- MCI Careers (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... service agents to support inbound customer service, help desk, and back-office processing representatives. In this role, you will provide full lifecycle customer… more
- Chubb (Walnut Creek, CA)
- …Address and resolve any issues or disputes related to medical treatment or claim processing . Technical Skills & Competencies: Preference for prior experience as ... medical cost containment programs. Complies with customer service requests including Special Claims Handling procedures, file status notes and claim reviews.… more
- MCI Careers (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to complete account management tasks Accurately document and process customer claims in appropriate systems Follow all required scripts, policies, and procedures… more
- Aston Carter (Chicago, IL)
- …Security and Medicare offsets. Report claims to the excess carrier. Communicate claim activity and processing with the claimant and the client. Ensure ... Calculate and pay benefits due, approve and make timely claim payments and adjustments, and settle claims ...timely claim payments and adjustments, and settle claims within designated authority level. Prepare necessary state filings… more
- MCI Careers (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum. The purpose… more
- Starr Insurance Companies (Atlanta, GA)
- …with Claim Managers, brokers, and underwriters as needed for proper processing of claims . Assist with other duties as needed. Knowledge/Skills Proficient ... 128 countries on 6 continents. This position is responsible for supporting the Claims Operations and is responsible for handling customer interactions within a Call… more
- Sedgwick (Roseville, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries,...of directions in a professional and timely manner. Communicates claim activity and processing with the claimant… more
- General Electric Credit Union (Cincinnati, OH)
- … statuses. Essential Responsibilities: Serves as the primary point of contact for claims processing between the company and our members to provide guidance ... and support ensuring timely, accurate, and efficient processing Oversee and track outstanding loss claims ,...quality as the department scales to meet the growing claims activity Auditing the claim loss process… more
- Independence Blue Cross (Philadelphia, PA)
- …utilizing system resources and pricing tools. *2 years' related experience, claim processing , provider billing or familiarity with provider contracting ... verify original claim pricing. Interpret and apply contract terms to claims /adjustments and high dollar claims . Collaborates with Provider Relations team to… more
- Spotter (Lemont, IL)
- …lookout for a dedicated and detail-oriented Trucking Claims Agent to enhance our claims processing team. This remote position is vital in ensuring that our ... costs. This analysis is crucial for determining the appropriate claim amount and ensuring the claims process...industry regulations, company policies, and best practices related to claims processing . Ensure that all claims… more
- BlueCross BlueShield of South Carolina (Columbia, SC)
- …regulations, internal standards and examining guidelines. Another responsibility is to enter claims into the claim system after verifying correct coding of ... Experience: 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience. Required Skills… more
- Goodville Mutual Casualty Company (New Holland, PA)
- Summary: This position is responsible for processing Super Service claims according to company guidelines with settlement authority up to $3,500, as well as ... providing claims customer service to agents, policyholders, and claimants. Functions:...with end of day, month-end, and quarterly reports. Report claim complaints, questionable claim submissions and possible… more
- Berkley (Trenton, NJ)
- …Accident and Health team! You will perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether ... you to: Process an average of 5 to 7 claims per day Maintain a processing accuracy...provisions to the medical facts and specifications of the claim Review and adjudicate claims within approved… more
- Insight Global (Bridgeton, MO)
- …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... Key Responsibilities: The automotive claims adjuster handles inbound calls from dealerships and mechanics, reviewing and deciding on warranty claims . They manage… more
- The Jonus Group (Cerritos, CA)
- …and other stakeholders to gather necessary information for claims processing Verify accuracy and completeness of claim documentation Ensure compliance ... Job Summary We are seeking a detail-oriented Claims Coordinator to manage and process insurance ...industry regulations and company policies Assist in resolving any claim discrepancies or issues that may arise Maintain accurate… more
- Pyramid Consulting, Inc. (Dallas, TX)
- …Healthcare experience; bachelor's degree in business or related field preferred. Preferred: Claims Processing Our client is a leading Healthcare Industry, and ... Immediate need for a talented Claims Analyst/Data Analyst. This is a 06+months contract...(IDR) process. Data entering submissions into tracking log. NSA claims special projects Daily interaction with supervisor/team members Remote… more
- Kemper Corporation (Chesterfield, MO)
- …Accident & Health Claims Adjuster, you will support our customers by processing claims with adherence to company policies and contract provisions, in full ... in navigation of the homegrown applications we utilize for claim handling. Prior health claims experience is a plus. REQUIRED JOB SKILLS: A customer-focused… more
- Energy Solutions - USA (Portland, OR)
- …support for our Energy Efficiency Programs team, with an emphasis on rebate claim processing . The ideal candidate will demonstrate flexibility, adaptability, and ... and institutional customers. We are currently seeking a full-time, temporary Incentive Claims Processor for a 4-month assignment to provide department administration… more
- Insight Global (Los Angeles, CA)
- …work independently and collaboratively In-depth knowledge of healthcare regulations and claims processing systems Reliable transportation for off-site audits ... Masters preferred. Equivalent experience may be considered. Experience: Minimum 5 years in claims audits or processing within managed care (eg, Medi-Cal, Cal… more
- The Reynolds and Reynolds Company (Omaha, NE)
- …but are not limited to: - Answering inbound calls - Provide information about claim processing and explain the different levels of contract coverage and terms ... - Accurately establish, review and authorize claims - Entering claim and contract information into the AGWS' system A home office package will be provided for… more
