Medical Malpractice Claims Specialist - Wausau, WI Diedre Moire Corp.Medical Malpractice Claims Specialist - Wausau, WIWausau, WI$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Claims Support Specialist M3 Insurance Solutions IncClaims Support SpecialistWausau, WIAs a Claims Support Specialist at M3 Insurance, youll play a vital role in supporting our P&C Risk Management team by managing claims activity, coordinating with clients and carriers, and ensuring seamless day-to-day operations. M3 is building a culture focused on learning and progression, where M3ers are empowered by education, inclusive conversations, and real action that supports the future we envision.
Revenue Cycle Coverage and Claims Associate I Exact SciencesRevenue Cycle Coverage and Claims Associate IMarshfield, WisconsinExact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage. This role will also support the broader activities of ensuring appropriate coverage by utilizing Epic, external portals, and other software, and communicate insurance information to ancillary departments and other teams within the reimbursement operations departments.
Auto Claims Appraiser Sentry Insurance GroupAuto Claims AppraiserStevens Point, WILead efficient claim decisions by assessing losses, building estimates, and securing fair settlements while collaborating with repair teams and tracking the latest repair technology. Knowledge of vehicle repairs gained from previous experience in a repair facility, appraising responsibilities, or collision repair course work preferred.
Associate Claims Technician - Data Administration Sentry Insurance GroupAssociate Claims Technician - Data AdministrationStevens Point, WIAs an Associate Claims Technician - Data Administration, you'll provide basic administrative and operational support for the claims department, which includes identification and routing of mail, returning of misrouted or unidentified mail, data entry, and monitoring work queues. Provide administrative support to technical staff by creating documents and forms, reviewing their incoming mail, sending their correspondence, and auditing internal storage logs.
Claims Auditor, Health Plan Sanford HealthClaims Auditor, Health PlanMarshfield, WIRemote$17.50–$28 / hourDevelops and maintains a knowledge base of CPT coding guidelines, ICD codes, healthcare common procedure coding system (HCPCS) codes, use of modifiers, documentation guidelines, CMS policy, Medicaid rules, and other reimbursement guidelines, to review claims for accuracy, compliance, proper billing and ensure adherence to insurance policies and regulations. Successful completion of the following courses per departmental procedures,within one year of hire required: current procedural terminology (CPT), current international classification of diseases (ICD), health care procedure coding system (HCPCS) and medical terminology.
Claims Account Specialist Diversified Benefit ServicesClaims Account SpecialistWisconsinIf you have experience in Accounts Payable, Accounts Receivable, Payroll Processing, Banking Operations, HR, Employee Benefits, or Insurance Claims, your background aligns exceptionally well with this opportunity. Diversified Benefits Services uses SMS in efforts to contact candidates in a timely manner in order to request more information or keep candidate informed regarding the status of their application.
Senior Claims Specialist I - Workers Compensation - Central Region Liberty Mutual Holding Company IncSenior Claims Specialist I - Workers Compensation - Central RegionWausau, WIRemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the states tort laws as normally acquired through a bachelors degree (or equivalent training) plus 3 to 5 years directly related work experience.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageTelecommuter, WI$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Education & Experience: Three (3) years of personal line or commercial line property claims management experience or equivalent combination of education and experience required to include knowledge of construction basics.
Claims Representative, Auto Sedgwick Claims Management Services, Inc.Claims Representative, AutoWI$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Technical Specialist - Commercial Property Sentry Insurance GroupClaims Technical Specialist - Commercial PropertyStevens Point, WIAs a Claims Technical Specialist, you will play an integral role in ensuring the effective management of complex and high-exposure claims with a focus on commercial property losses. You will apply your technical expertise, regulatory knowledge, leadership skills, and a strong commitment to ensuring delivery of high-quality outcomes for both the organization and its customers.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistWIRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Associate Claims Specialist - Workers Compensation - Central Region Liberty Mutual Holding Company IncAssociate Claims Specialist - Workers Compensation - Central RegionWausau, WIRemoteAs a Workers Compensation Associate Claims Specialist, you will develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.
