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This position is responsible for constructing forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required Or available data elements. May provide consultation to users and lead cross functional teams to address business issues. Produces datasets an
Posted 1 month ago
The Housing Advocate is responsible for providing a supportive environment while meeting the needs of clients. The Advocate provides the highest level of care while ensuring the health and safety of clients. This is a regular position. Essential Duties and Responsibilities This job description is not all inclusive. It is intended to identify the essential duties of the po
Posted 1 month ago
Safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc. Research analyze and interpret subrogation laws in various states May travel outside of assigned territory which may involve overnight stay Resides in the State of Michigan only (Territory Specific Wayne County, Oakland County and Washtenaw County) Work Environment
Posted 5 days ago
Address and respond to back collector's email group Able to read through and understand medical documentation effectively Work back collectors aging bucket Work claim denials Establishes and maintains effective communication and good working relationship with co workers Performs other clerical tasks as needed, such as answering phones, faxing, and emailing. Completes othe
Posted 17 days ago
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary The Employer Document Unit supports
Posted 11 days ago
This position requires the ability to work independently researching and reviewing inquiries from members and providers. Also requires knowledge of benefit interpretation, claims reviews, CPT and ICD coding. Responsible for analyzing, researching, and managing appeal/grievance inventories from members and providers. Respond to inquiries using verbal and written forms of c
Posted 1 day ago
This position will process all property and maintenance inspections. Will be responsible to keep all documentation up to date and record in CRM. Assist with annual inspections of owned and leased properties taking into consideration the safety and maintenance needs of both the buildings and the clients. Assist the Property team in identifying contractors, obtaining compet
Posted 10 days ago
Monitors and document all totals related to claims payment errors and examiner productivity for reporting purposes as established in the Compliance Department and Claims Policies and Procedures Develops materials, Trains claims examiners regarding the system and claim procedures and documents results Identifies and resolves various claims issues, documents, and reports re
Posted 4 days ago
Collect, analyze, and utilize data and feedback related to Claims to identify opportunities to improve the relationship between the business and the other entity. This will include direct communication and participation with the Vendor Management Office (VMO) and Transformation Management Office (TMO). Compile reports about incidents, events, and updates regarding claims
Posted 26 days ago
Claim Support Assistant I The Auto Club Group What you will do The Auto Club Group is seeking prospective Claim Support Assistant I who provide support to the Claims department by completing intermediate level tasks that require a basic understanding of the claim or functional business concepts and processes, and the organization and workflow for one or more Claims lines
Posted 5 days ago
FTE 1.0 Day Shift This position is located onsite at 747 Broadway, Seattle, WA 98122 Identifies and coordinates all aspects of financial obligations for private pay patients. Including, but not limited to, patient relations, physician liaison regarding financial liabilities, deposit estimates and collection. Assures that customer needs and/or complaints related to financi
Posted 2 days ago
Job Description Home Based Field Auto Physical Damage Appraiser W ill earn a competitive salary of $63,813 $76,000 annually with annual bonus potential based on performance. This position is currently able to work remotely from a home office location for day to day operations unless occasional travel for meetings, collaborative activities, or team building activities is s
Posted 5 days ago
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
Posted 6 days ago
Auto Claim Representative II Fremont What you will do The Auto Club Group is seeking prospectiveClaim Representative IIwho canwork under normal supervision with an intermediate level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements, and establish clear evaluatio
Posted 5 days ago
FTE 1.0 Day Shift This position is located onsite at 747 Broadway, Seattle, WA 98122 Identifies and coordinates all aspects of financial obligations for private pay patients. Including, but not limited to, patient relations, physician liaison regarding financial liabilities, deposit estimates and collection. Assures that customer needs and/or complaints related to financi
Posted 2 days ago
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