- Globe Life Inc. (Oklahoma City, OK)
- …Research to identify unmatched mail items and forward to the appropriate department or examiner Index new claims via RightFax, Outlook, or OnBase Respond to ... LNL Associate Communication Clerk-Onsite Primary Duties & Responsibilities LNL Support Claims Clerk - Downtown Oklahoma City-Onsite Are you ready for your next… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Examiner II (Temporary) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Claims Examiner II is responsible for the...High School Diploma/or High School Equivalency Certificate Education Preferred Associate 's Degree Experience Required: At least 1 year of… more
- Academy Sports + Outdoors (Katy, TX)
- …in an insurance related industry. + We encourage candidates with prior examiner , adjuster, paralegal and/or other relevant claims handling experience to ... . Job Description: Education: + High School diploma or equivalent required + Associate 's degree in Business Administration or relevant field of study preferred +… more
- MyFlorida (Tallahassee, FL)
- …DETERMINATIONS OPEN COMPETITIVE OPPORTUNITY POSSIBLE MULTI-HIRE OPPORTUNITY TITLE: CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER ... MEDICAL DISABILITY EXAMINER - 64006709 Date: May 8, 2024 Location:...Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims filed in the State of Florida. Training is… more
- MyFlorida (Doral, FL)
- FINANCIAL EXAMINER /ANALYST II - 79010820 Date: May 3, 2024 Location: DORAL, FL, US, 33126 The State Personnel System is an E-Verify employer. For more information ... No: 826177 Agency: Business and Professional Regulations Working Title: FINANCIAL EXAMINER /ANALYST II - 79010820 Pay Plan: Career Service Position Number: 79010820… 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 ... for supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner /Job Service Representative I will review claims escalated… more
- Commonwealth Care Alliance (Boston, MA)
- …post-payment review of claims that were manually processed by a Claim Examiner to assess financial and procedural accuracy. Reviews will also be conducted to ... Assurance, the incumbent is responsible for independent quality reviews of medical claims , and evaluating Call Center activities for compliance with policies and… more
- Independent Health (Buffalo, NY)
- …functional fraud control owners to ensure overall program effectiveness. This associate will also be responsible for investigating suspected fraudulent or abusive ... fraud system and make determination to pay or deny claims . **Qualifications** + Bachelor's degree in criminal justice or...in criminal justice or related field required. Certified Fraud Examiner (CFE) preferred. + Five (5) years of insurance… more
- CareFirst (Baltimore, MD)
- …and external data bases and systems to support leads. Analyzes detailed claims files and performs financial calculations to assess financial impact of potential ... of fraud and/or abuse theory approach analyses, provider and subscriber medical data, claims , and systems reports as required. + Performs root cause analysis to… more
- MyFlorida (Orlando, FL)
- …perform support duties relating to the processing of Social Security disability claims . This position requires the incumbent have good written and speaking bilingual ... all incoming phone calls are correctly and timely routed to the appropriate examiner , supervisor, or other individual as needed. This requires a broad knowledge of… more
- Walmart (Bethlehem, PA)
- …Consults on complex claims and settlements. Designs preventative claims management processes (for example, associate engagement efforts, return-to-work ... More Certifications such as Loss Prevention Certification (LPC), Certified Fraud Examiner (CFE), Associate Safety Professional; Certified Safety Professional; or… more
- New York State Civil Service (Melville, NY)
- …required independence in both verbal and written communication responsibilities; OR an associate degree or higher and two years of customer service experience that ... Business Document Specialist 2, Motor Vehicle Consumer Services Representative, Licensing Examiner 1, Taxpayer Services Representative 1, Program Aide, Payroll … more
- Molina Healthcare (Omaha, NE)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... and referral **JOB QUALIFICATIONS** **Required Education** Bachelors degree or Associate 's Degree, in criminal justice or equivalent combination of education… more
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