Field Claims Consultant Northwestern MutualField Claims ConsultantWisconsinEffective claim handling and evaluation of contestable and non-contestable, Disability Income, Life and Accidental Death Benefit, Life Waiver of Premium, Long-Term Care, claims through thorough and timely contact with Policyowners, Insureds, Physicians, business partners, and other parties. Field Claim Consultants are remote employees who conduct video, telephone, and in-person interviews (requiring travel), to evaluate and analyze the most complex contestable and non-contestable, Disability Income, Life, Long Term Care and Life Waiver of Premium claims.
Sr. Batch Developer (UNIX/C/SQL/Claims) Gainwell Technologies LLCSr. Batch Developer (UNIX/C/SQL/Claims)WIRemote$70,000–$90,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $70,000 - $90,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Investigator Ethos Risk ServicesInvestigatorWausau, WIPrevious Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
FRAUD WASTE ABUSE ANALYST - ASPIRUS HEALTH PLAN Aspirus IncFRAUD WASTE ABUSE ANALYST - ASPIRUS HEALTH PLANWausau, WIThe health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. The analyst will work closely with Senior Claims Analysts, the SIU, and cross-functional teams to support investigations, recommend corrective actions, and strengthen internal controls.
Lead Payment Integrity Analyst QuartzLead Payment Integrity AnalystWisconsin$77,200–$96,500 / yearResponsibilities: Financial Performance & Payment Integrity OversightOversees the financial and key performance indicators related to pre-pay integrity services, post-pay integrity services, premium revenue services, and remediation initiatives to ensure financial and key performance targets are met. Qualifications: Qualifications: Bachelor's degree with 6+ years of payment integrity, claims processing, quality or process improvement experience, including performance measurement systemsOR associate degree with 9+ years of experience of payment integrity, claims processing, quality or process improvement experience, including performance measurement systems.
Branch Manager Regional FinanceBranch ManagerWausau, WisconsinManagers will be focused on leading team members, managing the branch P&L, driving new loan growth, managing current loan portfolio, marketing, maintenance of current business partnerships, and development of new strategic business partners. If you are a job applicant who resides in the state of California, please review our California Employee Privacy Policy at the following link: https://regionalfinance.com/wp-content/uploads/2022/11/UPDATED-Employee-Privacy-Policy-11.2022.pdf.
Branch Manager Regional Finance CorpBranch ManagerWausau, WIManagers will be focused on leading team members, managing the branch P&L, driving new loan growth, managing current loan portfolio, marketing, maintenance of current business partnerships, and development of new strategic business partners. If you are a job applicant who resides in the state of California, please review our California Employee Privacy Policy at the following link: https://regionalfinance.com/wp-content/uploads/2022/11/UPDATED-Employee-Privacy-Policy-11.2022.pdf.
Pharmacist Walgreen CoPharmacistStevens Point, WI$64.60–$81.20 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Pharmacy Manager Walgreen CoPharmacy ManagerWausau, WI$5,863.20–$7,354.20 / weekWalgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
NewPharmacist - Sign-On Bonus and Relocation Available Walgreen CoPharmacist - Sign-On Bonus and Relocation AvailableStevens Point, WI$60.90–$82.30 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
NewPharmacy Manager - Sign-On Bonus and Relocation Available Walgreen CoPharmacy Manager - Sign-On Bonus and Relocation AvailableWausau, WI$67.05–$90.55 / hourWalgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
Patient Access Representative Sanford HealthPatient Access RepresentativeWausau, WI$16–$23 / hourBased on setting, additional duties may include preparation and coordination of charts; organizing supporting provider documents; discussing pre-payment responsibilities; initiation and collaboration of patient/resident financial assistance; prior authorization; track patient/resident visits; health information management on patient/resident accounts; work on weekly and monthly reports; compiling, distributing, administering and scoring of assessments; coordination of Telemed appointments; provider and schedule maintenance; charge entry/billing and charge verification; reminder calls for appointments; hospital admission; make copies, send faxes, and order supplies. In a scheduling role, the Patient Access Representative schedules patient/resident appointments and procedures, obtains and coordinates referrals, conducts pre-authorization, arranges interpreter services, checks patients/residents in/out, and offers enrollment to additional resources.
