of Responsibilities Manage a team of senior level claim specialists and/or supporting technical staff. Claims processed are primarily third party claims on our personal lines and commercial lines of business but could include all lines of business. Oversee the investigation and settlement of all claims, litigated and non litigated assigned to the team. Provide advice and d

Looking for Dynamic Team Members to join our Team!

Lumicera Health Services Powered by Navitus Innovative Specialty Pharmacy Solutions Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. We are unable to

Claim Representative III Commercial Liability Job Locations US ID 20243337 Category Claim Type Regular Full Time Introduction Looking to join a vibrant organization that makes a difference? At Church Mutual, our customers are at the heart of everything we do. For more than 125 years, we've made it our business to protect those who serve and inspire others through our spec

Putting People First in Pharmacy Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. W

You're a people person, and we're a people business. At SentryWorld, we care about our associates and we encourage our team to bring that same commitment to our customers to keep them coming back year after year. In order to deliver on our commitment to customer service, we are looking to hire focused individuals to work in the front line of the golf course to work as Part

Construction Safety & Risk Control Consultant Are you ready to bring top tier innovation to clients nationwide? Can you become the difference maker that leads to our client's success stories? If you answered yes to both of those questions Aon is looking for you to become part of setting the gold standard in client servicing! This opportunity is a virtual position with exp

The Boucher Body Shop of West Allis is looking to hire an experienced Body Shop Estimator! POSITION The Boucher Body Shop of West Allis is seeking an experienced Body Shop Estimator for their Collision Repair Center. REQUIREMENTS Applicants need to be outgoing, proactive, willing to learn, able to work in a fast pace environment, and have a positive attitude. Must have go

The Boucher Automotive Group is hiring a Body Shop Customer Service Representative POSITION The Boucher Automotive Group is seeking a Customer Service Representative for their Waukesha Collision Repair Center. REQUIREMENTS Applicants need to be outgoing, proactive, willing to learn, able to work in a fast pace environment, and have a positive attitude. Must have good cust

Performs quantitative and qualitative data analysis to accurately process reimbursement payments for Long Term Care needs. Uses extensive claims knowledge in interpreting and analyzing pertinent facts to review claims data necessary for accurate financial claims management. Responds to questions from incoming Insured or representatives' phone calls and emails regarding re

Maintains, confirms and secures referrals, authorization, or pre certifications required for patients to receive physician or medical services. Verifies the accuracy and completeness of patient account information. Maintains database of payer authorization requirements. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicai

Gundersen Health System is looking for an experienced individual to help our Professional Coding and Reimbursement Team continue to succeed and advance! The Supervisor works under the direction of the Director to effectively accomplish the duties and responsibilities outlined in Gundersen Health System’s Supervisor Job Charter. Supervises the daily operations of the

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family res

You will be a great fit for this role if You are highly engaged in innovative clinical practice and prioritize excellent patient care You are motivated and excited to lead a high performing team of clinically focused pharmacists You are flexible and work well in a fast paced environment You enjoy and can demonstrate independent decision making and problem solving skills Y