(includes but is not limited to the following, other duties may be assigned) The Insurance and Claims Manager will perform a variety of assignments and projects requiring professional judgment and knowledge of contracts, insurance policies, claims procedures and loss control. Job Responsibilities Manages renewal process for casualty and management liability coverage includ

Responsible for ensuring optimal and timely reimbursement by maintaining accurate client eligibility information, resolving errors before claims are filed, and following up on claims, denials, payer correspondence, and authorizations. Work closely with the Reimbursement Supervisor to improve processes, efficiencies, and productivity. Requirements Requires High School dipl

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Attend virtual meetings and corporate/court onsite meetings Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federa

LOCATION Remote must live in or/near Vaya's catchment area. Must also reside in North Carolina or within 40 miles of the NC border. GENERAL STATEMENT OF JOB The Special Investigator works under the direct supervision of the Special Investigations Operations Manager. The Special Investigator is responsible for identification, investigation and prevention of healthcare frau

Assist in end to end provider claims and help enhance provider experience Assist in efforts to enhance ease of use of provider portal and future services enhancements Support development and management of provider networks within assigned regions Help implement training and development of external providers through education programs in collaboration with our training tea

The Boucher Body Shop of West Allis is looking to hire an experienced Body Shop Estimator! POSITION The Boucher Body Shop of West Allis is seeking an experienced Body Shop Estimator for their Collision Repair Center. REQUIREMENTS Applicants need to be outgoing, proactive, willing to learn, able to work in a fast pace environment, and have a positive attitude. Must have go

Founded in 1965, Herc Rentals is one of the leading equipment rental suppliers in North America with trailing twelve month total revenues of nearly $2.7 billion as of September 30, 2023. Herc Rentals' parent company, known as Herc Holdings Inc., listed on the New York Stock Exchange on July 1, 2016, under the symbol "HRI." Herc Rentals serves customers through approximate

The Settlements Specialist (Associate) will be immersed in a fast paced environment supporting daily settlements processes for Capital Markets derivative trading business as well as provide support for the derivative business conducted by group companies in New York, London and Hong Kong. Covered products FX, OTC Derivatives, Cleared Derivatives, Margin, and USD and CAD T

Job Title Medical Reviewer I Location Columbia, SC , 29229 (1 week Onsite training then remote) Duration 4 months assignment with possible extension Shift M F, 8 30 am 5 pm Pay Rate $21/hr Summary Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appe

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Advise UnitedHealthcare's Medicare Part D business Counsel on Part D product, clinical (Pharmaceutical & Therapeutic Committee, formulary development), marketing, and regulatory requirements Provide strategic counsel to the business on the Pharmacy Benefit Management (PBM) Agreements, benefit implementation and management, and compliance oversight and monitoring Provide c

LOCATION Remote This is a home based, virtual position. Vaya Health operates on US Eastern Standard time within the hours of 8 30am 5 00pm EST. We welcome applications from the following states NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB Responsible for all accounting functions related to a designated area of physical and behavioral health medical claims proc

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Are you ready to unleash your full potential? We're looking for people who are passionate about payments to chart Worldpay's path to being the largest and most loved payments company in the world. About the team The Transformation team will actively manage a portfolio of strategic initiatives both cross functionally as well as focused in the business areas. What you will