Patient Access Representative (Straight Nights) Sanford HealthPatient Access Representative (Straight Nights)Marshfield, WI$16–$23 / hourBased on setting, additional duties may include preparation and coordination of charts; organizing supporting provider documents; discussing pre-payment responsibilities; initiation of patient financial assistance; prior authorization; track patient visits; collaborating with patient financial services and health information management on patient accounts; work on weekly and monthly reports; compiling, distributing, administering and scoring of assessments; coordination of Telemed appointments; provider and schedule maintenance; charge entry/billing and charge verification; reminder calls for appointments; hospital admission; make copies, send faxes, and order supplies. In a scheduling role, the Patient Access Representative schedules patient appointments and procedures, obtains and coordinates referrals, conducts pre-authorization, arranges interpreter services, checks patients in/out, and offers patient enrollment to additional Sanford resources.
NewPatient Access Representative / Appointment Coordinator - Genetics | Full Time Sanford HealthPatient Access Representative / Appointment Coordinator - Genetics | Full TimeMarshfield, WI$16–$23 / hourBased on setting, additional duties may include preparation and coordination of charts; organizing supporting clinician documents; discussing pre-payment responsibilities; initiation and collaboration of patient financial assistance; prior authorization; track patient visits; health information management on patient accounts; work on weekly and monthly reports; compiling, distributing, administering and scoring of assessments; coordination of Telemedicine appointments; clinician and schedule maintenance; reminder calls for appointments; hospital admission; make copies, send faxes, prepare appointment specific letters/instructions and distribute to patient, and order supplies. In a scheduling role, the Patient Access Representative schedules patient appointments and procedures, obtains and coordinates referrals, conducts pre-authorization, arranges interpreter services, checks patients in/out, and offers enrollment to additional resources.
Customer Service Representative - State Farm Agent Team Member Tonya Springer - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberWausau, WIBefore becoming an agent, I worked as a State Farm team member and also gained experience in retirement services and leadership — which shaped my passion for helping people plan ahead, protect what matters, and feel confident about their future. As a Customer Service Representative - State Farm Agent Team Member with Tonya Springer - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency.
Customer Service Representative Diversified Benefit ServicesCustomer Service RepresentativeWisconsinDiversified Benefits Services uses SMS in efforts to contact candidates in a timely manner in order to request more information or keep candidate informed regarding the status of their application. If you are experiencing issues with the messaging program you can reply with the keyword HELP for more assistance, or you can get help directly at mprescott@dbsbenefits.com.
Accounts Receivable Specialist Bone and Joint Center, S.C.Accounts Receivable SpecialistWausau, WIA day in the life of an Accounts Receivable Specialist in an orthopedic organization involves reviewing and processing insurance claims, identifying reasons for claim denials, and appealing denied claims. This role requires attention to detail, knowledge of medical billing codes, and excellent organizational skills to navigate the complexities of insurance reimbursement in the orthopedic field.
Accounts Receivable Specialist BONE & JOINT CLINIC, SCAccounts Receivable SpecialistWausau, WIA day in the life of an Accounts Receivable Specialist in an orthopedic organization involves reviewing and processing insurance claims, identifying reasons for claim denials, and appealing denied claims. This role requires attention to detail, knowledge of medical billing codes, and excellent organizational skills to navigate the complexities of insurance reimbursement in the orthopedic field.
Account Associate - State Farm Agent Team Member Tonya Springer - State Farm AgentAccount Associate - State Farm Agent Team MemberWausau, WIBefore becoming an agent, I worked as a State Farm team member and also gained experience in retirement services and leadership — which shaped my passion for helping people plan ahead, protect what matters, and feel confident about their future. ROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Tonya Springer - State Farm Agent, you are vital to our daily business operations and customers’ success.
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerMarshfield, WI$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Pharmacy Intern Grad - Sign-On Bonus Available & Relocation Available Walgreen CoPharmacy Intern Grad - Sign-On Bonus Available & Relocation Availablewausau, WI$40–$44 / hourCounsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
NewPharmacy Intern Grad - Sign-On Bonus and Relocation Available Walgreen CoPharmacy Intern Grad - Sign-On Bonus and Relocation AvailableStevens Point, WI$33.50–$45.30 / hourCounsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
Patient Account Representative GI AssociatesPatient Account RepresentativeWausau, WIReceives billing calls, answers questions, and assists patients with issues they may have regarding their accounts, and receives collection calls on delinquent accounts and arranges payment plans, or refers to financial counselor, if appropriate. The Patient Account Representative is responsible for the overall processing of all billed services, including claims submission, payment and remittance entry, research of unpaid or denied claims and aged accounts receivable follow up.
