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Position Specific Responsibilities Responsible for coverage analysis and re marketing. Delivering client presentations Responsible for effectively handling all levels of correspondence. Maintaining existing electronic files, responding to telephone, email or fax inquiries from both clients and companies. Reviewing in force renewals working closely with producers in all areas, as applicable. Work a
Posted Today
CapSpecialty values the experiences of our employees both in the office and outside of work, which is why we are pleased to extend benefits like open paid time off, casual dress code, performance bonuses and more. Summary CapSpecialty seeks a dynamic, versatile claims professional to add to its experienced, team oriented staff. This claims professional will handle both litigated and non litigated
Posted Today
Determines and verifies insurance coverage and coordination of benefits from all sources. Responsibilities Confirms insurance coverage. Determines necessity for pre authorization and obtains authorization for scheduled procedures. Enters patient insurance information into the patient record and documents insurance coverage of services to be provided. Determines financial responsibility for service
Posted 2 days ago
Growing Company-No Nights or Weekends!
Posted 3 days ago
At Employee Benefits Corporation, creating and maintaining meaningful relationships around our trusted brand of "making things easy" for our clients is key to our success. Employee Benefits Corporation is currently seeking qualified candidates for a Reimbursement Specialist. The Claims Specialist position is responsible for adjudicating and entering Flexible Spending Account (FSA) claims, Health R
Posted 2 days ago
The Payment Specialist is responsible for accurately performing the claims payment process as back up to the Payment Specialist II. This process includes running the check run process, validating payments with the client, confirming the amounts that each provider will receive as payment for the week, and ensuring that each step “balances” and that the correct payments are made to the p
Posted 3 days ago
The QTI Group is looking to hire a Claims Representative on behalf of a client located in northeast Madison. This full time, direct hire position will operate Monday through Friday from 8 00 AM to 5 00 PM for approximately 35 hours per week. The starting salary for this job is $34,000.00 per year, and could increase based on experience. The ideal candidate for this role will have previous c
Posted 2 days ago
Position Description The Claims Adjuster III evaluates Express claims with respect to loss, coverage, exposure; and ensures timely, cost effective closure via settlement or denial. May also review and audit files for financial and system accuracy and determines which claims will be released / returned to other analysts for further investigation. In addition, this role monitors no coverage claims
Posted Today
Q.B.E North America
- New York, NY / Sun Prairie, WI / Atlanta, GA / 2 more...
Direct, manage and control the Relationship Management function to effectively drive an optimized claim experience, develop market leading relationships with key trading partners, maximize knowledge sharing with business stakeholders and be effective stewards of the claim value proposition. Primary Responsibilities Cultivate and execute a claims agency engagement strategy that maximizes external u
Posted 3 days ago
Hupy and Abraham S.C., a personal injury law firm headquartered in Milwaukee, WI, is looking for a motivated Legal Assistant for our Appleton office. Hupy and Abraham, S.C. has a proven record of large settlements in serious cases. With lawyers having combined experience of over 125 years, our law firm is top rated, has a large legal support staff and has handled thousands of cases from routine ac
Posted 4 days ago
Employee Benefits Corporation is currently seeking qualified candidates for a Reimbursement (Claims) Processor position. This position is responsible for the determining eligibility and entry of flexible spending account (FSA) claims and debit card receipt request processing. The Reimbursement Processor receives workflow direction from the Reimbursement Coordinator. Qualified candidates will have
Posted 5 days ago
Rural Mutual has been recognized by the Ward Group as one of the top 50 property & casualty insurance companies in the country for eight consecutive years and is rated “A” with a positive outlook by AM Best. We have also been named one of Madison Magazine’s “Best Places To Work”. RESPONSIBILITIES Verify coverage on newly assigned claims. Investigate claims. Settl
Posted 6 days ago
Field Reimbursement Manager Milwaukee (00001ID7) Field Reimbursement Manager Healthcare Reimbursement Specialty Providers Xcenda, a business unit of AmerisourceBergen Corporation, is currently seeking a Field Reimbursement Manager to partner with clients and provide field support for patient access to physician administered drugs. Demonstrated experience with Specialty providers is required to be
Posted 6 days ago
Research, define, and implement new methods to modify the system to improve workflows. Why work here? We are not complacent. Our culture is one where innovation is the goal, hard work is expected, and creativity is rewarded. SKYGEN USA employees enjoy competitive salaries, excellent health benefits, and a network of like minded co workers that drive innovation across the entire healthcare technolo
Posted 12 days ago
Employee Benefits Administration
- Madison, WI
We are currently in search of a full time experienced claims examiner in our Madison office with an immediate start date. Duties will include Health Claims processing Customer Service, taking calls from participants and some providers regarding plan benefits, claim status and adjudication of claims. Written correspondence, responding to pre authorization requests and sending refund requests to pro
Posted 12 days ago
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