1 to 15 of 41
Sort by: Date | Relevance
Responsible for checking the accuracy and completion of claim forms and attachments; reviews company records to determine coverage. Obtains missing information by calling or writing to the insured using standard scripts or form letters. Calculates amount of claim. Submits claims within assigned limits, for payment. Qualifications Minimum Requirements 1 years claims examiner experience Critical Ski
Posted Today
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
Great sales are the result of strong purpose, conviction and pride pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm) The purpose of this job is to supervise and train Captive and Non Captive/ Independent Agents to sell the UnitedHealth Group (UHG) portfo
Posted Today
Great sales are the result of strong purpose, conviction and pride pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm) The purpose of this job is to supervise and train Captive and Non Captive/ Independent Agents to sell the UnitedHealth Group (UHG) portfo
Posted Today
Functions independently to inform and educate, answer questions, resolve issues, and make decisions regarding the need for the implementation of coverage and modification to clients' coverage. Provides exceptional customer service for assigned accounts, including correspondence, communication wit and meetings with customers, producers and insurance carriers. Independently, or in partnership with p
Posted Today
Work closely with clients and claimants Provide outstanding claims handling and customer service Coordinate and direct all outside service providers including legal counsel, occupational medical providers and all other ancillary cost containment service providers Manage reserves on claim files Analyze and investigate claims and report findings and recommendations to insured Meet and maintain all r
Posted Today
Provide health education and coaching to members tailored to issues identified within treatment and service plans Coordinate with various healthcare providers for diagnostics, ambulatory care, and hospital services Assist members with social determinants of health including access to exercise and healthy food Promote activities focused on the health of a patient and their community, including with
Posted 1 day ago
Supervisor, Medical Management (Non Clinical) (1113875) Position Purpose Supervise the day to day operations of the medical review unit Oversee changes to medical review unit functions and performance in relation to company mission, philosophy objectives and policies Assist senior management with budgets and forecast for strategic planning and key initiatives. Balance current and future needs effe
Posted 2 days ago
Grievance & Appeals Coordinator I (1114217) Position Purpose Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain f
Posted 2 days ago
Supervisor, Medical Management (Non Clinical) Supervisor, Medical Management (Non Clinical) (1113875) Position Purpose Supervise the day to day operations of the medical review unit Oversee changes to medical review unit functions and performance in relation to company mission, philosophy objectives and policies Assist senior management with budgets and forecast for strategic planning and key init
Posted 2 days ago
Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and grievances May coordinate the
Posted 2 days ago
Provide health education and coaching to members tailored to issues identified within treatment and service plans Coordinate with various healthcare providers for diagnostics, ambulatory care, and hospital services Assist members with social determinants of health including access to exercise and healthy food Promote activities focused on the health of a patient and their community, including with
Posted 2 days ago
Duties Summary About the Position This is an Hydropower Office Assistant (OA) position GS 0303 06 with the USACE Little Rock District, Operations Division. This position is located in Little Rock AR. This position is exclusively represented by Local 2219 IBEW, AFL CIO. Responsibilities Develop and implement procedures to support, supply management, budget and personnel management Explain data to f
Posted 4 days ago
About the Role An account executive on the strategic accounts team is responsible for leading Accruent's new program development activities at our largest accounts and expanding our relationships. Their responsibilities include Customer expert Effectively understanding their customers' critical business needs & organizational landscapes Platform perspective Acting as product generalists able to co
Posted 7 days ago
Program Specialist I Social Work LPN or RN (1113783) Position Purpose Identify special needs members through the completion of health screens and other resources Work with community outreach/member advocates to coordinate member care Educate providers and community resources on program components and available support services Educate members with special needs to foster compliance with program an
Posted 17 days ago
Email this Job to Yourself or a Friend
Indicates required fields