, AI-driven claims automation, and predictive analytics for risk segmentation. Additionally, they will support regulatory advisory..., AI, and predictive analytics for faster claims adjudication. Develop strategies for fraud detection, litigation management, and claims...
, AI-driven claims automation, and predictive analytics for risk segmentation. Additionally, they will support regulatory advisory..., AI, and predictive analytics for faster claims adjudication. Develop strategies for fraud detection, litigation management, and claims...
, AI-driven claims automation, and predictive analytics for risk segmentation. Additionally, they will support regulatory advisory..., AI, and predictive analytics for faster claims adjudication. Develop strategies for fraud detection, litigation management, and claims...
to EHS processes. Proficiency with EHS management software platforms and data analytics for trend identification.... Demonstrated experience in managing Workers' Compensation claims and return-to-work programs. Job Titles That Should Apply EHS...
management processes, including reviews, goal setting, and development plans. Oversee Workers' Compensation claims management... or strong understanding of Lean Manufacturing or Six Sigma principles. Proficiency with HRIS implementation or advanced reporting/analytics...
to manufacturing environments. Administer compensation, benefits, and leave programs, including FMLA and workers' compensation claims... accurate HR records and HRIS data, generating reports and analytics as needed. Conduct new hire onboarding and facilitate...
. Support a safe working environment by collaborating with EHS and managing workers' compensation claims and return-to-work... programs. Maintain accurate HR records and utilize HRIS for data management, reporting, and analytics. Recommended...
initiatives, assist with incident investigations, and manage workers' compensation claims. Maintain accurate HR records... and utilize HRIS for data management and reporting specific to manufacturing workforce analytics. Recommended Qualifications...
and utilizes HUB analytics platforms to provide clients with analysis of the data to assist in structuring risk financing and risk... (producers, product lines specialists, Risk Services, and Claims Consulting) as well as our external trading partners. Oversees...
Specialist) or similar. Experience with self-insured health plans, actuarial valuation processes, and claims analytics...
plans, actuarial valuation processes, and claims analytics. Experience in the automotive, manufacturing, or other heavily.... Professional certification such as CEBS (Certified Employee Benefit Specialist) or similar. Experience with self-insured health...
and analytics providing a comprehensive overview of the risk landscape is at your fingertips. Here, you’re not just improving... and organizations thrive. The Billing Specialist plays a key role in ensuring accurate and timely processing of group insurance...
for patients, providers, and partners. As our Supervisor, Client Reporting + Analytics, you’ll lead a talented group of Data... Insight Analysts responsible for delivering the analytics and reporting that drive decision-making across our clients...
for patients, providers, and partners. As our Supervisor, Client Reporting + Analytics, you’ll lead a talented group of Data... Insight Analysts responsible for delivering the analytics and reporting that drive decision-making across our clients...
- closed on major holidays Overview The Pharmacist Specialist is responsible and accountable for the provision of safe... advocacy and therapy compliance. The Pharmacist specialist provides required oversight for pharmacy technicians, including...
Coordinator or Resident Service Specialist. ESSENTIAL FUNCTIONS: Asset Quality Ensure community is ready for business... Business Manager for court appearances regarding non-payment and/or other legal action taken, small claims and UD hearings...
), surgical, and diagnostic services. Ensure accurate CPT, HCPCS, and ICD-10-CM code assignment by physicians for all PB claims... edit, and denial claim reviews ensuring revenue metrics do not exceed claims submissions. Coordinates monthly external...
industry customers and internal content creators. As a Usability Specialist, you will play a critical part in understanding... models (LLM). #LI-MB1 #LI-Hybrid About Us: For over 50 years, Verisk has been the leading data analytics...
supporting documenting for cross payer analytics for the Healthcare Fraud Prevention Partnership (HFPP) members (Partner) and the... Trusted Third Party activities. Roles and Responsibilities Reviews and analyzes medical claims to determine accuracy...
Services Management (CPMSM) or a Certified Provider Credentialing Specialist (CPCS) within twenty-four (24) months of hire... of population health and care transitions: and review health data analytics. Must have the ability to write, develop, and implement...