- Vontier (Salem, OR)
- Leading the Claims team the Supervisor , Claims is responsible for managing a team of Service Account Managers, overseeing the relationships with service ... ensuring the efficient and effective management of service requests. The Supervisor , Claims will play a critical role in driving operational excellence,… more
- Sedgwick (Portland, OR)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead (Auto) **PRIMARY PURPOSE** : To supervise the operation of… more
- Sedgwick (Salem, OR)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... surety and surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Salem, OR)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- Prime Therapeutics (Salem, OR)
- …our passion and drives every decision we make. **Job Posting Title** Supervisor , Billing - Remote **Job Description Summary** Responsible for managing team(s) to ... and minutes; disseminate information consistently and timely; ensure all claims processing documentation is current and accurate; Interacts professionally, and… more
- CareOregon (Portland, OR)
- Job Title Tribal Liaison and Program Supervisor Exemption Status Exempt Management Level Supervisor Direct Reports Tribal Program Specialist, Tribal Liaison JCC, ... communities to promote the health of Tribal people. The Tribal Liaison/Program Supervisor is responsible for facilitating resolution of issues that may arise between… more
- Highmark Health (Salem, OR)
- …are met. Represent the department in compliance audits as it relates to the supervisor functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- ITW (Tualatin, OR)
- …facilitate resolution of equipment and service complaints. + Process warranty claims , orders, and documentation efficiently. + Frequent sitting, talking, and ... hearing, with occasional walking, use of hands and fingers, and reaching with hands and arms is required for the job. + Specific vision abilities, including close vision for reading blueprints and specifications, are required. + Frequent lifting and carrying… more
- Marriott (Salem, OR)
- …by jurisdiction. This position is responsive to Marriott's associates, Marriott Claims Services, business units, Risk Management and community health resources. ... for optimal outcomes. + Arrange provider interface with business units and claims administration as needed. **Injured Workers** + Contact injured/ill worker by… more
- Allied Universal (Portland, OR)
- …Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation ... knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution. + **Auto… more
- Trinity Health (Ontario, OR)
- …kiosks or online systems. + Identifies routine issues and escalates to Supervisor , Patient Access. + Processes insurance claim forms. + Reviews claims ... information and translates data into information acceptable to the claims processing system. + Prepares claims for...to the claims processing system. + Prepares claims for return to provider/subscriber if additional information is… more
- Mathematica (Salem, OR)
- …large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide decision-making about ... and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and Medicare or Medicaid...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Crawford & Company (Portland, OR)
- …with injured worker, employer and physicians. + Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure ... worker/disabled individual. + May obtain records from the branch claims office. + May review files for claims...to ensure a quality product. + Reviews cases with supervisor monthly to evaluate files and obtain directions. +… more
- CareOregon (Portland, OR)
- …Status Exempt Requisition # 24293 Direct Reports n/a Manager Title Provider Relations Supervisor Pay & Benefits Estimated hiring range $ 70,310 - $85,075 / year, ... Job Summary This position operates in a team leadership capacity, assisting the supervisor (s) with essential unit functions and serving as the first level escalation… more
- Bureau of Land Management (Medford, OR)
- …existing work at the higher grade level, and recommendation by the position's supervisor . Responsibilities The Land Law Examiner is assigned to the Division of ... may have been gained in positions such as clerk, administrative professional, claims examiner, contact representative, or other work dealing with rules, regulations,… more
- Evolent Health (Salem, OR)
- …for assigned health plan regarding the accurate and timely submission of claims /statements. + Works with management to obtain corporate financial goals and ... to payers and customers in a timely manner. + Researches and resubmits claims without response or denied in established time frame. + Resolves billing payment… more
- Sedgwick (Salem, OR)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- CareOregon (Medford, OR)
- …Status Exempt Requisition # 24280 Direct Reports n/a Manager Title Provider Relations Supervisor Pay & Benefits Estimated hiring range $ 56,730 - $68,640 / year, ... team member. + Work closely with other internal departments, including Claims , Credentialing, and Provider Data; help address processes that affect providers… more
- Walgreens (Portland, OR)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Ardon (Portland, OR)
- …Specialists will be experts in all aspects of manufacturer special programs, claims processing, benefits investigation, copay assistance programs, as well as liaison ... insurance 401(k) match Position responsibilities: Electronically submits prescription insurance claims and completes benefits investigations. Acts as liaison between… more