admin Vanguard is defined in the Oxford Dictionary as “a group of people leading the way in new developments or ideas”. Vanguard Adjusters Group is no different. Whether you are a client, an employee or a key vendor, you will find your exposure to the VANGUARD team to be a refreshing change from the ordinary! We … Read more
CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the top personal lines property and casualty insurance groups in the U.S. Our employees proudly live our core beliefs and fulfill our enduring purpose to help members prevent, prepare for and recover from life’s uncertainties, and we’re proud of the culture we create together. … Read more
Position Summary: Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedures, durable medical equipment and out of network services. Conduct reviews in compliance with medical policy, member eligibility, benefits, … Read more
Employer Industry: Healthcare Services Why Consider This Job Opportunity… • Salary up to $183,300 annually • Eligible for participation in an annual bonus plan • Comprehensive benefits starting from day one, including medical, vision, dental, and behavioral health programs • 401(k) with company match and tuition reimbursement • Minimum of 18 days of paid time … Read more
As a Customer Service Representative at Cigna, you will play a pivotal role in delivering exceptional service to our clients, contributing to our mission of enhancing health and well-being. This is a remote position, offering flexibility and the opportunity to join a dynamic team dedicated to making a positive impact. Key Responsibilities: • Customer Support: … Read more
Resp & Qualifications PURPOSE… The Administrator will be responsible for leading procurement systems administration and implementation of strategic processes. This critical role will assist in defining the best practices for purchasing goods and services that are requested by all departments across the organization, ensure audit controls are followed for PO processing, assist with training on … Read more
Support all product education, service and enrollment for all BCBST individual products (Medicare, Individual, and Ancillary). Job Description: Job Responsibilities Provide first contact resolution for member service inquiries at consumer centers including services such as benefit explanation, claims research and explanation, assisting members with plan selection, member tools and resources, premium payments and community resources. … Read more
Join our dynamic team as a Customer Service Representative for Blue Cross Blue Shield! In this role, you will be the first point of contact for our valued members, providing exceptional service and assistance with their insurance-related inquiries. This is a fantastic opportunity to make a positive impact on people’s lives while working in a … Read more
Resp & Qualifications PURPOSE… The Lead Contract Specialist will play a pivotal role in taking charge of the processes including facilitating meetings with various levels of leadership and education and implementation on service level requirements (SLRs), which are a key cornerstone of the work performed within the organization. Under the direction of the leadership this … Read more
Resp & Qualifications PURPOSE: The Vendor Relations Specialist is responsible for corporate vendor and supplier management assigned to Payment Integrity department, and focuses on developing and managing business partnerships. This role provides support for business operational needs identifying opportunities for improvement that align with the enterprise vendor engagement strategy. serves as a… strategic advisor to … Read more