Detail-oriented and experienced in claims processing, the temporary Claims Examiner will work remotely to process hospital and medical claims for self-funded and level-funded groups, determining payable amounts and ensuring accuracy for timely payments. Key responsibilities: Process hospital and medical claims according to plan rules for self-funded and level-funded groups Determine payable amounts, deductibles, co-pays, and co-insurance limits based on fee schedules and insurance plans Identify billing discrepancies and coordinate necessary corrections with providers and internal teams Required qualifications: Experience in claims processing for self-funded and level-funded groups Proficiency with CRM, Beacon Claims Administrative System, and Microsoft Office tools Ability to manage multiple priorities and adapt to new systems quickly Strong communication skills and sound judgment Attention to detail and efficiency in a fast-paced environment
...currently seeking an Electrician! You will strive to provide safe electrical systems for a variety of customers. Responsibilities:... ...Troubleshoot motor and control systems Perform routine maintenance on electrical wiring and systems Adhere to all quality and...
The Storyteller (Atelier) at Loro Piana acts as the Maison's cultural and narrative ambassador in our Atelier space. The role will be the first point of contact for guests and speak to the heritage, craftsmanship, and raw materials that define the Maison, while driving...
...SpinPlay currently only operates out of NV and TX. Candidate must be willing to work from/relocate to those locations. The Game Developer is responsible for creating slot game front-end client software using our internal game engine. The Game Developer will act in...
...American Restoration is based in the heart of Grand County, Colorado, just 70 miles from Denver and minutes from a worldclass ski resort. Were a tightknit mountain community built on grit, teamwork, and the ability to handle the unexpected.Our team specializes in...
...and financial planning.The ideal CFO will come from a product-based business such as manufacturing, consumer products, distribution, CPG, or a similar inventory-driven environment.This is a practical CFO role for someone who can operate strategically while staying close...