- CHRISTUS Health (Arp, TX)
- …CHRISTUS services. These services will be provided by monitoring cases and claims , analyzing biometric and health risk assessment data , organizing disease ... with members, physicians and other providers. Incumbent oversees integrated data warehouse including program utilization, disease management programs and contracted… more
- Elevance Health (Louisville, KY)
- ** Medical Claims Data Integrity Consultant** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Chicago, IL; Louisville, KY (preferred). This role ... position is not eligible for current or future visa sponsorship._ The ** Medical Claims Data Integrity Consultant** (Business Information Developer… more
- NTT DATA North America (Ontario, CA)
- …as part of an overall sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Team Lead to join our team remotely for a 3 month contract ... At NTT DATA , we know that with the right people... examiners, ensuring the accurate and timely processing of medical claims using the Xcelys system. The… more
- NTT DATA North America (Ontario, CA)
- NTT DATA is currently seeking **Senior Medical Claims Examiners (3+ years of Xcelys required)** to join our US based team. This is a 100% remote role. **Must ... To serve as a senior-level adjudicator and SME for medical claims within the Xcelys environment. Provide...manage high-volume workload and meet performance metrics About NTT DATA : At NTT DATA , we know that… more
- NTT DATA North America (Plano, TX)
- …maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Medical Claims Processor** to join our ... At NTT DATA , we know that with the right people on board, anything is possible. The quality, integrity , and commitment of our employees have been key factors in… more
- NTT DATA North America (Plano, TX)
- …maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to ... At NTT DATA , we know that with the right people on board, anything is possible. The quality, integrity , and commitment of our employees have been key factors in… more
- NTT DATA North America (Ontario, CA)
- …as part of an overall sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Examiners to join our team remotely for a 3 month contract ... At NTT DATA , we know that with the right people...role. **MUST HAVE XCELYS EXPERIENCE** To serve as a Medical Claims Processor within the Xcelys environment.… more
- NTT DATA North America (Plano, TX)
- …a bright future for NTT DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end ... At NTT DATA , we know that with the right people on board, anything is possible. The quality, integrity , and commitment of our employees are key factors in our… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... and report outcome results on edits implemented. + Utilize data to examine large claims data...care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding, Compliance, Payment Integrity and Analytics… more
- State of Massachusetts (Boston, MA)
- * Claims Examiner/Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative I ... is responsible for supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review … more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service ... responsible for supporting processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job...serving as a partner to employers to deliver program integrity . *What you'd do:* Lead Claims Examiner/Job… more
- NTT DATA North America (Decatur, IL)
- …future for NTT DATA Services and for the people who work here. NTT DATA seeks a ** Claims Examiner** on a **project** basis to work **remote, from home** ... right people on board, anything is possible. The quality, integrity , and commitment of our employees are key factors...Experience in the GBAS system + Experience processing Dental Claims \#LI-NorthAmerica **About NTT DATA ** NTT … more
- USAA (Columbus, OH)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... what truly makes us special and impactful. **The Opportunity** As a dedicated **Manager, Claims Operations for STARS Auto Physical Damage** , you will manage and be… more
- USAA (Phoenix, AZ)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... truly makes us special and impactful. **The Opportunity** As a dedicated Manager, Claims Operations you will lead and be accountable for auto, property, and other… more
- USAA (Plano, TX)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... truly makes us special and impactful. **The Opportunity** As a dedicated **Manager, Claims Operations (Field)** , you will handle and be accountable for auto,… more
- USAA (Tampa, FL)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager- Auto, you will be responsible for managing moderately complex… more
- USAA (Chesapeake, VA)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... makes us special and impactful. **The Opportunity** As a dedicated Senior Auto Claims Adjuster, you will adjust highly complex auto insurance claims presented… more
- USAA (Colorado Springs, CO)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... truly makes us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager Senior** (Western States), you will responsible for managing… more
- USAA (Tampa, FL)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... **Auto Adjuster** you will proactively handle the complete end to end claims process. Taking statements, policy and coverages, determination of liability and… more
- APTIM (Santa Fe, NM)
- …technical advisement to team members and ensure adherence to program training and data integrity requirements + Positively and professionally represent the ... preferred + A minimum of ten (10) years of combined experience in claims /case processing roles including customer service, data entry, reviewing, and evaluating… more
