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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 ..
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 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 The Pharmacy Claims Professional 2 monitors and ensures ... ensures appropriate adjudication of pharmacy claims. The Pharmacy Claims Professional 2 work assignments are ... of action. Responsibilities The Pharmacy..
Description The Senior Health Information Management Professional work assignments involve moderately complex to complex issues to work with various teams to develop business requirements, track and monitor the success of the ..
Cyber Claim Counsel The candidate will follow operational policies to analyze, investigate, and resolve BSI claims of varying levels of severity with moderate supervision from claims management. Will prepare and present ..
Job Information Humana Pharmacy Claims Specialist, Remote in Sandy Utah ... Sandy Utah Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Associate Cyber Claim Counsel The candidate will follow operational policies to analyze, investigate, and resolve BSI claims of varying levels of severity with active supervision from claims management. Will prepare and ..
... 100 Company! The Workers Compensation Claims Specialist works within a Claims Team, using the latest technology ... to moderately complex Workers Compensation claims from the investigation of the .....
Job Information Humana Claims Review Representative 2 in Sandy ... in Sandy Utah Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
Description The Claims Review Representative 3 makes appropriate ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 3..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Sandy Utah Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim ..
Description The Pharmacy Claims Professional 2 is responsible for ... maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers ... and answers inquiries regarding pharmacy claims adjudication, including..
... seconds) Job Overview Company: TheBest Claims Solutions Pay: $95,000 to $105,000 ... Supervisor Our client, a leading Insurance Company, has an immediate need ... a Workers Compensation Lost Time..
Job Information Humana Claims Review Representative 2 in Salt ... Lake City Utah Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
... Services, a fast growing commercial insurance company, has a need for ... need for a Workersu2019 Compensation Claims Manager. The WC Claims Manager works with the Claim ... and..
... - Construction Services Company: Travelers Insurance Category: Claims, Sales Location: Salt Lake City, ... Summary The Bond and Specialty Insurance division of Travelers is seeking ... highly specialized niche..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..
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 ..