Patient Account Representative GI Associates SCPatient Account RepresentativeWausau, WIReceives billing calls, answers questions, and assists patients with issues they may have regarding their accounts, and receives collection calls on delinquent accounts and arranges payment plans, or refers to financial counselor, if appropriate. The Patient Account Representative is responsible for the overall processing of all billed services, including claims submission, payment and remittance entry, research of unpaid or denied claims and aged accounts receivable follow up.
Subrogation Investigator Sanford HealthSubrogation InvestigatorMarshfield, WI$15.50–$23.50 / hourIf you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talentsanfordhealth.org. Minimum of two years previous work experience in collections, legal claims processing, or subrogation related field.
Freezer, Cooler and Deli Stocker Associate Walmart IncFreezer, Cooler and Deli Stocker AssociateWausau, WI$17–$24 / hourMaintains the Sales Floor and merchandise presentation in the Freezer/Cooler/Deli area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up, cleaning, and organizing product displays; removing damaged goods; signing and pricing merchandise appropriately; completing required audits, paperwork, logs, and other required documentation; and securing fragile and high-shrink merchandise. Follows Company policies and procedures related to Freezer/Cooler area by complying with food handling policies; operating, repairing, and sanitizing equipment; following Cold Chain procedures when stocking merchandise; cleaning freezer /cooler/deli area (for example, windows, mirrors, display cases and coolers); monitoring freezer/cooler fans, drains and doors for proper operation; and reporting issues to Management.
Manager - Change Management - MICON Group, Inc. Michels CorporationManager - Change Management - MICON Group, Inc.WisconsinAs a Manager - Change Management , your key responsibilities will be: Lead change management efforts, including day-to-day engagement with project team, and change order tracking. With input from leadership, oversee performance of cost analysis, such as discrete change pricing, labor/equipment inefficiency, productivity loss, cumulative impact breakdowns.
Change Management Senior Analyst - MICON Group, Inc. Michels CorporationChange Management Senior Analyst - MICON Group, Inc.Wisconsin6+ years technical documentation evaluation experience, or equivalent combination of education (for example, bachelors degree in construction management, engineering, or related field) and experience. Assist project team with data organization (e.g., file structure and naming convention) and tracking (e.g., development and maintenance of CO logs, correspondence logs, RFI logs, etc.).
Patient Care Coordinator BeltonePatient Care CoordinatorMarshfield, WisconsinCheck patients in and out, collect and record payments, track revenue and accounting activities to include: end of day close, bank deposits, posting of charges, entering invoices, payments and insurance claim processing. Work with the hearing care provider on grassroots marketing efforts that may include compiling physician packets, coordinating educational seminars, and sending recall letters.
Patient Care Coordinator Beltone Electronics CorpPatient Care CoordinatorMarshfield, WI$17–$18 / hourCheck patients in and out, collect and record payments, track revenue and accounting activities to include: end of day close, bank deposits, posting of charges, entering invoices, payments and insurance claim processing. Work with the hearing care provider on grassroots marketing efforts that may include compiling physician packets, coordinating educational seminars, and sending recall letters.
Change Management Analyst - MICON Group, Inc. Michels CorporationChange Management Analyst - MICON Group, Inc.WisconsinAs a Change Management Analyst, your key responsibilities will be: Collect and organize project data: schedules, cost reports, daily reports, RFIs, submittals, meeting minutes, time sheets, logs, etc. Support senior staff in schedule, cost data extraction (e.g., pulling updates from Primavera P6, cost systems), and other change order/claim preparation efforts.
Utility Locator USICUtility LocatorWausau, WisconsinWe are America’s leader in underground utility damage prevention and advanced infrastructure services, performing more than 84 million locates each year for the more than 1,400 telecommunications, electric, gas, water, and sewer utilities and municipalities we serve nationwide. Education Partnership & Scholarship Program – Discounted tuition for USIC employees, their spouses, and dependents through Indiana Tech (courses available online nationwide).