and pharmacy claims. Responsible for identifying and developing enterprise-wide specific healthcare investigations that may... and client funds paid on fraudulent claims. How you will make an impact: Claim reviews for appropriate coding, data mining...
investigations and determine and/or recommend the best corrective action for each situation. Consults with HR Manager to ensure... Manager, the HR Supervisor seeks to develop integrated solutions, formulates partnerships across the HR function, in both the...
. Conducts/coordinates investigations into reported workers’ compensation claims. Partners closely with Employee, Manager, PSS... Administration – 10% Supports Total Rewards Manager with educational campaigns, plan workflow, and administration of the UW Credit...
documentation requirements. The ideal candidate should have proficient experience in healthcare claims fraud, waste and abuse... to high complexity reviews/investigations involving provider, pharmacy, employee, member, and broker issues Must be able...
(HP) and/or Pharmacy Benefit Manager (PBM) to resolve rejected claims and/or contact patients and/or prescribers... Pharmacy Services, Conducting benefits investigations, Obtaining Prior Authorization for medications, Utilizing EHR/EPIC...
activities include performing initial pre-permit inspections, routine inspections, investigations in response to complaints..., virtual or desk inspections and investigations, and other similar activities. The employee in this position will work in...
. Conducts/coordinates investigations into reported workers’ compensation claims. Partners closely with Employee, Manager, PSS... Administration – 10% Supports Total Rewards Manager with educational campaigns, plan workflow, and administration of the UW Credit...
documentation requirements. The ideal candidate should have proficient experience in healthcare claims fraud, waste and abuse... to high complexity reviews/investigations involving provider, pharmacy, employee, member, and broker issues Must be able...
activities include performing initial pre-permit inspections, routine inspections, investigations in response to complaints..., virtual or desk inspections and investigations, and other similar activities. The employee in this position will work in...
support/interaction with Project Management & Superintendent(s) Assist Claims Manager regarding all Workers’ Compensation... hygiene sampling within the division Purchase job site safety equipment Assists and/or conducts investigations, including...
Management, Claims Department, TPA, Outside Adjustors, Outside Counsel, etc. to provide support on an as needed basis. Duties..., self-inspections, supervisor investigations, etc. Coordinate investigations and produce required documentation to assist...
. Conducts incident investigations. Works with corporate office to assess and settle legal and damage claims. Resource..., Certifications and/or Work Experience) Required: Five (5) years of directly related experience as a first line field manager...
. Conducts incident investigations. Works with corporate office to assess and settle legal and damage claims. Resource..., Certifications and/or Work Experience) Required: Five (5) years of directly related experience as a first line field manager...
is the premier provider of global claims, loss control, and risk management consulting services, dedicated to exceptional... which reports to the Manager – Industrial Hygiene Services or Occupational Safety located in the Chicago metro area business unit...
or other matters of significance Manages claims, disputes, litigation/arbitration and investigations, complex administrative... Press Tab to Move to Skip to Content Link Search by Keyword ("Project Manager") Search by Location (Minneapolis, MN...
. Conducts incident investigations. Works with corporate office to assess and settle legal and damage claims. Resource..., Certifications and/or Work Experience) Required: Five (5) years of directly related experience as a first line field manager...
. Conducts incident investigations. Works with corporate office to assess and settle legal and damage claims. Resource..., Certifications and/or Work Experience) Required: Five (5) years of directly related experience as a first line field manager...
live into Allstate’s Claims Culture by caring, empowering, and restoring, and you will accomplish that by being... confidently and independently investigate casualty claims by performing detailed reviews of damage and interpreting policies...
, insurance claims, performance metric reports, etc. Take necessary steps to ensure a safe work environment for all employees... and participation on special projects as required or assigned by manager, upper management or by the client. Implement and maintain...
and notify Training and Development of ongoing education needs. Work closely with the Education Program Manager to create... supporting claims billed to third parties to ensure billing is done in accordance with the appropriate third party regulations...