MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Sioux Falls, South Dakota MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Sioux Falls, South DakotaSioux Falls, SDFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
SFM Mutual Insurance CompanySenior Worker's Compensation Claims Professional SFM Mutual Insurance CompanySenior Worker's Compensation Claims ProfessionalSioux Falls, SD$74,497–$104,295 / yearPart timeAt SFM, you’ll manage high-exposure and complex lost-time claims while partnering closely with injured workers, employers, and internal experts to drive the best outcomes. Job title and starting pay will be based on the selected candidate’s relevant knowledge, skills, abilities and/or experience, and education, if applicable as well as internal equity with other employees in the same job classification.
Sammons Financial GroupNewClaims Representative Sammons Financial GroupClaims RepresentativeSioux Falls, South Dakota$40,223–$67,039 / yearResponsibilities: • Focus primarily on answering phone calls for both life and annuities lines of business from beneficiaries, agents, policyowners, 3rd parties or others by telephone using a professional and friendly approach; inquiries are also to be handled in a precise, thorough manner with attention to grammatical correctness and professional tone. Sammons Financial Group maintains an internal Talent Acquisition function and does not accept unsolicited resumes or candidate submissions from search firms, staffing agencies, or other third-party recruiting vendors.
Harris Computer SystemsClaims Examiner Harris Computer SystemsClaims ExaminerSouth Dakota, SDAddress customer concerns and escalate complex issues to senior claims personnel or management as needed. Collaborate with team members and management to implement best practices and enhance overall departmental performance.
Farm Bureau Financial ServicesCasualty Claims Consultant Farm Bureau Financial ServicesCasualty Claims ConsultantSioux Falls, South DakotaAttend mediations and/or trials on behalf of Farm Bureau Financial Services with State and Commercial Business Unit claims staff members when requested or when necessary. You will also: ·Assign litigated files to panel counsel and work with panel counsel to oversee litigation strategy, including any discovery, motion, and trial strategies.
TriWest Healthcare AllianceClaims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystSioux Falls, SDRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
TriWest Healthcare AllianceSupervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminSioux Falls, SDRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
TriWest Healthcare AllianceClaims Escalation Rep TriWest Healthcare AllianceClaims Escalation RepSioux Falls, SDRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.
TriWest Healthcare AllianceClaims Reviewer TriWest Healthcare AllianceClaims ReviewerSioux Falls, SDRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
CRC Insurance Services IncRemote Senior Claim Specialist - General Liability - National Claim Services CRC Insurance Services IncRemote Senior Claim Specialist - General Liability - National Claim ServicesSDRemoteSend an email to Accessibility (accommodation requests only; other inquiries won''t receive a response).Regular or Temporary:RegularLanguage Fluency: English (Required)Work Shift:1st Shift (United States of America)Please review the following job description:Analyzes and processes claims by gathering information and drawing conclusions. Experience in the Construction and E&S Claim Environment with a high degree of specialized and technical competence in interpreting general liability policies and exposures for both property damage and bodily injury claims.
TriWest Healthcare AllianceSr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerSioux Falls, SDRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
CSAA Insurance GroupNewCommercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteHome Teleworkers, SDRemote$110,700–$123,000 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).
Visions Eye CareInsurance/Billing Coordinator Visions Eye CareInsurance/Billing CoordinatorSioux Falls, SDWhy you'll love working with us: At Visions Eye Care + Therapy Center, we value our employees and strive to create a positive and supportive work environment. Visions Eye Care + Therapy Center is seeking a detail-oriented and organized Insurance/Billing Coordinator to join our team in Sioux Falls, SD.
Allied UniversalSurveillance Investigator Allied UniversalSurveillance InvestigatorSioux Falls, South Dakota
Allied UniversalSurveillance Investigator - Part-Time Allied UniversalSurveillance Investigator - Part-TimeSioux Falls, South Dakota
SERVPRO of West Sioux FallsRecords & Project Coordinator SERVPRO of West Sioux FallsRecords & Project CoordinatorHartford, SDSERVPRO Franchise employees are not employed by, jointly employed by, agents of or under the supervision or control of SERVPRO Industries, LLC or SERVPRO Franchisor, LLC (the Franchisor), in any manner whatsoever. If you take pride in quality work, can juggle multiple tasks without breaking a sweat, and love working in a fast-paced environment where accuracy actually matters, you might just thrive here.
Ty Teveldal - State Farm AgentCustomer Service Representative - State Farm Agent Team Member Ty Teveldal - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSioux Falls, SDAs a Customer Service Representative - State Farm Agent Team Member with Ty Teveldal - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Walgreen CoPharmacist Walgreen CoPharmacistSioux Falls, SD$64.60–$71.05 / 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.
Sanford HealthPatient Access Representative | Weight Management/Post Acute | 40 Hours/week Sanford HealthPatient Access Representative | Weight Management/Post Acute | 40 Hours/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**.
Sanford HealthPatient Access Representative | Weight Management/Post Acute | 20 hours/week Sanford HealthPatient Access Representative | Weight Management/Post Acute | 20 hours/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**.
