Receive and process electronic eligibility files for new and/or existing customers Review enrollment/eligibility files to identify unclear, missing, or invalid data Compare submitted enrollment/eligibility information to relevant internal systems Communicate with stakeholders to obtain new information and/or clarify concerns Submit and/or review new electronic eligibility

Member Enrollment Specialist Job Locations US WI ID 2024 2085 Category Enrollment Type Regular Full Time Overview Every day, we keep our customers at the center of everything we do. Do you pride yourself on accuracy and working efficiently? Are you passionate about getting things right the first time, and known to have an eye for detail? Do you have an interest in improvi

CDPHP and its family of companies are mission driven organizations that support the health and well being of our customers and the communities we are proud to serve. CDPHP was founded in Albany in 1984 as a physician guided not for profit, and currently offers health plans in 29 counties in New York state. The company values integrity, diversity, and innovation, and its c

Provide support for sales and service team as assigned by Manager. Duties will include, but may not be limited to items below. Mail/Scanning Facilitate process to get all paperwork into our systems including carrier website policy retrieval, scanning incoming mail, downloading from carrier emails. Bind and distribute paperwork to insureds/staff – per written workflo

This position is NOT considered entry level. The goal of a Housing Navigator II is to act as a single point of contact for clients enrolled in transitional housing programs to ensure continuity of care and consistency. Housing Navigator II will perform intakes and enrollment into HMIS, completing a VI SPDAT, working with One Home, assisting with housing search, applicatio

1. Respond to fraud related inquiries and referrals to SIU from Claim Specialists and Examiners and from automated initial screening system; search restricted, subscription based and public databases, making maximum use of web based resources; identify circumstances potentially requiring retention of investigators and/or referral to regulatory or law enforcement authoriti

Demonstrate strong knowledge of insurance requirements including processing of all referrals requiring authorization based on plan & type of referral. Initiate contact w/ payers to complete insurance verification activities to prevent delays in care due to missing authorizations. Use critical thinking to troubleshoot & contact payers and patients as necessary to secure co

Insurance Premium Billing Specialist Do you have great attention to detail and are goal oriented? Do you want to be a part of a phenomenal, inclusive company with a great benefit package?! Then with Aon is where you should be! This is a hybrid role with the flexibility to work both virtually and from our Farmington, CT office. Aon is in the business of better decisions At

Enter bid bond requests and complete Contract Bond Requests (CBRs). Follow up with agent for any out of line items or missing information. Obtain approvals from Home Office or underwriter. Enter new bond submissions into computer profile. Follow up with agent for missing information. Order credit reports on new submissions and on an annual basis. Review and report any def

Senior Claims Operations Analyst Requisition ID 2024 25152 Job Locations US IL Lake Zurich Position Type Regular Full Time Category Finance & Accounting Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Under the general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical operational support s

Claims Clerk Job Locations US IN Indianapolis Requisition ID 2024 17768 # of Openings 1 Category (Portal Searching) Administrative/Clerical Position Type (Portal Searching) Regular Full Time Overview The Claims Clerk will review insurance claims forms and documents for accuracy and completion and obtain missing information as necessary. Determines claims coverage by exami

Credit Acceptance is proud to be an award winning company with local and national workplace recognition in multiple categories! Our world class culture is shaped by dedicated Team Members who share a drive to succeed as professionals and together as a company. A great product, amazing people and our stable financial history have made us one of the largest used car finance

Credit Acceptance is proud to be an award winning company with local and national workplace recognition in multiple categories! Our world class culture is shaped by dedicated Team Members who share a drive to succeed as professionals and together as a company. A great product, amazing people and our stable financial history have made us one of the largest used car finance

II. Essential Responsibilities Set up, research, review and process non contestable claims within established productivity and quality standards. Review company records to confirm insurance coverage. Review all beneficiary and title changes and collateral assignments for correctness and generate appropriate correspondence in accordance with state insurance regulations req

This position oversees all operational tasks relating to the entry, maintenance, and reporting of Engineered Systems projects. This position will work closely with Project Management and Project Engineers to ensure timely invoicing, procurement, material receipt, and reporting associated with both new and ongoing projects. Principal Job Functions Primary contact for Engin