. 15. Coordinates plan benefit problems with the Plan Building Supervisor and/or the Claims Department Manager. 16...REPORTS TO: Plan Building Supervisor LOCATION: Allegiance office or off-site FLSA STATUS: Non-Exempt POSITION...
such as MassHealth, Qualified Health Plans administered by the Massachusetts Health Connector, Health Safety Net, Premium Assistance...Description : Job Summary The Supervisor of Advocacy for Access oversees program staff responsible for facilitating...
The QA Supervisor is responsible for the oversight of the review of Physician reports and accompanying medical records.... We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees...
, including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building... member: Health Plans + Supplemental Coverage Options - Individual health insurance provided at no cost for full-time team...
Job Description: The QA Supervisor is responsible for the oversight of the review of Physician reports..., and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage...
for our clients. About the role As a Reinsurance Supervisor, you'll lead a team of employees focused on the administration... of reinsurance premiums and claims. You and your team will ensure compliance with reinsurance treaties, regulations and accounting...
and more. Visit and to learn more. Description Engage primarily with the frontline workforce to raise awareness of health... and safety policies, risks and controls. Facilitate processes in the Health & Safety Management System, including incident...
and more. Visit and to learn more. Description Engage primarily with the frontline workforce to raise awareness of health... and safety policies, risks and controls. Facilitate processes in the Health & Safety Management System, including incident...
plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy... liability claims review, investigation, management and disposition, including financial mitigation of indemnity payment...
, researching, investigating, processing and adjusting claims. Identify trends and report to Supervisor as necessary. Review... high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed...
, and researching complex health care claims to identify discrepancies, verify pricing, confirm prior authorizations, and process claims... QNXT platform preferred. Experience with managed care organizations (MCOs) or health plans preferred. Experience...
. Required Qualifications 3+ years of experience in health insurance claims processing, preferably with Medicare Supplement claims...At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated...
terminology, and ADA codes, preferred. Data Entry experience dealing with all types of plans/claims preferred. Good reading... group specific and standard contract benefits to process pended claims. Know benefits provided by specific plans...
terminology, and ADA codes, preferred. Data Entry experience dealing with all types of plans/claims preferred. Good reading... group specific and standard contract benefits to process pended claims. Know benefits provided by specific plans...
health plans. Seeks advice and guidance as needed to ensure proper understanding. Parkland Health and Hospital System... health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse...
exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates... in Financial Services & Insurance Workers Compensation Claims Team Lead Assistant PRIMARY PURPOSE: To analyze complex...
A choice of three medical plans (that include prescription drug coverage) to suit your unique needs. For High Deductible Health... information to make claim decisions and payments on LTD, Voluntary disability and Waiver of Premium claims. The goal of the...
plans. How does a great healthcare benefits package from day one sound? Multiple options are available for individuals... and families. One employee-only plan could be FREE, if you participate in our health screening program. 10 days of free child...
Management, the Director of Litigation and Claims provides oversight for insured and non-insured claims, including hiring..., training, developing, and coaching in-house claims staff and third-party administrators. This role is responsible...
, what you do matters. It's that simple . . . and it's that rewarding. In providing consumer - oriented health benefit plans to millions... closely with their supervisor to manage a team of roughly 15-18 claims processors, lead meetings/trainings as needed, and work...