11 claims representative jobs found

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...

Job Summary In collaboration with the Senior Director of Clinical Management, the Director is responsible for the operational strategy and management of Otsuka clinical programs, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution, and completion of clinical programs according to applicable regulations and guidance; ICH Guidelines, Good Clinical Practices (GCP), and Otsuka SOPs, within agreed upon timelines and budget. Job Description Provides scientific clinical research and operational expertise in the development of overall strategy and objectives of the Global Clinical Development Plan (GCDP), including performing/overseeing and providing background research. May represent Clinical Management in the development of the Clinical Development Plan, timelines, and budget for Business Development opportunities. Ensures program specific...

Please note: The starting pay rate is projected to be $18.00 per hour with a 3% annual bonus target. Do you want to be part of a collaborative Customer Response team? In this role you will be responsible to facilitate, analyze and resolve customer issues through a variety of communication channels, including phone, email and chat. You will service a suite of absence products such as short-term disability, state disability, state paid family leave and Family Medical Leave Act. You will be initiating new absences for members as well as answering questions about current benefits and claims. At Guardian we foster a team culture where 'People Count," "We Do the Right Thing," and "We Hold Ourselves to Very High Standards". If this sounds like you, Guardian is seeking a Customer Care Representative to join our Member/Provider. Customer Response Unit. You are: A consummate professional with excellent verbal and written communication skills. You are self-motivated and goal...

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. 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...

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...

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...

At Gilead, we're creating a healthier world for all people. For more than 35 years, we've tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer - working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world's biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead's team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we're looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating...

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...