Senior Claims Resolution Specialist - Internal Resolution Unit
Parkland Community Health Plan Inc
Parkland Community Health Plan, Inc. is seeking a Claims Resolution Specialist to investigate, analyze, and resolve complex claims and payment disputes. This full-time position requires a strong understanding of Texas Medicaid policies and at least three years of experience in claims adjudication. The role includes collaborating with cross-functional teams and ensuring compliance with federal and state regulations. Excellent communication, analytical skills, and proficiency in Microsoft Office are essential. The position is located in Mission, Kansas. #J-18808-Ljbffr
- ...Claims Resolution Specialist Internal Resolution Unit- Health Plan page is loaded## Claims Resolution Specialist Internal Resolution Unit- Health Planlocations: Mockingbird Towers 4th FLRtime type: Full timeposted on: Posted Todayjob requisition id: 986759**PCHP- Parkland...UnitContract workWork at office
- ...Claims Specialist - Business Insurance Our not-so-secret sauce. Award-winning, inclusive... ...with multiple stakeholders (internal and external) involved in claim resolution. Knowledge in Workers... ...interaction with clients, service units, and insurance providers. The ability...UnitLocal areaNight shift
$119.5k - $199.1k
...standards and compliance with all internal audit guidelines. Work... ...across Middle Market business unit to maximize deployment of AXA... ...experience (e.g., underwriting, claims, or insurance related... ...creative solutions and ideas for resolution. Desired Skills and Abilities...SeniorUnitFlexible hours- ...facilitating analytical review of operational processing. Client activity and performance monitoring Issues management and problem resolution Internal controls, treaty and regulatory compliance, and reporting Exact compensation may vary based on several factors, including...SeniorContract workTemporary workFor contractors
- Texas Dow Employees Credit Union is seeking a Sr. Lead - Loan Resolutions based in Kansas City, Missouri. This role involves assisting the management team in supporting Loan Resolution staff, determining member repayment abilities, and leading team communications to ensure...SeniorWork at office
- ...improvement Proven track record of internal promotions and career growth... ...role reporting into senior accounting leadership, working... ...operational leaders across 30 business units. You’ll be stepping into a... ...questions and issue resolution Partner with operational leaders...SeniorUnitWork at officeWork from home
$63.59k - $121.53k
...Opportunity As a dedicated Senior Property Adjuster, you... ...property insurance claims presented by or... ...within 45 minutes from the international airport. Candidates currently... ...complexity claims resolution. May also involve... ...Special Investigation Unit (SIU) referrals, when...SeniorUnitHourly payH1bLocal areaRemote workRelocationAfternoon shift$107k - $179.3k
...company business opportunities and problem resolution. Responsible for assisting in... ...services to customers. Works with all internal departments to resolve problems and maintain... ...Development Consultants, other business units, agents and policyholders as required....SeniorUnitContract workWork at officeNight shift- Sr. Lead - Loan Resolutions page is loaded## Sr. Lead - Loan Resolutionslocations: Post Oak Corporate Officetime type: Full timeposted on... ...to Loan Resolution staff. Provide Best-in-Class service to internal/external Members and Communicate with employees using all channels...SeniorWork at officeLocal area
- ...Role Summary The Senior HR Manager is responsible for helping to... ...works closely with business unit leaders to develop, implement... ...Responsible for investigations and resolution of employee relations issues,... ...issues. Coaches and counsels internal customers and leadership;...SeniorUnitLocal area
- ...plans. Leads, manages, and prepares internal and external project meetings, distributes... ...and assists self-perform with schedule, unit tracking, budget, and procurement... ...conflicts and follows through to positive resolution. Contributes to a high performing team...SeniorUnitWork at office
$89k - $136k
...Senior Claim Specialist Amtrust Financial Services, a fast-growing commercial insurance company, is... ...Proficiently communicate claim exposures both internally and externally Primary role in developing effective claims resolution strategies for optimal outcomes Role...SeniorWork at officeRemote workFlexible hours- Senior Bioanalytical Chemist - Scientist II Eurofins 1 day ago Job Description... ...supporting project teams both internally and externally for new assay... ...of Mass Spectrometers and HPLC units. Experience with Sciex® or Thermo High Resolution/ Accurate Mass Instrumentation...SeniorUnitWorldwide
- ...Role Summary The Senior Drafting Technician will support project... ...effective communication and conflict resolution skills. Work collaboratively... .... Follow direction from the internal design manager, drafting... ...and ability to convert between units. Layout skills. Read and...SeniorUnitContract work
