- Merck & Co. (North Wales, PA)
- …as a deep technical understanding of Life Sciences data sets (eg, claims , electronic health records) and advanced modeling approaches. Using this expertise, this ... orchestration engines.Proven experience with Life Sciences data sets-such as claims data, electronic health records (EHRs), and prescription data.Strong expertise… more
- Merck & Co. (Rahway, NJ)
- …analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization ... deliver measurable impact in commercial pharma landscape.Knowledge in mining medical claims , consumer data with a strategic/inquisitive mindset and proven record of… more
- Merck & Co. (Rahway, NJ)
- …management Substantive contributions to labeling committees. Ensure labels contain fair-balanced claims supported by data and supportive of asset value proposition ... offer a comprehensive package of benefits.- Available benefits include medical, dental , vision healthcare and other insurance benefits (for employee and family),… more
- TEKsystems (Fresno, CA)
- …comparable industry experience preferred. * A minimum of one (1)year experience as a Claims Examiner for medical, dental claims and vision, subrogation, and ... Examiner I is responsible for reviewing and processing medical, dental , vision and electronic claims in accordance with state, federal and health plan regulatory… more
- Kelly Services (Honolulu, HI)
- …Claims Processor is responsible for accurately executing all functions related to dental claims processing. The role requires adherence to all processing ... email/contact info]. _Join our customer's team and make a difference in dental claims processing!_ As part of our promise to talent, Kelly supports those… more
- NTT DATA North America (Decatur, IL)
- …Processing Experience . TPA Experience Preferred: Experience in the GBAS system Experience processing Dental Claims **About NTT DATA** NTT DATA is a $30+ billion ... the people who work here. NTT DATA seeks a ** Claims Examiner** on a **project** basis to work **remote,...a full-time, temporary role. **Must have TPA experience.** The Claims Processor reports to the Regional Claims … more
- Independent Health (Buffalo, NY)
- … Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental claims against established criteria, and in accordance with specific ... clients SPD's maintaining goals in accuracy and productivity. The Claims Adjudicator is responsible to respond to client, member, and/or provider inquiries on claim… more
- Robert Half Office Team (Grand Rapids, MI)
- …with a focus on maintaining accuracy and efficiency. The role involves processing medical, dental , and vision claims , requiring precision to ensure claims ... entered correctly and paid accurately. Responsibilities: * Accurately input medical, dental , and vision claims into the QuickLink claims processing system. *… more
- International Medical Group (Indianapolis, IN)
- …and identify the need for further investigations. Examiners resolve medical/ dental /life/trip cancellation claims ; documenting actions; maintaining their imaging ... H-1B or TN status) for this position. JOB SUMMARY Claims Examiners provide a service to our policyholders by...+ Flexible work schedule + Comprehensive benefits package including Medical/RX/ Dental /Vision insurance + 401k Plan with company match +… more
- Elevance Health (Roanoke, VA)
- **Title: Claims Representative I (Health & Dental ) - FEP** **Roanoke, VA** **Location:** This role enables associates to work virtually full-time, with the ... 10/20/2025** **Hours:** **8 AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Robert Half Accountemps (Chattanooga, TN)
- …a fast-paced, customer-facing practice. This role focuses on managing complex dental billing processes, claims attachments, pre-determinations for treatment ... working in an open and collaborative work environment. Key Responsibilities: + Dental Billing Expertise: Process dental -specific claims accurately, ensuring… more
- DATAMAXIS (Okemos, MI)
- …+ Build Tableau dashboards for executive and operational stakeholders, focused on dental claims , utilization trends, and benefit impact + Interpret ... to have technical skills: + Exposure to benefit expansion analysis, or dental claims optimization + Familiarity with Git, CI/CD workflows. + Python skills for… more
- US Tech Solutions (Columbia, SC)
- …cam policies for non-covered procedures. + Team: We process Medical and Dental claims for Federal Employees **Responsibilities:** + Performs medical reviews ... indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. + Performs medical claim reviews for one or… more
- North Carolina State University (Raleigh, NC)
- … and medical terminology, dental procedural and diagnostic coding, medical- dental cross-coding, electronic claims processing, and the policies and contracts ... along with effective use of insurance portals. + Filing dental insurance claims and pre-treatment estimates for privately insured patients; obtaining and… more
- Guardian Life (Boston, MA)
- …and net effective discount. + Partner with leaders and key stakeholders across dental network, product, claims , service, finance and other business areas to ... As the ** Dental Network Strategy & Delivery Lead** you will be an integral part of the Dental Network Strategy & Strategic Partnerships team within the Group… more
- Waystar (Louisville, KY)
- …multiple clients by devising workarounds, drafting communications, and proposing solutions. + Dental Claims Support: Provide specialized support for Dental ... this position, you will leverage a technical, consultative approach to our EDI Claims Management solutions and support, enhancing the experience for both clients and… more
- ProSmile (Manahawkin, NJ)
- …in the use of MS Office software applications + Remarkable understanding of dental insurance claims + Excellent interpersonal skills and communications abilities ... Job Title: Orthodontic Treatment Plan Coordinator Department: Operations Reports To: Dental Practice Manager FLSA Status: Non-Exempt Company Overview ProSmile is one… more
- California Dental Association (Sacramento, CA)
- Job Title: Senior Claims Representative, Property Pay Information: Exempt, $95,000 - $105,000 per year Location: Remote first work environment with occasional travel ... us. TDIC was founded in 1980 by a small group of California Dental Association members in response to skyrocketing malpractice premiums that impacted dentists'… more
- Access Dubuque (Dubuque, IA)
- …pm.** **Essential Functions:** + Answer customer inquiries on benefits plans + Process Medical/ Dental Claims + Ability to learn/retain large amounts of technical ... experience is a plus **Full-Time Benefits -** _Most benefits start day 1_ + Medical, Dental , Vision Insurance + Flex Spending or HSA + 401(k) with company match +… more
- Access Dubuque (Dubuque, IA)
- …pm.** **Essential Functions:** + Answer customer inquiries on benefits plans + Process Medical/ Dental Claims + Ability to learn/retain large amounts of technical ... experience is a plus **Full-Time Benefits -** _Most benefits start day 1_ + Medical, Dental , Vision Insurance + Flex Spending or HSA + 401(k) with company match +… more
