Location USA West Allis State Colorado; Arizona; California; Idaho; Montana; Nevada; New Mexico; Oregon; Utah; Washington; Wyoming Country USA Our purpose points the way In Novonesis, we know that solutions rooted in biology can help solve humanity's biggest challenges. Since we began more than a century ago, this has been our guide. It's how we've gotten so far. And it's

Assures the appropriate utilization of health care services for those members identified as having the need for inpatient and outpatient pre services, concurrent and post service clinical review. Evaluates the appropriateness of post service code submission on facility and professional claims and completes unspecified code and modifier code reviews. Identifies opportuniti

Assures the appropriate utilization of health care services for those members identified as having the need for inpatient and outpatient pre services, concurrent and post service clinical review. Evaluates the appropriateness of post service code submission on facility and professional claims and completes unspecified code and modifier code reviews. Identifies opportuniti

Act as a liaison for internal monitoring, reporting, and communicating Accuity turn around times that directly impact client final billing, including processing data and sharing with the RCA team Reviewing DNFB reports and deciphering activities that may have taken place within the DNFB report, providing analytical feedback Working efficiently and in a timely manager to s

Workers Compensation Senior Claims Representative Job Locations US WI West Bend | US WI Waukesha | US IN Indianapolis | US MI Detroit ID 2024 2047 Category Claims Position Type Regular Remote/Hybrid Hybrid Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at Wes

Under direction of the Properties & Concessions Manager, performs a variety of cross functional activities related to the Airport's property management and business development programs, including managing various activities of concessions, airlines, aviation support companies, and non aeronautical properties related such as passenger terminals, land, office buildings, ca

Provides legal advice and counsel to management, including direct interaction with senior executives, in areas of legal specialization and in general legal matters to assist in addressing a wide range of legal and business issues. Represents the Company, or selects and supervises outside counsel in the representation of the Company, in contested matters arising in courts,

Pharmacy Benefits Reinvented As the industry's alternative pharmacy benefit manager (PBM), we're committed to making prescriptions more affordable for you and your members. Here at Navitus, our team members work in an environment that celebrates creativity, fosters diversity and encourages growth. We welcome new ideas and share a passion for excellence. The Benefit Config

Putting People First in Pharmacy Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. W

Fincantieri Marine Group currently has an opportunity for a Corporate Insurance & Risk Manager at the Green Bay, Wisconsin location. Fincantieri Marine Group is a main subsidiary of Fincantieri, a global organization with 20 shipyards across the world, a workforce of twenty thousand people and a mission to be world leaders in all segments that demand the very best in mari

Under direction of the Medical Director and Occupational Health leadership team, develops, organizes, administers, and supervises Workers Compensation Case Management for Froedtert & Medical College of Wisconsin. This position has budget accountability and is responsible for leading the performance of the Workers Compensation team, including managing and reviewing claims,

Investigate all non standard claim problems (25%) Investigates for COB and determine the primary payer (25%) Investigate and process adjustment requests (25%) Adjust claim payments resulting from duplicate payments, incorrect payee, etc. Recover expended funds for managed care plans System documentation of investigation results Training of Coordination of Benefits claim p

Title/PD# Supervisory Contract Specialist/ PD44188A Relocation/Recruitment Incentives Not Authorized Permanent Change of Station (PCS) Not Authorized Financial Disclosure Report Required Physical Demands Subject position is primarily of an administrative nature in an office setting, however where travel to work sites is required there may be light physical work required, s

As The Bank of You, North Shore Bank is about helping families thrive, businesses grow and communities flourish. And it's our employees that make the difference. With offices located throughout eastern Wisconsin, we offer a work culture that has been recognized as a Top Workplace eleven times by the Milwaukee Journal Sentinel. As a mutual company, North Shore Bank isn't p

Manage and execute Uline's safety program across our network of 14 Distribution Centers in four states across the United States. Collaborate with management to establish safety goals and ensure our program meets both legal requirements and Uline's standards. Develop a team of safety professionals with a drive for continuous improvement and excellent communication skills.