Job Description: The Brandywine Claim Director is responsible for all aspects of claim handling on a book of complex..., remediation experts, counsel and others to gather all claim facts. Negotiate cost sharing agreements with carriers/policyholders...
At AIG, we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director to play... on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well...
to learn and join a talented team where patient care is more than a job. It’s our passion. Primary Purpose The Director...
Job Overview/Description The Director of Nursing (DON)/Supervising Nurse, appointed by the Administrator... on Pre claim review (PCR) performed and Axxess Care. RCD documentation and uploads (making sure all paperwork...
in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments... determinations and continue to next step in the claim’s lifecycle. Research new healthcare related questions as necessary to aid...
Representative is a member of the RightwayRx Operations team reporting to the Sr Director of PBM Operations. This role works... regularly with members and providers to resolve inquiries related to benefits, claim adjudication and utilization management...
Technical Director (e.g. job assignment responsibilities in the Director's absence, meeting attendance.) This position..., with the broker/agent community, with Claim, with other Risk Control staff, and with clients. May conduct research...
Care Filings in one of our offices in FL, TX, NY, CA, or IL. PRIMARY PURPOSE: To support the Director of Utilization.... Responsible for corporate responses to any UR complaints or questions from regulators in collaboration with Claim Legal...
Care Filings in one of our offices in FL, TX, NY, CA, or IL. PRIMARY PURPOSE: To support the Director of Utilization.... Responsible for corporate responses to any UR complaints or questions from regulators in collaboration with Claim Legal...
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