31 to 45 of 166
Integral member of cross functional proposal teams responsible for all customer Requests for Proposals (RFPs)/Requests for Information (RFIs) supporting CGS Administrators Medicare growth initiatives. Develops/maintains databases of information and standard off the shelf technical language that clearly communicates the CGS value proposition to existing and potential customers. Conducts market/prod
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Responsible for the accurate and timely processing of claims. Description Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. Resolves system edits, audits and claims errors through research and use of approved references and investigative sources. Coordinates with internal departmen
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Responsible for providing consultative sales and service to customers seeking health and ancillary insurance products and information. Accepts payments from customers, assists with wellness education, and conducts on site Personal Health Assessments (PHAs). Description 20% Provides sales and service to customers for health and ancillary insurance products (this interaction with the customer will
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Responsible for supporting the growth and retention of major groups. Supports all aspects of marketing, sales and service for various programs and assists with coordination of marketing support efforts for various insurance products. May assist with group enrollments and educates members of their policy. Establishes strong professional relationships with customers/agents/consultants to assist in a
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BlueCross BlueShield of South Carolina
- Columbia, SC / Atlanta, GA / Burlington, VT / 48 more...
Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor's assignments, mentoring and coaching department staff, and assisting the department manager with the direction of the workflow of various risk management activities and special projects. Description
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Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plan
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Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries and logging items in accordance with standard procedures in one or more of the following areas; general accounting, accounts payable, accounts recei
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Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description This position will be on site in Nashville, TN Ensures effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk in inquiries. Accurately documents inquiries. Initiates or processes adjustments
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Conducts market, product, and competitor research to be used in the development of new products. Collects and analyzes market data and provides management with reports. Description 35% Works with the product development process to include market surveillance, market testing, pricing strategy, naming selection, launch initiatives, quality control measures, and promotional initiatives. Reviews, ma
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Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members. Description 70% Examines and processes complex or specialty claims according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system af
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Responsible for conducting and assisting in documenting moderate to complex financial analysis projects following standard practices and procedures. Participates in studies to improve the operational and financial effectiveness of the unit. Extracts financial data from various accounting and information systems. Performs financial and cost accounting analysis of data. Description 30% Performs mo
Posted Today
Responsible for conducting and assisting in documenting moderate to complex financial analysis projects following standard practices and procedures. Participates in studies to improve the operational and financial effectiveness of the unit. Extracts financial data from various accounting and information systems. Performs financial and cost accounting analysis of data. Description Performs modera
Posted Today
Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries and logging items in accordance with standard procedures in one or more of the following areas; general accounting, accounts payable, accounts recei
Posted Today
Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries and logging items in accordance with standard procedures in one or more of the following areas; general accounting, accounts payable, accounts recei
Posted Today
Responsible for the successful marketing (sales, renewals, and/or service) of group and/or individual accounts for products as defined by production quotas within assigned territory. Customarily and regularly engaged in outside sales. Description 50% Develops and executes marketing plans for new sales and/or retention of existing accounts within assigned territory. Prepares and presents proposal
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