Overview Answer and direct incoming and transfers calls from people dialing our main Company number in a prompt and extremely professional manger. Responsibilities Answer and direct incoming calls in a high volume ...

Overview Responsible for triaging symptom-based calls from clients, assessing needs and giving appropriate clinical advice per guidelines. Provide referral to primary providers, specialists, healthcare facilities, and ...

Overview The Supervisor/Trainer of claims is responsible for the direct supervision of the Claims Analysts as well as providing training to new hires and existing Claims personnel and other departments on refresher ...

Overview Payroll Coordinator will assist in our multi-state, non-union/union, bi-weekly procedures. Responsibilities Learning and understanding our collective bargaining agreement Kronos Work Force Ready input and ...

Responsibilities Journal entry preparation. Journal entry input to General Ledger. Analyze, check and research all accounts in General Ledger Perform claims reconciliations and claims analysis. Prepare bank ...

Overview The Production Claims Analyst is responsible for the review, investigation, decision making, and processing of production claim types, and all related claim functions and activities. Production claims are those ...

Overview The Underwriter Assistant-II will be learning the process to evaluate, select and retain profitable business within assigned authority limits and under the guidance of a manager and mentor. This also requires ...

Overview The Quality Assurance Claims Analyst is primarily responsible for the quality review and auditing of pre-payment claims, post-payment random claims, targeted claims, high dollar claims, and any other claim or ...

Overview To effectively and accurately manage the Zelis Process to include claims processing, manage the Claims Overpayment database, work with the Appeals department in resolving member and provider appeals on Zelis ...