14 claims representative jobs found in Cheyenne

Job Description Overview 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 the requirements of the job. Responsibilities • Management and maintenance of the equipment and supplies used for events to ensure they are clean and secured in the agreed upon area of the backroom. • When Supervisor is absent, communicate with store management about the upcoming events and the execution of past events in their store. • When Supervisor is absent, be the point person for all events being conducted in the store. Assists other Event Specialists with event kits, materials and tools as needed. • Assist Supervisor by always providing leadership and knowledge to the team. • Possesses the...

About Us SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and operations support. We work with some of the world's most prominent companies to help them envision and achieve a better future. We know that our consulting services are only as meaningful as the people and talent behind them, and we are committed to recruiting incredibly talented, committed, and collaborative individuals who can help us deliver exceptional client service. For more information, visit SolomonEdwards Position Summary: We are seeking a Data Modeler to join a leading healthcare organization with operations supporting data-driven clinical, pharmacy, and business decision-making. This consultant will design, build, and maintain data models that transform complex healthcare data into actionable insights, analytics, and business intelligence solutions that support strategic planning and improved patient...

Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) . Job Description : SUMMARY Responsible for input of all claims into the Claim System via telephone, fax, e-mail and mail. Claims are researched through various programs in order to obtain necessary data for effective handling. Position is also responsible for maintaining property damage. Customer provides files to include sending notification of the customer carrier to the claimant, adverse carrier and insurance agent. Responsible for assigning claim files upon direction of the Claim Managers. Position provides a great amount of support to the claim adjusters which in turn allows the adjusters to expedite the handling of the claim ESSENTIAL FUNCTIONS Entering new losses into Claim System Researching new losses Assigning new losses Assisting with covering the phones at the front desk ADDITIONAL RESPONSIBILITIES Performs other...

Position Objective: As a Junior Human Resource Specialist, apply HR skills in support of managers, program staff and customers on the full range of HR topics including but not limited to staffing, classification, processing, benefits, recruitment, compensation, SES programs, work life programs, policy and employee and labor relations. In support of the Dept. of Homeland Security (DHS), U.S. Immigration and Customs Enforcement (ICE), Office of Human Capital (OHC), Human Resources Operations Center (HROC). Duties and Responsibilities: Processing personnel and payroll actions, keying payroll documents, processing leave audits. Creating vacancy, retirement and payroll folders. Researching waiver and hearing requests. Scanning documents into various personnel record systems. Assisting with drafting SOP's. Processing personal liability insurance reimbursement claims. Initiating tentative selection notifications, notice of results or...

Company : Highmark Inc. Job Description : JOB SUMMARY This job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to evaluate, educate and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. ESSENTIAL RESPONSIBILITIES Communicate effectively with physician and pharmacy network providers to ensure that the needs of the...

Detailed Description of Duties: Otsuka is seeking an Associate Director/Director/Senior Director, Global Clinical Development based in our Rockville, MD or Princeton, NJ offices, who will be responsible for the design and oversight of clinical research programs and protocols for OPDC products under good clinical practices (GCP). The incumbent will be responsible for the evaluation and clinical development of CNS and Digital Medicine products at different stages of development for a global health-care market. The specific duties assigned to the Associate Director/Director/Senior Director, Global Clinical Development include the following: Consults with patients or their representatives, clinical, regulatory and scientific leaders and thoughtfully applies their recommendations toward optimizing trial objectives, designs and protocols. Develops focused expertise to serve as an internal medical/scientific consultant to health economic, medical affairs, marketing,...

The Director, Corporate Counsel will provide strategic and pragmatic day-to-day legal support for one or more marketed pharmaceutical brands in the United States. This attorney will serve as a primary legal advisor to sales and marketing stakeholders with a strong focus on direct brand support, promotional committee review, and counseling on sales and marketing tactics across the product lifecycle. The ideal candidate brings substantial experience advising on issues affecting commercialized pharmaceutical products, including review of promotional and non-promotional materials, field medical content, market access communications, sales training, patient support initiatives, and/or external engagement programs. This role requires sound judgment, strong cross-functional partnership skills, and the ability to deliver practical, risk-based advice in a fast-paced environment. The candidate must demonstrate the ability to understand and apply legal risks within his/her areas of...

