Additional Location(s) US MN Maple Grove; US CT Danbury/Bridgeport; US CT Hartford; US CT New Haven; US CT Southeast/New London; US CT Stamford; US DC Washington; US DE Delaware; US FL Daytona; US FL Ft. Lauderdale; US FL Ft. Myers/Naples; US FL Gainesville/Ocala; US FL Jacksonville; US FL Melbourne; US FL Miami; US FL Orlando; US FL Pensacola/Panama City; US FL St. Peter

At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees. This position can be performed remotely for candidates who reside in MN. Prepares and approves renewals for a

HealthPartners is looking to hire a Senior Underwriter to join our Large Group Underwriting team. This role evaluates the risk in large group cases through the use of medical or experience underwriting. They will provide training and work direction to other department members. ACCOUNTABILITIES Calculate and analyze F/I and S/I renewal and prospect rates. Prepare benefit a

HealthPartners is currently hiring an Underwriter to support our Large Group Underwriting team. They will evaluate the risk on individual applicants or group cases through the use of medical or experience underwriting. ACCOUNTABILITIES For employees working in the Large Group Underwriting role Calculate F/I renewal and prospect rates. Prepare basic S/I renewal and prospec

Executive Underwriter Middle Market Solutions Midwest Job Locations US IL CHICAGO | US MI Remote | US IL Remote | US MN Remote | US OH Remote Job ID 2022 3011 Category Underwriting Type Regular Division Comm Lines & Exec Risk Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insuran

Are you looking for an opportunity where you can contribute, work a flexible schedule, and help promote a safe and sound financial system? The Federal Reserve Bank of Minneapolis is looking for financial professionals to fill a Bank Secrecy Act/Anti Money Laundering (BSA/AML) Examiner/Coordinator position in its Safety & Soundness business line in the Supervision, Regulat

Support team member development by reviewing and analyzing complex issues, communicating feedback to team members, sharing knowledge and resolving questions Align individual performance with department expectations by securing information, following established tracking guidelines and procedures, adhering to established schedules, setting work related goals and communicat

Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. Provides prompt feedback to physicians and management regarding pathway documentat

Work within databricks environment; utilize Python and SQL to conform and prepare data for Optum rating models Work with clients to understand and document customization requirements Design and implement client specific solutions for Optum rating models. Analyze advantages and limitations of multiple solutions options. Recommend and develop preferred option Review, audit,

Bring traditional actuarial skills to provider organizations as the health care market continues to evolve, including Assist in developing innovative strategies, value based contracts, and innovative risk based arrangements Develop, conduct, and evaluate studies on pricing, utilization, and health care costs for our broad range of provider clients Prepare, forecast, and a

Insurance billing follow up in compliance with government rules and regulations Submits, processes, and resolves claim rejections and denials Verifies patient insurance eligibility for denial resolution Completes the appeal process Monitors and follows up on unpaid balances Resolves issues and resubmits for payment Utilizes resources to reconcile accounts Performs demogra

Insurance billing follow up in compliance with government rules and regulations Submits, processes, and resolves claim rejections and denials Verifies patient insurance eligibility for denial resolution Completes the appeal process Monitors and follows up on unpaid balances Resolves issues and resubmits for payment Utilizes resources to reconcile accounts Performs demogra

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

Understand edits and appropriate department procedures to effectively submit and/or correct errors on claims to the production standards of the department Utilize various resources such as third party publications, procedure manuals and participating contractual agreements, etc. to reconcile accounts Advanced knowledge and understanding to process third party rejections u

Understand edits and appropriate department procedures to effectively submit and/or correct errors on claims to the production standards of the department Utilize various resources such as third party publications, procedure manuals and participating contractual agreements, etc. to reconcile accounts Advanced knowledge and understanding to process third party rejections u