, Clinical Operations** will oversee the design, implementation, and monitoring of global… more
- Independent Health (Buffalo, NY)
- …benefits and commitment to diversity and inclusion. **Overview** The Contractual Reviewer- Senior will be responsible for providing an organized, timely and ... and investigation of provider and/or member complaints and/or appeals. The Contractual Reviewer- Senior will be required to rely on their ability to synthesize a… more
- Merck (Columbus, OH)
- **Job Description** **Global Senior Director of Medical Affairs for Thoracic Malignancies** + The Global Senior Director of Medical Affairs (GDMA) for Thoracic ... Affairs input into the integrated data generation plans spanning outcomes research , post-registration company-sponsored studies and areas of interest for the… more
- Crawford & Company (Asheville, NC)
- …to prioritize tasks and discern the essential from the non-essential. + Research and investigative abilities; negotiating, conflict resolution and persuasion ... for moderately complex to highly complex residential and commercial property claims by conducting thorough field investigations to evaluate damages and determine… more
- PRGX (Bentonville, AR)
- …agreements, paperwork and electronic documents + Builds relationships with vendors + Provides senior level input/ research on claims challenged by client + ... Analyses and assesses problems regarding client's claims procedure and business operations based on appropriate audit...impact for client and the business Problem identification & Resolution + Takes a systematic and logical approach to… more
- Church & Dwight Co., Inc. (Princeton, NJ)
- …biggest impact because: Together We Have the Power to Win. Role Summary The Senior Research & Development Chemist will provide technical expertise and lead the ... will also be responsible for troubleshooting current, unstable formulas and providing a resolution . You will report to the Director of Product Development at Hero… more