- CVS Health (Richardson, TX)
- …do it all with heart, each and every day. As part of the Rx Claim Adjudication team, you will be expected to be proficient in all critical functions of the ... and be willing to be hybrid, we may consider remote US for the right candidate. Within the application...fact finding. + Experience with RxClaim or other PBM Adjudication system is preferred. + Experience on Cloud Technologies… more
- Cognizant (Dover, DE)
- …and procedures. Provide support to claims and client for issues related to claims adjudication and adjustments. You will be a valued member of the Cognizant ... Based on this role's business requirements, this is a remote position open to qualified applicants in the United...Facets), you will be responsible for timely and accurate adjudication of professional and hospital claims utilizing… more
- Sedgwick (Troy, MI)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... Lead - Liability - Troy, MI - Hybrid or Remote MI Are you looking for an opportunity to...office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes… more
- Sedgwick (Fayetteville, NC)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and… more
- Sedgwick (Frankfort, KY)
- …Financial Services & Insurance Claims Examiner | General Liability Property Damage | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of... involving litigation and non-litigated exposures; to ensure ongoing adjudication of claims within service expectations, industry… more
- Sedgwick (Rochester, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Adjuster| Remote Are you looking for an opportunity to join ... behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and… more
- Sedgwick (Columbus, OH)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you ... behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and… more
- Sedgwick (Raleigh, NC)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Workers Comp ( REMOTE - Needs...claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and… more
- Sedgwick (Raleigh, NC)
- …correct. * May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Liability ( REMOTE - Needs... to determine benefits due; and to ensure ongoing adjudication of claims within company standards and… more
- Sedgwick (Austin, TX)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Liability ( REMOTE w/Property/Casualty exp)...claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and… more
- Sedgwick (Greensboro, NC)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster- Workers Compensation ( REMOTE - Southeast...claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and… more
- Sedgwick (Orange, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Examiner | Dedicated Account | Remote 3 days per week Are ... behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and… more
- Sedgwick (Cincinnati, OH)
- …behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | Dedicated Client | KY,VA,WV,IN,KS,MI,MO,NE Jurisdictions | Open to… more
- Sedgwick (Harrisburg, PA)
- …& Insurance Workers Compensation Claims Adjuster | MD, NJ, PA Jurisdictions | Remote Are you looking for an opportunity to join a global industry leader where ... behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and… more
- Sedgwick (Columbus, OH)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- Sedgwick (Raleigh, NC)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability ( REMOTE - Bodily Injury exp need; Litigation exp ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- Sedgwick (St. Louis, MO)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation ( REMOTE - Home State License, Med Only ... claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. Sedgwick is… more
- Sedgwick (Charleston, SC)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation ( REMOTE - Need AL GA NC SC MS ... behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and… more
- Molina Healthcare (Orlando, FL)
- …and in accordance with cost control standards. **KNOWLEDGE/SKILLS/ABILITIES** + Evaluates the adjudication of claims using standard principles and state specific ... of claims . + Manages a caseload of claims . Procures all medical records and statements...of error issues as it relates to pre-payment of claims through adjudication and trends and recommending… more
- WTW (Chicago, IL)
- …posted locations. **Qualifications** **Qualifications** + 5+ years' experience in health claims adjudication gained preferably in a consulting environment and/or ... Managed Care + Must demonstrate a high level of claims administration knowledge, including experience with medical ,...work in a "hybrid" style, with a mix of remote , in-person and in-office interactions dependent on the needs… more