- Commonwealth Care Alliance (Boston, MA)
- …preferred. + Certified Professional Coder (CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing-related certifications ... Quality Assurance for further investigation or configuration updates. + Document all research , findings, and outcomes in claims systems (eg, Salesforce, Facets)… more
- NTT America, Inc. (Plano, TX)
- …the timelines to complete compliance training of NTT Data/Client -Work independently to research , review and act on the claims -Prioritize work and adjudicate ... above 98.5% PA and 99.75% FA. -Timely response and resolution of claims received via emails as...compliance training of NTT Data/Client + Work independently to research , review and act on the claims … more
- Orlando Utilities Commission (Orlando, FL)
- …of OUC's self-insurance program, ensuring optimal coverage, cost efficiency, and effective claims resolution . In this role, you will oversee the administration ... Commission; + Consult with internal and external legal counsel in support of claims litigation; + Research , negotiate and purchase commercial insurance and… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....role will also be responsible for timely review and research , as necessary on all new and revised coding… more
- Equitable (Charlotte, NC)
- …healthcare providers and claimants to obtain missing or additional information necessary to process claims . + Research and resolve issues related to claims , ... Claims Intake Specialist (Group Insurance Claims ...Assurance:** + Meet or exceed service targets, including call resolution times, customer satisfaction scores, and other key performance… more
- GAF (Parsippany, NJ)
- …warranty claims , which includes but is not limited to research and investigation, assignment of work orders, preparation of various communications throughout ... protect what matters most. **Job Summary** The Residential Warranty Claims Examiner position is a critical member of our...the life-cycle of the claim, and resolution . + Apply business reasoning and critical thinking to… more
- University of Oregon (Eugene, OR)
- …Duties include, but are not limited to, managing workers' compensation claims , including coordination, tracking, reporting and resolution . When managing ... Workers' Compensation Claims Manager Apply now (https://secure.dc4.pageuppeople.com/apply/726/gateway/default.aspx?c=apply&lJobID=535670&lJobSourceTypeID=831&sLanguage=en-us) Job no: 535670… more
- NTT DATA North America (Plano, TX)
- …the timelines to complete compliance training of NTT Data/Client + Work independently to research , review and act on the claims + Prioritize work and adjudicate ... the candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the...98.5% PA and 99.75% FA. + Timely response and resolution of claims received via emails as… more
- NTT DATA North America (MO)
- …the timelines to complete compliance training of NTT Data/Client + Work independently to research , review and act on the claims + Prioritize work and adjudicate ... the candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the...98.5% PA and 99.75% FA. + Timely response and resolution of claims received via emails as… more
- NTT DATA North America (MO)
- …the timelines to complete compliance training of NTT Data/Client + Work independently to research , review and act on the claims + Prioritize work and adjudicate ... the candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the...98.5% PA and 99.75% FA. + Timely response and resolution of claims received via emails as… more
- NTT DATA North America (St. Louis, MO)
- …the timelines to complete compliance training of NTT Data/Client * Work independently to research , review and act on the claims * Prioritize work and adjudicate ... to work **remote (MO).** **Role Responsibilities:** * Processing of Professional claim forms files by provider * Reviewing the...98.5% PA and 99.75% FA. * Timely response and resolution of claims received via emails as… more
- NTT DATA North America (Dallas, TX)
- …the timelines to complete compliance training of NTT Data/Client + Work independently to research , review and act on the claims + Prioritize work and adjudicate ... the candidate will be responsible for: + Processing of Professional and Hospital claim forms files by provider +...98.5% PA and 99.75% FA. + Timely response and resolution of claims received via emails as… more
- USAA (San Antonio, TX)
- …. Relocation assistance **is** available for this position. **Architect the Future of Claims with Scalable AI and Advanced Analytics-In Service of Those Who Serve** ... technically skilled Director of Data Science to lead innovation for the Claims organization. This high-impact role goes beyond analytics-your work will directly… more
- Hospice of the Valley (Phoenix, AZ)
- …cooperative problem resolution . + Responds timely to calls regarding patient claims and/or payments. + Reviews and researches any outstanding balances on ... Time Off. + Flexible schedules for work/life balance. **Position Profile** The Claims Review Coordinator is responsible for managing and coordinating the review… more
- NTT DATA North America (Plano, TX)
- …the timelines to complete compliance training of NTT Data/Client + Work independently to research , review and act on the claims + Prioritize work and adjudicate ... Plano, Texas (US-TX), United States (US). + Processing of Professional claim forms files by provider + Reviewing the...98.5% PA and 99.75% FA. + Timely response and resolution of claims received via emails as… more
- NTT America, Inc. (Plano, TX)
- …the timelines to complete compliance training of NTT Data/Client + Work independently to research , review and act on the claims + Prioritize work and adjudicate ... the candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the...98.5% PA and 99.75% FA. + Timely response and resolution of claims received via emails as… more
- MetLife (Oriskany, NY)
- …of claim. 4. Establish action plans for each file to bring claim to resolution within specified timeframes. 5. Evaluate claims to identify situations requiring ... month in office for meetings Summary of Responsibilities: Review, research and investigate new and ongoing Total and Permanent...new and ongoing Total and Permanent and Premium Waiver claims to determine if claim is payable in accordance… more
- Blue KC (Kansas City, MO)
- …and claims processes, reporting and regulatory requirements. + Excellent research and investigative skills. Ability to clearly express and synthesize case facts, ... paid holidays, paid time off and volunteer time off** ** Professional development courses, mentorship opportunities, and tuition reimbursement program** **Paid… more
- USAA (Colorado Springs, CO)
- …Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be responsible for developing, managing, growing, ... drive the achievement of business goals. + Responsible for timely and appropriate resolution of escalations from strategic supplier partners. + Partners with team to… more
- Guardian Life (Pittsfield, MA)
- …We believe in your aspirations for purpose, leadership, and achievement in your professional and personal lives. **In the role, you will** + Business Analysis - ... gathering and completion + Production Support - Ensure successful resolution of open items which will include acting as...areas and outside vendors on projects relating to the research , analysis, and implementation of new technology + Ensure… more