- Providence (Mission Hills, CA)
- …procedures using Teleform, member research in IDX, and mailing of correspondence. The Claims Verifier will perform duties in accordance with guidelines set forth in ... the Claims Industry to ensure compliance with AB1455 and departmental...advancement. **Requsition ID:** 280452 **Company:** Providence Jobs **Job Category:** Claims **Job Function:** Revenue Cycle **Job Schedule:** Full time… more
- American Family Insurance - Corporate (Madison, WI)
- Provide customer experience by managing phone and digital interactions on our claims and assisting with immediate needs. Please note the location requirements listed ... email, and chat, which includes adhering to a schedule and servicing customer claims . + Handle interactions via inbound calls, outbound calls, and digitally. + You… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Claims Review Representative 3 adjudicates claims in Humana's legacy systems and ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3 performs advanced administrative, operational, and… more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims ... , submitted either via paper or electronically. The Claims Processing Representative 2: + Determines whether to return, deny, or pay claims following… more
- Trinity Health (Farmington Hills, MI)
- …of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates ... objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and...in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as… more
- Concord Group Insurance (Auburn, ME)
- This Branch Claims Representative handles bodily injury and general liability claims through their life-cycle including - but not limited to - investigation, ... provide service to agents, insureds and others to ensure claims resolve accurately and timely. Work is performed under...Other related duties as assigned by supervisor Requirements + Associate 's or bachelor's degree preferred + 3 to 5… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3 performs advanced administrative/operational/customer… more
- Providence (AK)
- **Description** **Providence is calling a Claims Appeals Representative who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, or MT.** The ... Claims Appeal Representative position is responsible for...experience in medical management computer applications. **Preferred qualifications:** + Associate 's Degree Or equivalent educ/experience + 1 year of… more
- Trinity Health (Farmington Hills, MI)
- …and professional behavior. **MINIMUM QUALIFICATIONS** High school diploma or Associate 's degree in Accounting or Business Administration and successful completion ... or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service… more
- Equitable (Charlotte, NC)
- Sr. Death Claims Associate (Hybrid) ( 240000B6 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES-NY-New York ... appropriate accounting transactions. + Corresponds with the beneficiary, their representative or the Financial Professional and provides comprehensive information… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. The ... Claims Account Specialist will be responsible for contacting all...- 0-3 years' experience as a Workers' Comp Claim Representative , or comparable knowledge and experience with various aspects… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and use existing documentation to develop and revise workflows. + Act as claims representative in corporate meetings involving changes in medical policy, pricing ... healthcare? Bring your true colors to blue. The RoleThe Claims Nurse Reviewer is responsible for reviewing claims...and that work/life balance is a key part of associate wellbeing. For more information on how we work… more
- Truist (Naples, FL)
- …research **Preferred Qualifications:** 1. Associate in Risk Management (ARM) or Associate in Claims (AIC) designation 2. Multi-line claim experience 3. ... matters for clients and prospects. May also provide support for solving complex claims or leading claim consulting teams in specialized industry verticals. Must be… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist. This is a full-time position and offers a hybrid schedule after training. ... This position may manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be based in NJM's… more
- Randstad US (Worcester, MA)
- …a career, and we are here to support you every step of the way. As a Claims Service Representative , you will play a vital role in The Hanover's success by ... customer service rep - claims . + worcester , massachusetts + posted may...- $20 per hour + temp to perm + associate degree + category office and administrative support occupations… more
- State of Indiana (Indianapolis, IN)
- Medicare Claims Analyst Date Posted: May 8, 2024 Requisition ID: 443202 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the ... a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable… more
- Truist (Atlanta, GA)
- …underwriting 2. Continuing Education and professional associations to stay abreast of insurance claims matters 3. Prior brokerage experience 4. Associate in Risk ... Management (ARM) or Associate in Claims (AIC) designation **General Description of Available Benefits for Eligible Employees of TIH:** All regular teammates (not… more
- BrightSpring Health Services (Vancouver, WA)
- …a retail to office environment for those who are willing to learn claims , billing and insurance processing. Remote position. Applicants can reside anywhere with the ... of claim processing and working with team on training documents* Third Party Claims processing and payer subject matter expert* Provide support to 3rd Party … more
- Centers for Independence (Milwaukee, WI)
- ** Claims Resolution Specialist** **Job Details** **Job Location** iLIFE Main - Milwaukee, WI **Description** **_Job Purpose_** : The Claims Resolution Specialist ... **Qualifications** **_Required Technical Skills, Experience, Education, and Credentials_** **:** 1. Associate 's Degree in business or a related field or a High… more
- Providence (Liberty Lake, WA)
- **Description** ** Associate Accounts Receivable Representative ** **_On Site_** Associate Accounts Receivable Representative is the name adopted to ... account follow-up system, preferable in a hospital setting, health insurance claims processing or medical office. 2 years preferred. **Preferred Qualifications:** +… more