Sanford HealthPatient Access Representative | Emergency Department | 38.5 hrs/week Sanford HealthPatient Access Representative | Emergency Department | 38.5 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**.
Sanford HealthPatient Access Representative | Children's Specialty Clinic | 35 hrs/week Sanford HealthPatient Access Representative | Children's Specialty Clinic | 35 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**.
Sanford HealthPatient Access Representative | Emergency Department | 40 hrs/week Sanford HealthPatient Access Representative | Emergency Department | 40 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**.
Sanford HealthNewPatient Access Representative | Heart Hospital | 40 hrs/week Sanford HealthPatient Access Representative | Heart Hospital | 40 hrs/weekSioux Falls, SD$16.25–$23 / hourSanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**. - Work with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule.
Sanford HealthNewPatient Access Representative | Endocrinology | 40 hrs/week Sanford HealthPatient Access Representative | Endocrinology | 40 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**.
Sanford HealthNewPatient Access Representative | Vandemark Outpatient Therapy | 40 hrs/week Sanford HealthPatient Access Representative | Vandemark Outpatient Therapy | 40 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**.
Sanford HealthNewPatient Access Representative | Children's Specialty Clinic | 40 hrs/week Sanford HealthPatient Access Representative | Children's Specialty Clinic | 40 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**.
Sanford HealthNewPatient Access Representative | Cancer Center | 40 hrs/wk Sanford HealthPatient Access Representative | Cancer Center | 40 hrs/wkSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**.
Sanford HealthPatient Access Representative | Luverne Clinic | 32 hrs/week Sanford HealthPatient Access Representative | Luverne Clinic | 32 hrs/weekLuverne, MN$16.25–$23 / hourSCHEDULING • Work with nursing team & providers to coordinate & schedule appointments to meet patients needs coordinate provider schedule • Obtain and coordinate referrals & conduct pre-authorization • Arrange interpreter services • Check patients inout • Operate multi-line phone • May resolve work queue issues manage recall and waitlists & serve as switchboard operator calling codes and paging providers. REGISTRATION • Greet patients & verifies demographics • Creating scanning & routing documents or electronic forms • Inform patients what the document is & capture signatures on necessary paperwork • Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures • Collects co-payments pre-payments and payments on account balances • May work through the registration work queue to address and resolve registration errors or denied insurance claims.
Mass MarketsNewSenior Business Development Specialist Mass MarketsSenior Business Development SpecialistSioux Falls, SD$6–$7 / hourThe Ideal Candidates For This Position Are Highly Motivated And Dedicated And Should Possess The Below QualitiesBachelor's degree in Business, Marketing, Communications, or a related field (MBA or equivalent is a plus)5+ years of proven success in B2B business development, preferably within the BPO or outsourcing industryDemonstrated ability to prospect, engage, and close new business with senior-level decision-makersStrong understanding of sales cycles, lead generation strategies, and account mappingExcellent verbal and written communication skills, with the ability to craft compelling outreach and proposalsProficiency in using CRM systems (e.g., Salesforce, HubSpot) to manage pipeline and track activitySkilled in conducting market and competitor analysis to inform strategic outreachSelf-starter with a hunter mentality, driven, persistent, and focused on resultsAbility to work independently in a fast-paced environment while collaborating cross-functionallyStrong presentation skills and confidence in delivering pitches to executive-level audiencesComfortable using digital channels (email, LinkedIn, virtual events) for outreach and engagementCompensation DetailsWANT AN EMPLOYER THAT VALUES YOUR CONTRIBUTION?At MCI, we believe that your hard work deserves recognition and reward. MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners.
Heiman Fire EquipmentCustomer Service / Apparatus Warranty Specialist Heiman Fire EquipmentCustomer Service / Apparatus Warranty SpecialistSioux Falls, SDThis role serves as a key liaison between customers, internal service teams, and OEM partners, ensuring warranty issues are documented, tracked, and resolved efficiently using Rosenbauer’s CRM system. We are growing and looking to add a Customer Service / Apparatus Warranty Specialist to support our expanding apparatus fleet and ensure our customers receive best-in-class warranty service and communication.
Ty Teveldal - State Farm AgentAccount Associate - State Farm Agent Team Member Ty Teveldal - State Farm AgentAccount Associate - State Farm Agent Team MemberSioux Falls, SDROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Ty Teveldal - State Farm Agent, you are vital to our daily business operations and customers’ success. You grow our agency through meaningful client relations and acting as a liaison between customer needs and agency departments.
Tyler Baker - State Farm AgentAccount Associate - State Farm Agent Team Member Tyler Baker - State Farm AgentAccount Associate - State Farm Agent Team MemberSioux Falls, SDROLE DESCRIPTION: As a account associate for Tyler Baker State Farm, you are vital to our daily business operations and customers’ success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments.
TriWest Healthcare AllianceProvider Data Specialist TriWest Healthcare AllianceProvider Data SpecialistSioux Falls, SDRemoteFull timeTechnical Skills: Proficient with key databases, including FoxPro, Claims Systems, Medical Management Systems, and Provider Data Management Systems; working knowledge of VA policies and procedures, current knowledge of claims, reimbursement methodology; healthcare or managed care experience. • Communicate clearly through both written and verbal forms of communication and follow up with various parties to ensure tasks are completed within the allotted timeline or issues are escalated appropriately.
