Claims Manager Are you an experienced workers compensation claims leader who loves developing talent and solving complex problems? MEM Insurance is looking for a Claims Manager to lead a team of seasoned claims professionals handling higher-complexity workers compensation
Senior Claims Representative Are you a seasoned claims professional with a passion for navigating complex cases? MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal role, youll manage high-exposure
EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities. At EY, you’ll have the chance to build a career as unique as you are, with the global
About Wealth Enhancement Wealth Enhancement is an independent wealth management firm with an endless passion for enriching the lives of our clients. We continually seek to perfect our craft of personalized financial planning with our team-based
Valor Healthcare Job Opportunity Valor Healthcare is a veteran- and physician-led provider of healthcare services for deserving, resilient patriots including those who serve or have served in the military as well as those who devote their
Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals, denials or recommendations based on contract
Essential Duties and Responsibilities: - Supervise the workforce management team and workflow to support management in all aspects of the workforce function within the project. - Create and maintain workforce monitoring schedules for team members to
Essential Duties and Responsibilities: - Works on assignments that are routine in nature, with responsibilities easily learned on the job. - Monitor call volume and staffing data to ensure workers are performing in accordance with established quality
Essential Duties and Responsibilities: - Works on assignments that are semi-routine in nature but recognizes the need for occasional deviation from accepted practice. - Follow procedures and directions to assess the quality of service provided through
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system