, state, and federal law. Understanding of systems regarding enrollment and eligibility, processing of claims, billing...
(for states with customers) Malpractice insurance: $2M/$6M claims-made policy (corporate tail coverage included) Operational...
claims Ensure compliance with all relevant laws of the applicable State Board of Pharmacy Administration of immunizations...
and implementation of monthly unpaid claims estimates, periodic calculation of applicable risk adjustment and risk sharing payables... opinion. Direct budget forecasting process for Commercial line of business. Oversee calculation of claims, premium...
options across medical, dental, vision, life, disability, and voluntary benefits; analyzing claims and benchmark data...
claims Ensure compliance with all relevant laws of the applicable State Board of Pharmacy Administration of immunizations...
onboarding, policy servicing, claims support, and renewals. Stay current on carrier markets, underwriting guidelines...
as needed: Process retroactive authorization requests for approvals and determine if claim was denied, and if so, notify claims...
of hire Preferred More than 1 year of security and customer service experience in a health care, call center, claims...
of claims (e.g., property and casualty - worker's compensation, auto liability, physical damage, and products/general liability... and temporary modified light duty programs to support associate recovery while minimizing time loss claims. Track, analyze...
Claims Recovery team with follow-up actions after damage site reviews. Develop and maintain monthly market reporting... and lead client meetings to review updates. Maintain a working knowledge of the entire PRG claims process...
records; 4.) locating and interviewing witnesses to verify or disprove claims of suspected law violations; 5.) and writing...
groups, including protected veterans and individuals with disabilities. Pursuant to The Alaska Native Claims Settlement Act...
. Initiates and completes claims for worker’s compensation injuries, personal injury, motor vehicle accidents, and crime victim...
. Initiates and completes claims for worker’s compensation injuries, personal injury, motor vehicle accidents, and crime victim...
. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy...
construction progress and approve recovery plans. Review the claims resolutions recommendations. Collaborate with appropriate...
construction progress and approve recovery plans. Review the claims resolutions recommendations. Collaborate with appropriate...
deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving... practices and procedures. Developing internal best practices for claim handling and litigation management. Auditing all claims...
(corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner... of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages...