Develops and executes strategies for a function or discipline that span a large business unit or multiple markets/sites Research and develop applicable business rules that support product reimbursement methodologies and policies for existing and new business opportunities (e.g., Medicare; Medicaid; commercial) Support ongoing maintenance of pay as state pay facility prici

This position will process all property and maintenance inspections. Will be responsible to keep all documentation up to date and record in CRM. Assist with annual inspections of owned and leased properties taking into consideration the safety and maintenance needs of both the buildings and the clients. Assist the Property team in identifying contractors, obtaining compet

We are currently seeking a Medical Staff Ops Analyst to join our Medical Administration team. This position is full time with benefits, 80 hours per pay period, day, Monday Friday, fully remote. Purpose of this position This position is responsible for liaising with internal and external stakeholders to lead and support projects and identify workflow opportunities and imp

You will investigate and resolve vehicle fire and theft claims over the phone and through written correspondence in a multi jurisdictional territory This level of adjuster will handle claims that require intense coverage or liability investigations including claims involving suspicious or unlawful activity. Investigations will include obtaining recorded statements from all

Responsible for the complete and accurate billing process and patient charges in accordance with Business Office procedures as it pertains to Patient Accounts. This position is located at MNGI's Cityview office. This is a full time position scheduled Monday Friday. The starting rate of pay for this position is between $19.55 $22.48/hour. Where an applicant may fall on the

Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company crop insurance policies Ensure compliant and cost effective application of crop policies by leveraging knowledge of basic insurance statutes and regulations and complying with state and federal regulatory require

Expedite and oversee administrative process of clients' insured claims as assigned within region, including but not limited to general liability, builders' risk, professional liability, pollution, and auto liability claims. Essential Duties & Key Responsibilities As directed by Claims Manager, report claims in timely manner to applicable insurance carriers, and gather per

Advise UnitedHealthcare's Medicare Part D business Counsel on Part D product, clinical (Pharmaceutical & Therapeutic Committee, formulary development), marketing, and regulatory requirements Provide strategic counsel to the business on the Pharmacy Benefit Management (PBM) Agreements, benefit implementation and management, and compliance oversight and monitoring Provide c

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Multi Line Adjuster Requisition ID 2024 25301 Job Locations US MN Minneapolis Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary Under moderate supervision, provides and delivers claims adjusting services and solutions for customers in multiple lines of business. Responsibilities Investiga

Starting pay is $29.07/hour + $0.90 shift differential Shift 6PM 6AM (2 2 3 shift) What we offer you Starting pay is $29.07/hour $0.90 shift differential for night shift Overtime available Quarterly incentive bonuses based on safety training completion + plant incidents Comprehensive benefits package, including medical & prescription, dental, vision, life & AD&D insurance

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Ensures functions performed in accordance with system wide policies, procedures, and governing organizations Defines individual and team goals Monitors staff and department performance and productivity levels and proposes ways to improve effectiveness, efficiency, and productivity Analyzes and identifies problem areas and adjust processes and staffing priorities Collabora

Provide support and strategic counsel on a wide variety of matters including, regulatory compliance and oversight, contracts, STARs, the Inflation Reduction Act, and finance Collaborate with colleagues across the legal, compliance, and regulatory affairs departments You'll be rewarded and recognized for your performance in an environment that will challenge you and give y

Senior Claims Examiner Workers Compensation Requisition ID 2024 25247 Job Locations US MN Minneapolis | US Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Candidates must have experience handling Minnesota WC claims! Bonus opportunities! Other midwest states is a plus! Investigate and settle advan