- HUB International (Berkeley Heights, NJ)
- …Violation of Any Applicable Unfair Practices and Unfair Competition + Overage Disputes ** Claims Advocate Role** + Conduct Monthly Dashboard Analysis + Lead ... **About SPG:** Specialty Program Group (SPG) is the wholesale &...candidate will manage a variety of complex, high value claims across the divisions and provide technical direction and… more
- Axis (Red Bank, NJ)
- …of 7 years of experience as a Scrum Master, including at least 3 years in specialty insurance or financial services. + At least 5 years of experience in Property ... join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand...& Casualty (P&C) Insurance Claims . + Expertise in portfolio management… more
- Providence (Renton, WA)
- **Description** Must be an accomplished senior level claims adjudicator with at least 3 years prior claims processing experience and a proven track record of ... USFHPs instance of Athena IDX software. This role will work closely with Claims Management and Providence MCA support teams to investigate, document, and write… more
- Axis (Alpharetta, GA)
- …+ 5+ years of Business Analysis experience preferred. + 3+ years of Commercial / Specialty Insurance industry experience required. + 3+ years Duck Claims ... join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand...request for candidates taking part in the selection process. ** Claims Business Analyst** **Job Family: IT group** **How does… more
- Pacific Medical Centers (Seattle, WA)
- **Description** Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex ... claims for advanced processing needs. Responds to Customer Service...large group practice setting. + Experience with areas of specialty claim processing (COB, Adjustments, Point of Service, Home… more
- WTW (Arlington, VA)
- …global mission + Clear articulation of emerging trends in pricing, underwriting and the Specialty (re) insurance market and how that can create value for our ... in a senior pricing or underwriting focussed P&C Commercial Specialty market role + A passionate advocate ...clients' business challenges + Comprehensive understanding of P&C Commercial Specialty Lines insurance products + Experience or… more
- Corewell Health (Grand Rapids, MI)
- …access to specialty medications and drive utilization of internal specialty pharmacy services. Performs insurance benefit investigations and prior ... MCC team covers multiple provider offices and specialties and collaborates with insurance companies, pharmacies, and Corewell Health clinics to obtain the necessary… more
- AscellaHealth (Berwyn, PA)
- …required depending on business needs. The job details + Act as a patient advocate to gain insurance coverage for prescribed therapies. + Conduct periodic ... from the payer. They work with patients as an advocate and guide and coordinate with the Optime Care... verification and/or authorizations for patient coverage. + File claims for patient prescriptions and orders. + Complete collection… more
- AON (New York, NY)
- … insurance and claim experience to help clients make better decisions about their insurance coverage and claims ? This is a hybrid role working from our New ... + Interface with insurers and related stakeholders as claim advocate with a focus on EPl/ML claims ....experience to help clients make better decisions about their insurance coverage and claims ? This is a… more
- Mount Sinai Health System (New York, NY)
- …pharmacy revenue cycle management to optimize the payment cycle for retail and specialty pharmacy claims . Ensure maintenance and understanding of the overall ... ensure collection according to contracts, understand and follow-up with insurance companies to leverage the revenue process. Utilize preferred...and related vendor data feeds into systems as required. Advocate on behalf of MSHS to ensure the most… more