with the member and/or the member’s authorized representative and must demonstrate superior customer service and benefit... collection of documents and records (medical, claims, administrative) needed to fully research the appeal or complaint request...
to provider issues. Manage and ensure favorable relationships, as a representative of PacificSource, with local and state health... departments, and local and regional provider community. Assist with reviewing pre-authorizations, claims, and other cases...
, and others as directed, in the execution of their jobs by ensuring that legal advice is being timely provided to the field. Additionally... for certain communications. Monitor class action lawsuits and file claims for the Company and its related entities. Creating...
all administrative aspects of leave and workers’ compensation claims through the HR Information System (HRIS) and vendor systems...’ compensation claims. Develops reporting metrics and analytics for activity related to leaves of absence and workers’ compensation...
meal applications and meal reimbursement claims. Conducts inspections of school cafeterias with Federal and State auditors... listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made...
's Degree Related field (equivalent from two year college or technical school may substitute) 5 Years IPA or related experience... as needed to provide information about IPA's policies & procedures and operations or as a departmental representative. Responsible...
. This individual will directly interact with field employees, Company Management, and customers. The Area Safety Manager will provide.... Work closely with Workers' Compensation claims administrator to ensure all proper documentation is acquired in a timely...
, or closely related field, of which six (6) months must have been supervisory; OR an equivalent combination of related education... following duties and responsibilities are intended to be representative of the work performed by the incumbent...
must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge... on the job experience in a medical office or related field preferred. Medical Assistant Certification is preferred...
/witness is present, it is expected that the site-based M&LC representative or designee to be in attendance. Periodic field..., as appropriate. When necessary, escalate to the COE for discrepancy review and potential issuance of claims. Identify and address...
of the payment integrity functions, ensuring the accurate and efficient processing of claims, and protecting the financial... and ongoing management of the organization’s Payment Policy Committee. Responsibilities: 1. Pre-Payment Editing & Claims Audit...
a supplier or customer LC contractor/witness is present, it is expected that the site-based M&LC representative or designee... to be in attendance. Periodic field reviews of custody transfer inspections. Participate in reviews and incident investigations related...
: Support insurance manager in administering property and casualty insurance programs. Participate in claims activities... such as weekly claims calls, bi-weekly litigation calls. Support claim resolution issues Evaluate incident reports...
purchase of materials, supplies, equipment and services used by the company. Works with shop and field leadership to maintain... by way of phone and e-mail request for fabrication and field needs Assists Accounting and Billing with PO and invoice...
in investigative analytical chemistry. Examples of this includes evaluating the label claims of consumer products, reverse engineering... in a responsible and efficient manner. Qualifications BS/MS degree in Chemistry or related field and 1+ years of Industry...
is taken - Safety Committee representative and advisor - Develop, train, and maintain effective emergency response team... for monthly audit of the OSHA 300 log and resolution of errors with claims administrators - Work with corporate claims...
between PSA Airlines and its vendors on matters related to workers’ compensation claims, Family Medical Leave, and other leaves... that you are authorized to work in the US. Preferred Bachelor’s degree in a Human Resources related field or equivalent experience...
to employees and insurance carriers regarding employee benefit enrollment discrepancies and escalated claims issues. Lead new hire..., dependent verifications, and enrollment reminders. Responsible for benefit enrollment verifications and claims requests from the Center...
Job-ID: 15421; Location(s): Field JOB DESCRIPTION SUMMARY The Director, Sales is responsible for all aspects...'s Representative Agencies, and indirect responsibility for aligned Industrial Account Managers and BD Technical Managers. Develops...
claims/risk management to mitigate liability to the company while maintaining the highest quality of guest service... must be able to perform each job responsibility satisfactorily. The requirements listed below are representative of the knowledge...