Summary Under immediate supervision, performs eligibility related paraprofessional work of routine difficulty; and performs related work as required. Distinguishing Features An employee in this class assists Eligibility Counselors in case management activities and learns the rules and regulations necessary to determine eligibility for monetary benefits and social services

Assist in soliciting and quoting new business within guidelines and/or authority. Maintain agency relationships by providing prompt customer service as directed. Send requests for renewal business. Review renewals for completeness and risk acceptability and approve within established guidelines. Present to underwriter when necessary. Promote and demonstrate use of the web

OPENTEXT OpenText is a global leader in information management, where innovation, creativity, and collaboration are the key components of our corporate culture. As a member of our team, you will have the opportunity to partner with the most highly regarded companies in the world, tackle complex issues, and contribute to projects that shape the future of digital transforma

Senior Claims Operations Analyst Requisition ID 2024 25152 Job Locations US IL Lake Zurich Position Type Regular Full Time Category Finance & Accounting Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Under the general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical operational support s

EXCELLENT LOCAL OPPORTUNITY!

When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready. We are a diverse group of individuals working together to go the extra mile. Through our DEI initiatives, employees feel empowered to bring their talents and voice to our culture. Our passion for delivering the best products is matched only by our pass

Your Job INVISTA is seeking an experienced Senior Accounting Analyst to join our CFO organization in Wichita, KS or Dallas, TX. A successful candidate is highly motivated, self driven, and has a passion for driving continuous improvement and transformation. They should have an advanced understanding of accounting concepts, excellent critical and economic thinking, and str

Member Services Customer Service Representative Member Services Full time Monday Friday 8am 5pm POSITION SUMMARY The Customer Services Representative (CSR) always presents a positive image to Florida Health Care Plans members. This position requires proficiency in answering calls, responding to emails, online chat, and in person support for FHCP members related to inquiri

RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Specialist, you will provide expertise in insur

Perform duties necessary to ensure the proper interpretation, processing, recording, approval and payment of inpatient and outpatient medical claims. Accurately reviews information for processing claims into a computerized system in accordance with the primary payer specifications and billing guidelines. Monument Health offers competitive wages and benefits on qualifying

Newport, an Ascensus company, helps employers offer their associates a more secure financial future throughretirement plans,insuranceandconsulting services. Newport offers comprehensive plan solutions and consulting expertise to plan sponsors and the advisors who serve them. As a provider and partner, Newport is independent, experienced, and responsive. Job Summary Newpor

Looking to join a great team of healthcare professionals? Do you enjoy making an impact in your career? Palm Point is currently recruiting for a Director of Clinical Services. The Director of Clinical Services provides direct supervision to all Clinical Services staff. Oversees the development and implementation of the clinical programs across the continuum of care; devel

Eligible for a $2,500 sign on bonus Eligible for Full Time benefits Shift Full Time Day Shift The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals. Is a subject matter expert in

o Handle General Liability claims for a wide variety of AXIS policyholders written in various jurisdictions and reporting to the Claims Manager; o Triaging of first notification of loss, efficiently utilizing an established network of service providers; o Set accurate claim reserves and make referrals to senior members of the team where necessary; o Obtain relevant polici

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 Community Outreach Care Van Spe