Corona Jobs

Claims platform. This project will consolidate all Claims systems throughout California and streamline business ... Accountable for tracking and/or monitor and report for senior management the results of actualization of benefits Direct...

related field required.Licensure/Certification: PMI Project Management Professional certification required.Experience ... Two or more years experience in healthcare or medical claims/insurance operations.Computer Skills: Highly proficient in...

claims for non-contracted provider and contracted hospital claims for both Commercial and Senior plans within the ... Familiarity with computerized claims processing/transaction system Computer Skills: Should be familiar with the Microsof...

acquired two companies focused in the area of pain management to add to our medical solutions. Every day, 1.3 ... process/product changes, labeling, claims, complaints, etc., to determine the need for any regulatory activities and to...

resolves claims within evaluation. Negotiates settlement of claims within designated authority. Calculates and assigns ... of claims management experience or successful completion of Claims Examiner II training required. BS/BA degree may...

regulations. Conducts investigations for employment-related claims. Provides investigation and consultation support to ... identify business needs and recommend solutions (3 years) Management Required Knowledge, Skills and Abilities Ability...

injuries through quality medical care and effective management of claims and lost work time. SUMMARY Provide ... *Knowledge of fiscal management and human resource management techniques. *Skill in establishing and...

for insurance carrier. Processing Workers Compensation Claims and lead the Safety Committee.Policies and ... Annually reviews and makes recommendations to Executive Management for improvement of Company's policies,...

Provide technical support for Customer Quality Management and Regulatory requests. Communicate Berlin ... Bachelors degree in Quality / Industrial Management, Engineering, or other technical discipline with relevance to the Ke...

* Experience in medical claims, health plan contracting or managed care finance may be substituted for active claims exa ... Additional appropriate education and job experience in managed care may also be substituted for active claims examining/...