- City of New York (New York, NY)
- …position include, but are not limited to the following: 1) Set up No-fault claim files which includes issuing and processing NF2 application, confirming the ... to gather information relevant to the investigation of the claim ; 13) Investigate, identify, and report fraudulent claims... claim ; 13) Investigate, identify, and report fraudulent claims , utilize statistical data to identify claims … more
- City of New York (New York, NY)
- … claims and address 3rd Party No-Fault Arbitrations; 4) Set up No-fault claim files which includes issuing and processing NF2 application, confirming the ... to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims... claim ; 11) Investigate, identify, and report fraudulent claims , utilize statistical data to identify claims … more
- TEKsystems (Lincoln, NE)
- …Lead to oversee the successful transition of a Medicaid data warehouse and encounter claim processing solution from vendor management to a state-run model. This ... Lead the transition of the Medicaid data warehouse and encounter claim processing to a state-managed model. + Develop transition deliverables including… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …Services Supervisor, the Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front end "edits, as well as ... claims edits from secondary claims . In the event a claim edit...standards and performance measures for this position **Job Title: Claims Processing Specialist** **Location: Pearland Administrative Office**… more
- Central Maine Medical Center (Lewiston, ME)
- …for our community and for each other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is a full time 40-hour, ... The rate of pay is $20.00 per hour. The Claims Processing Billing Representative's responsibility is to...Maintains WIP counts at or below goal. 7. Identifies claim problems to include all denials, claim … more
- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
- CenterLight Health System (NY)
- …Validate Diagnosis-Related Group (DRG) grouping and (re)pricing outcomes presented by the claims processing vendor to ensure accuracy. + Coordinate with Finance ... JOB PURPOSE: The Claim Appeals and Audit Specialist will play a...in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software.… more
- WTW (New York, NY)
- … claim regulatory requirements and compliance.** + **Significant experience with claims processing systems.** + **Significant experience in managing TPA's and ... **Description** **The Role:** **The claim account manager will operate within significant coverage,...client meetings, assist underwriting in their renewal process, audit claims performance against best practices, and implement value added… more
- Boston Mutual Life Insurance (Canton, MA)
- … Manager. The Life Claim Examiner is responsible for managing and processing all assigned claims with adherence to company policies and contract provisions ... Claim examiner: Minimum of 1 year of business/office experience. Sr. Claim Examiner: Minimum of 2 years life/medical claims experience required. Knowledge… more
- Travelers Insurance Company (St. Paul, MN)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site...mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the… more
- CVS Health (St. Paul, MN)
- …with plan processing guidelines. **Required Qualifications** + 2+ years medical claim processing and experience in production environment. + Experience with ... for claim or reconsideration. **Preferred Qualifications** + 2+ years medical claim processing and experience in production environment. Experience with Rev… more
- The Cigna Group (Bloomfield, CT)
- …further enhance claim accuracy outcomes + Engagement, partnership with supervisor, claim processing team, and other internal and external partners + Position ... of contracts for pricing accuracy **Qualifications:** + 1 year of Payer Solutions claim processing technical knowledge and application + Customer Service Driven;… more
- Midwest Motor Express, Inc. (Kansas City, MO)
- …efforts in prevention of cargo loss and damage so as to prevent potential claims and claim liability, assist in improving operational efficiencies and quality of ... The Cargo Claim Prevention Manager will be responsible for implementing...service center personnel to ensure compliance with all OS&D, claims , and claims prevention policies and procedures… more
- City National Bank (Newark, DE)
- *PAYMENTS CLAIM SPECIALIST* WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the investigation and processing of payment fraud ... of actions as needed. * Perform quality checks of claims for accuracy and feedback for the claim intake team. * Performs additional duties as assigned. WHAT… more
- Samsung SDS America (Dalton, GA)
- …+ 2+ years of data analytics experience required. Transportation/Logistics Freight claims processing experience preferred. + Excellent verbal and written ... goal and to delegate workload to maximize efficiency. + Transportation/Logistics Freight claims processing experience preferred. + Bilingual in Korean and… more
- Sedgwick (Sun Prairie, WI)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... and pursues subrogation opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- City of New York (New York, NY)
- …New York, and has a wastewater conveyance and treatment system capable of processing over 1.3 billion gallons of wastewater per day to protect the environment ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Essential Qualifications + Strong knowledge of contracts, medical terminology, and claim dispute processing and procedures. + Previous experience handling ... claim disputes. + Claim knowledge including professional, facility and ancillary claims...+ Strong knowledge of contracts, medical terminology, and appeals processing and procedures. + High School Diploma or GED… more
- The Hartford (Scottsdale, AZ)
- …external vendors, etc.) to ensure the highest level of customer service. + Claims Processing and administration. + Investigation and reserving of claims ... Consultant Claims - CH08CE We're determined to make a...paid to ensure service quality. + Reviews and analyzes claim reports to identify and address trends. Develops and… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing/ Claims + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** 3 Shircliff ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
Related Job Searches:
Claim,
Claim Processing At Home,
Dental Insurance Claim Processing,
Insurance Claim Processing,
Medical Claim Processing,
Medical Claim Processing Home,
Part Time Claim Processing,
Processing