Wilcoxon InsuranceCustomer Service Representative Wilcoxon InsuranceCustomer Service RepresentativeSioux Falls, SDIn this role, you will serve as the primary point of contact for our clients, assisting them with inquiries related to their insurance policies and ensuring they receive the highest level of service. Respond promptly to customer inquiries via phone, text, and email regarding insurance policies, coverage options, and claims.
Avera HealthHealth Plan Configuration Analyst Avera HealthHealth Plan Configuration AnalystSioux Falls, SD$49,920–$75,920 / yearConverting benefit plan requirements into system configurations, collaborating with other analysts and business leaders, ensuring data accuracy, customizing settings to support payer-provider relationships and supporting the systems ongoing performance. Requirement Analysis: • Uses experience and judgement to plan and accomplish goals; performs a variety of complicated tasks to ensure that the core claims system is configured correctly by reviewing the system components and validating that the configuration aligns to legal plan documents and regulatory requirements.
Wilcoxon InsuranceAccount Manager - Insurance Wilcoxon InsuranceAccount Manager - InsuranceSioux Falls, SDCustomer Service Excellence:Deliver exceptional customer service by addressing client inquiries, resolving issues promptly, and exceeding client expectations. As a Property and Casualty Account Manager, you will be responsible for managing and expanding our client base by delivering exceptional service and expert advice on insurance coverage.
Worldwide Flight ServicesNewPassenger Service Agent Worldwide Flight ServicesPassenger Service AgentSioux FallsWe perform at the highest level for our customers every day, and strive to be an exceptional leader in our industry with our teams of cargo, passenger, ramp handling, and technical service experts in 164 airport locations, 18 countries, and on 5 continents. About WFSJoin our Worldwide Flight Services family and contribute to the timely delivery of cargo shipment, luggage, business to customer delivery, and on-time flights while operating safely and securely.
MaximusReporting Specialist MaximusReporting SpecialistSioux Falls, SDFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Sioux Falls, SDRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
TriWest Healthcare AllianceField Support Specialist TriWest Healthcare AllianceField Support SpecialistSioux Falls, SDFull timeThe incumbent will also work closely with MTF staff to support TRICARE beneficiaries and provide non-clinical support for patient referrals and authorizations; outreach to network providers as necessary; and to facilitate the support of applicable TriWest departments for resolving network gaps, provider and contract concerns, customer service requests, and discharge coordination for patients from network and non-network facilities. • Performs on-site and virtual outreach activities for military installation community and beneficiary groups such as Family Readiness Groups, Retiree Associations, and Installation New-comers Orientation, and provides educational briefings on such matters as transferring TRICARE enrollment, PCM selection, and other interest areas for new people to the community.
North Risk Partners LLCPersonal Lines Associate Account Manager North Risk Partners LLCPersonal Lines Associate Account ManagerSioux Falls, SDOur team environments are designed to provide #oneTEAM members opportunity to focus on collaborative relationships (clients and team), variety from day-to-day, constant learning, and the tools and resources to learn and grow at work and in life. Assist in sending ID cards, handling non-complex endorsements, processing cancellations, answering billing questions, and responding to voicemails in the service inbox in a timely, accurate manner.
North Risk Partners LLCSenior Commercial Lines Account Manager North Risk Partners LLCSenior Commercial Lines Account Managersioux falls, SD$70,000–$90,000 / yearOur team environments are designed to provide #oneTEAM members opportunity to focus on collaborative relationships (clients and team), variety from day-to-day, constant learning, and the tools and resources to learn and grow at work and in life. Must possess valid driver's license and be able to travel to different North Risk Partners locations for meetings, as well as various locations throughout the state and potentially the region for client meetings.
Sanford HealthNewDirector, Actuarial Services Sanford HealthDirector, Actuarial ServicesSioux Falls, SDDevelop the enterprise premium rate structure through actuarially sound and competitive regular and systematic analysis and forecasting of financial and statistical data, and provide income in accordance with enterprise goals and objectives. Collect, analyze and interpret loss experience data, including estimating Insurance incurred but not reported (IBNR) reserves and forecasting current new business and renewal rate levels.
Insurance Office of AmericaProduct Owner (AI & Insurance Innovation) Insurance Office of AmericaProduct Owner (AI & Insurance Innovation)Sioux Falls, SDRemote$80,000–$95,000 / yearFull timePlease note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. This role requires a deep understanding of insurance industry workflows and the ability to translate business needs into actionable product strategies that deliver measurable impact.
Flandreau Santee Sioux TribeNewPart Time HR Generalist Flandreau Santee Sioux TribePart Time HR GeneralistSioux Falls, SDAdminister day-to-day HR operations, including assisting with all employee inquiries, day-to-day memos, correspondence, and assisting the Chief Human Resource Officer with HR issues. The HR Generalist-Benefits is responsible for supporting daily human resources operations while managing and administering employee benefits programs.