dispute claims representative

CMS At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. ZOLL...

**About Frost Law** Founded in 2011 by Glen Frost, Frost Law is a rapidly growing, nationally recognized law firm headquartered in Annapolis, Maryland, with offices across the East Coast and clients throughout the U.S. and abroad (including a growing presence in San Juan, Puerto Rico. Our team of skilled tax attorneys, business attorneys, litigation...

Regular Exempt **GENERAL DESCRIPTION:** Supervises and monitors pre-service appeals, payment appeals or disputes, Complaint Tracking Module (CTM) grievances through the Center for Medicaid and Medicare Services (CMS), Administrative Organization Determinations (AOD), grievances, and Late Enrollment Penalty (LEPs) reconsiderations submitted by the...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented...

Job OverviewResponsible for the financial and regulatory reporting of a portfolio of captive insurance companies, including single-parent and group captives, Protected Cell Companies (PCCs), and Risk Retention Groups (RRGs). Provides consulting support to clients regarding their captive insurance needs within the United States market. This role...

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as...

Frost Law is expanding its presence in Puerto Rico and seeking a driven, business-minded Tax Attorney to join our team. This is a unique dual-focus role blending tax controversy representation with transactional and business law work — ideal for an attorney who thrives on variety, wants to build something, and is eager to serve a dynamic client base...

We are seeking a Benefits Configuration Specialist (PBM) to join our team. This role is responsible for configuring and maintaining pharmacy benefit plans, business rules, rates, and provider networks within the claims adjudication system. The ideal candidate will ensure configuration accuracy through testing and quality assurance while supporting...

ASSOCIATE ATTORNEY The ideal candidate will manage litigation cases and resolve legal disputes on behalf of clients by developing agreements, negotiating contacts, setting claims and advocating for clients in court. This individual will build client relationships and provide an excellent customer experience for clients. We are looking for lawyers...

Customer Care Representative ILocation: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable...

LinkActiv Group It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business . The Customer Engagement Rep II position is a Full time, Regular position. MAIN RESPONSABILITIES Receive inbound calls to guide...

The Associate is responsible for completing in-store food and non-food demonstrations. Acquires and maintains knowledge of products represented. Serves, demonstrates, intercepts consumers and sells products in a professional manner. Responsible for the Event execution equipment in the stores. Maintains an overall professional appearance consistent with...

About OncoHealthOncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, and patients navigate the physical, mental, and financial complexities of cancer through technology enabled services. Supporting more than 14 million people in the US and Puerto Rico, OncoHealth offers digital solutions for treatment...

LINKACTIV GROUP It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business . The Customer Engagement Rep II position is a Full time, Regular position. MAIN RESPONSABILITIES Receive inbound calls to guide...

Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. This position will be based on: 1001 San Roberto St, Ste...

This Scope of Work document outlines the responsibilities and expectations for the Capital Project Program Manager supporting the Barceloneta Asset Implementation Plan (AIP) program. The Capital Program Manager will be responsible for the strategic planning, execution, and delivery of capital investment projects aimed at enhancing production and...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented...