Claims Professional I Jobs in Wisconsin

... indispensable. The Senior Financial Analytics Professional ensures Humana's profitability and financial ... seeking a Senior Financial Analytics Professional that will be primarily responsible ... Employer Group Segment. The Analytics..

Description This Associate Actuary role will be part of a team commissioned with the task of developing a new Employer Group forecasting system. This role will provide a blank canvas for ..

Description This Lead Actuary role requires a leader who is a creative thinker and is energized to build something from the ground-up. This team will start with a blank canvas to ..

u003cpu003eu003cstrongu003eRole Summary:u0026nbsp; u0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eThe Prior Authorization Nurse Analyst is a work from home position that will assist in reviewing medical documentation for prior authorization requests submitted.u003c/pu003enu003cpu003eu003cstrongu003eIn this role you will:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003ePerform review of ..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

... is in place.u003c/liu003enu003cliu003eAssist in insurance claims, as necessary.u003c/liu003enu003cliu003eUse National Association of ... life insuranceu003c/liu003enu003cliu003eDress for your dayu003c/liu003enu003cliu003eInnovative professional and cognitive development programsu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eWho We ... and a worldwide leader in..

... The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the ... The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex ... The Senior Medical/Financial Risk Evaluation..

... Security and WPS by embracing professional communication standards with internal and ... life insuranceu003c/liu003enu003cliu003eDress for your dayu003c/liu003enu003cliu003eInnovative professional and cognitive development programsu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eWho We ... and a worldwide leader in..

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

Description The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly ..

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

Job Information Humana Senior Pharmacy Claims Professional in Green Bay Wisconsin Description ... Wisconsin Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and processes pharmacy claims for payment. The..

Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..

Description This Actuarial Analyst 2 role on the Specialty Benefits team will take ownership of our Dental and Vision commercial group (100 lives) renewal reporting and the dental trend analysis. This ..

Description This Lead Actuary role requires a leader who is a creative thinker and is energized to build something from the ground-up. This team will start with a blank canvas to ..

Description This Actuarial Analyst 2 role on the Specialty Benefits team will take ownership of our Dental and Vision commercial group (100 lives) renewal reporting and the dental trend analysis. This ..

u003cpu003eu003cstrongu003eRole Summaryu003c/strongu003eu003c/pu003enu003cpu003eResponsible for agency sales and retention of senior product lines, as well as providing support to Agency Manager and sales team to achieve goals.u003c/pu003enu003cpu003eu003cstrongu003eIn this role you will:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eMaintain regular contact ..

u003cpu003eu003cstrongu003eRole Summary:u003c/strongu003eu003c/pu003enu003cpu003eThe Financial Planning and Analysis team partners with leaders across the business to set WPSu0026rsquo; targets and understand its results. Our work directly supports the business in finding growth opportunities ..

Description The Pharmacy Claims Professional 2 is responsible for the ... maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers inquiries ... and answers inquiries regarding pharmacy claims..

u003ch2 style=u0022text-align: center;u0022u003eu003cstrongu003eSenior Build and Release Analystu003c/strongu003eu003c/h2u003enu003ch4 style=u0022text-align: center;u0022u003eu003cstrongu003e*U.S. citizenship is required for this position due to Department of Defense restrictions*u003c/strongu003eu003c/h4u003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eRole Summary:u003c/strongu003eu003c/pu003enu003cpu003eThis position is responsible for managing the release of complex ..

Description The Pharmacy Claim Professional 2 conducts reviews on pharmacy ... 2 conducts reviews on pharmacy claims to assess for recoveries. The ... for recoveries. The Pharmacy Claim Professional 2..