Claims Program Manager, Medical Stop Loss (Remote or Eatontown, NJ) Job Locations US NJ EATONTOWN | US NJ Remote | US FL Remote | US TX Remote Job ID 2023 3471 Category Claims Type Regular Division A&H Crum & Forster Company Overview Crum & Forster (C&F) Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance p

Self motivated, organized, and have a strong entrepreneurial spirit Recruit producers from all 50 states using our state of the art technology and marketing support Handle incoming and outgoing calls, gather and verify required information, answer questions and provide producers with product and marketing advice Provide presale assistance including case design, product se

The Commercial Lines Assistant Account Manager is responsible for assisting other members of the department with meeting the service needs of customers and performing essential functions that include processing changes, rating, making calls, and assuring correct information is input into the automation systems to achieve the quality and service standards developed by the

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position is responsible for de

Insurance Biller/Collector OBGYN Clinic Facility Harlingen Rio Grande Medical Group Location US TX Harlingen ID 2024 156539 Category Admin Position Type Full Time Shift Days Job Type Non Exempt Overview At Harlingen Rio Grande Medical Group, our dedicated team of professionals is committed to our core values of quality, compassion, and community. Affiliated with Harlingen

Your Job INVISTA is seeking an experienced Senior Accounting Analyst to join our CFO organization in Wichita, KS. A successful candidate is highly motivated, self driven, and has a passion for driving continuous improvement and transformation. They should have an advanced understanding of accounting concepts, excellent critical and economic thinking, and strong communicat

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position is responsible for pe

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary Under Supervision, This Position Is

Provide administrative support to multiple underwriters, including monitoring email correspondence, and completing administrative tasks to expedite the underwriting process. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust organization. Responsibilities Responsibilities Performs underwriting support associated

The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.

The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.

This is a new role to the enterprise. As a Senior Change Agent, you'll partner with our Retail and Restaurant divisions by leading, training, and implementing the principles of Lean Six Sigma and performance management. Senior Change Agents also lead the ongoing change management process to ensure the new principles are supported, communicated, and well trained, creating

Be responsible for oversight of the insurance authorization process regarding case management of care clusters and patient pathways. To include timely and complete processing of eligibility and benefit verification, initial and ongoing authorization requests following set guidelines and accurate entry of related information in designated software system. Review and build

The Authorization Specialist is responsible for daily oversight of authorization request and approvals requiring interface with internal and external persons/entities and any other activities related to reimbursement for services for ABH, CFS, or Crisis programs. Performs regular updates and verification of insurance coverage. Other regular work duties may also involve me

The Authorization Specialist is responsible for daily oversight of authorization request and approvals requiring interface with internal and external persons/entities and any other activities related to reimbursement for services for ABH, CFS, or Crisis programs. Performs regular updates and verification of insurance coverage. Other regular work duties may also involve me