- ...Senior People Resource Center Representative Join to apply for the... ...the timely and accurate resolution of associate care cases and other... ...support groups, and the business unit. They closely adhere to a... ...outbound calling campaigns or internal team projects, as needed...SeniorUnitFull timePart timeWork experience placementRemote workAfternoon shift
$100k
...the unique coverage and claims-handling needs of... ...Business Title(s): Senior Construction Defect Technical Claims Specialist Employment Type: Full... ...financial outcome and timely resolution. Properly setting... ...authorized to work in the United States. At this time,...SeniorFull timeLocal areaRemote work$134.26k
...Requisition ID: 44387BR Business Unit: IND Job Description: As a Senior Substation Engineer – Physical,... ..., industry standards, and internal quality protocols. Interface directly... ...client presentations, and issue resolution. Background Check and Drug...SeniorUnitFull timeFor subcontractorH1b- ...Senior Compliance Specialist At our Bank, we believe common sense is more than just... ...assessments of compliance risk and internal controls, including... ...common sense approach to issue resolution Ability to work with other business unit leaders on committees and on...SeniorUnitWork experience placementWork at officeNight shift
$190k - $250k
...seeking a full-time Senior Architect in any Surgence... ...multiple business units, systems, or technical... ...issues and drive timely resolution. AI Forward... ...and machine learning specialists as needed while maintaining... ...should apply on-line at Internal employees should apply...SeniorUnitFull timeTemporary workLocal areaRemote workFlexible hours$150k - $165k
...associate, you will need to apply through our internal career site. Please log into Workday and... ...for the appropriate and timely resolution of client complaints related to medical... ..., ratio and percent; ability to convert units of measurement. Computer skills - Comfortably...SeniorUnitTemporary workLocal areaFlexible hoursShift work- Role Summary The Senior Drafting Technician will be responsible for... ...communication and conflict resolution skills to help foster teamwork... .... Works at the direction of internal design manager, drafting... ...and ability to convert between units Knowledge of layout skills...SeniorUnitContract work
- ...work is being performed within budget and unit requirements. Oversees the development... ...conflicts and follows through to positive resolution. Represents Company as liaison for all... ...including impact analysis, documentation, and internal and external communication to all...SeniorUnitContract workImmediate start
- 090 AUDIT VP SENIOR INTERNAL AUDITOR MANAGER 6301 Glenwood St, Mission, KS 66202, USA Job Summary The Senior Internal Audit Manager is responsible... ..., remediation efforts, and validate issues to ensure timely resolution of audit issues. Support the assessment of compliance with...Senior
$92k - $116k
...and wiring servers, power distribution units, and switches Installing servers, switches... ...taking action and ensuring timely resolution and closure A strong desire and aptitude... ...) Ability to travel domestically and internationally (10% - 15% travel) Ability to be on your...SeniorUnitLocal areaRemote workWorldwideOverseasFlexible hours$80k - $95k
...preservation of more than 230,000 units of quality housing in... ...collaboration. Role Summary The Senior Investor Reporting Analyst is... ...reporting to Investors and internal stakeholders for a portfolio... ...reconciliation activities, leads issue resolution, maintains data integrity...SeniorUnitSummer workWork at officeRemote work$133.3k - $304.5k
...firm with a separate business unit dedicated to the financial... ...Transformation team as an Engineering Senior Manager, where you will be... .../mobile tools to improve internal operations, application of Robotics... ...troubleshooting and issue resolution Plan, sequence, and...SeniorUnitSummer holidayFlexible hoursShift work- ...Corporate Program Management Office as a Senior Strategic Program Manager on our... ...alignment across business units. Oversee and assist with coordination... ...oversight of deliverables, issue resolution, risk management, and integration with internal project and program teams....SeniorUnitWork at office2 days per week
$59k - $85.1k
...Locations: Abilene, Texas, United States, Abilene, Texas,... ...Johnson is recruiting for a Senior Service Coordinator to support... ...efficient/effective handling and resolution of escalated issues and inquiries... ...with all external and internal customers and maintains open,...SeniorUnitRemote jobFull timeTemporary workWork experience placementWork at officeLocal area- ...Position Title APP Internal Medicine - Rheumatology South KC Medical Pavilion... ...technical competencies of the assigned unit or department. These statements are intended... ..., agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to...UnitFull time
$75.8k - $124.1k
...Sr. Claims Specialist, General Liability 133638 Zurich is seeking an individual... ...career with our Major Case Unit in the Commercial General... .... As a General Liability Senior Claims Specialist, you will... ...develop partnerships with internal and external points of contact...SeniorUnitTemporary workApprenticeshipWork at officeLocal area
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