PROVIDER NETWORK OPERATIONS CLAIMS jobs in UNITED STATES, United Kingdom #2

leading crop insurance providers in the U.S. RCIS offers insurance protection in all 50 states through a national network... is hiring an RCIS Crop Claims Specialist to join our team! We are open to hiring talent in Nebraska within one of the counties...

Job Summary Supervise Company’s third-party administrators (“TPAs”) and their handling of claims made against the..., and resolution of construction, auto, general liability, professional liability, and first party property claims. Actively manage TPA...

Job Summary: Investigate, evaluate, and resolve claims made against the Company’s behavioral health and psychiatry..., operations, and technology. Provide superior service to all customers, whether internal or external. Job Duties...

with Clinical Review Board and Network Operations Team to resolve complex issues or disputes. Adjudicates claims that have been..., and provider contract Interpretation. Analyzes, processes, researches, adjusts, and adjudicates claims with the use of accurate...

a broad range of products to customers through a diversified, multichannel distribution network. Our Claims professionals... to know the business General Insurance is a leading provider of insurance products and services for commercial and personal...

operations of Live Nation. In this role, you’ll have primary responsibility for managing liability claims in North America... Provide guidance to operations on handling incidents as they may arise Tender and track progression of other types of claims...

Job Summary: Investigate, evaluate, and resolve claims made against the Company’s behavioral health and psychiatry..., operations, and technology. Provide superior service to all customers, whether internal or external. Job Duties...

a broad range of products to customers through a diversified, multichannel distribution network. Our Claims professionals..., you will be responsible for handling claims from inception through conclusion of Professional Liability matters, including Cyber, Network...

Job Description: We are seeking a highly skilled Application Analyst with expertise in Epic Resolute and Claims..., and modification of Epic applications. Responsibilities include configuring workflows, supporting go-live operations, and providing...

with Network Management, Claims, and Provider Data Integrity teams to ensure accurate contract reimbursement and adherence... is responsible for network development and management. This role involves expanding provider networks for existing and new lines...

+ years of network/contracting experience. Intimate knowledge of managed care operations (contracting and provider relations... and policies, contract solutions, provider relations, data load/management and network performance. The Manager will supervise...

partners to expand the ABHNJ provider network to effectively manage behavioral health benefits and care. Successful candidate... Provider network that is geographically proportionate for provider specialties Meet provider services requirements...

claims issues with Network payors by troubleshooting on behalf of the practice and working with the payor to resolve. 5.... Provides enrollment assistance/support to Network provider members for nondelegated health plans as needed. 6. Supports new...

solutions for customers Work with business partners, (e.g.) transitions, provider network operations, medical management... successful implementation and maintenance of customer’s network strategy and compliance with network requirements network assessment...

+ years of network/contracting experience. Intimate knowledge of managed care operations (contracting and provider relations... and policies, contract solutions, provider relations, data load/management and network performance. The Manager will supervise...

+ years of network/contracting experience. Intimate knowledge of managed care operations (contracting and provider relations... and policies, contract solutions, provider relations, data load/management and network performance. The Manager will supervise...

of proprietary network and claims management systems. Provider contracting operational and workflow process and procedures. Network...Integra’s Network Expansion team is responsible for the ongoing success of the Company’s provider network, ensuring...