Company : Highmark Inc. Job Description : JOB SUMMARY HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve. This job supervises and coordinates the day to day activities of the various claims processing or claims adjustment units responding to internal inquiries or inquiries received by members, providers, or account representatives across all markets. ESSENTIAL RESPONSIBILITIES Communicate effectively. Effectively supervise all assigned personnel. Coordinate any claim backlog distribution for regular and overtime work both interdepartmentally and companywide. Monitor and manage daily inventories to ensure adequate...

Position Summary We are seeking an innovative and strategic leader to serve as the Director, U.S. Neuroscience Pipeline & Established Brand Marketing. This individual is responsible for supporting Otsuka's U.S. commercialization efforts, ensuring that pipeline assets are positioned for long-term success. This role will focus on market assessment, competitive analysis, and early brand strategy development, working closely with global and R&D, business development, and commercial teams to shape evidence generation and pre-launch planning. The individual will also contribute to portfolio planning and business development assessments, ensuring that Otsuka makes data-driven investment decisions for pipeline assets. In addition, this role will lead strategic marketing efforts for established Neuroscience brands to sustain performance and maximize lifecycle value, ensuring smooth transitions and mitigating revenue erosion through proactive planning and targeted growth...

Company : Highmark Inc. Job Description : JOB SUMMARY HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve. This job supervises and coordinates the day to day activities of the various claims processing or claims adjustment units responding to internal inquiries or inquiries received by members, providers, or account representatives across all markets. This job administers the day-to-day activities related to collecting, analyzing and reporting on source data and key performance metrics for the purpose of supporting operational efficiency, overall tracking of business performance and management intelligence for effective decision-making. Along...

The Manager, Manufacturing Product Quality (Small molecule) is responsible for ensuring GMP and GCP compliance in the manufacturing packaging, labeling, and distribution of commercial and clinical trial materials across global operations. This role supports the oversight of manufacturing and packaging activities performed internally and at external vendors, ensuring that quality standards are met and regulatory requirements are maintained throughout the commercial and clinical supply chains. The manager will collaborate with cross-functional teams including Clinical Operations, Regulatory Affairs, and Supply Chain to ensure the integrity and traceability of investigational products from manufacturing and packaging through delivery. Key Responsibilities Oversee manufacturing of commercial and clinical products at contract manufacturers to ensure compliance with GMP, GCP, and applicable global regulatory requirements. Performs batch record review and quality...

Job Summary: The Senior Manager, Clinical Technical Operations within Clinical Operations is responsible for supporting the implementation, integration, and optimization of technical systems and processes that support the planning, execution, and oversight of clinical trials. This role bridges the gap between clinical operations and technical functions, ensuring that digital tools, platforms, and data systems are effectively leveraged to drive operational efficiency, compliance, and data integrity. The Senior Manager will collaborate cross-functionally with Clinical, Data Management, IT, Quality, and external vendors to support system implementation, process automation, and continuous improvement initiatives. This role also includes oversight of technical service providers and may involve line management responsibilities. Key Responsibilities: Technical Systems Oversight - Support the implementation, configuration, and maintenance of clinical operations systems...

Position Summary The Associate Director of MSAT (Manufacturing Science & Technology) - Analytical Sciences will serve as a scientific and technical leader supporting tech transfer, and commercial manufacturing of biologic drug substances and drug products. This role oversees analytical lifecycle management, method qualification/validation, comparability, control strategy implementation, and investigations. The ideal candidate brings deep expertise in biologics analytics, strong cross-functional leadership, and experience working with external contract manufacturing companies. Key Responsibilities Lead the analytical sciences function within MSAT to ensure robust support for commercial manufacturing of biologics (e.g., mAbs, fusion proteins). Drive analytical control strategy, specification setting, and lifecycle management in alignment with QbD principles. Oversee method performance monitoring and trending, analytical capability assessments, and...

Job Description: The Senior Manager of Field Training and Development, collaborates and communicates closely with the Team Leader in the Field Training and Development Department to develop and drive the achievement of department objectives and responsibilities. Leads in coordinating closely with peers to ensure that learning needs are identified, training programs are developed, and actively implements learning experiences that strengthen the capabilities of customer-facing field personnel to drive business growth. Works cross-functionally with Brand teams, Field Leadership, Medical, and other internal key stakeholders along with external vendors to ensure Field Training and Development programs/deliverables are in alignment with brand/company strategies to support the achievement of commercial business objectives. Key Functions: Collaborates and communicates with peers in Field Training and Development Department to achieve department...