- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Pharmacy Claims Representative assists local pharmacies with claims adjudication to support ... & LTC hospice patients and reconcile historic billing issues. **Location: Remote US** **Shift: Monday-Friday 2:30pm-11pm EST. Flexibility to work alternating… more
- Zurich NA (Salt Lake City, UT)
- Claims Call Center Senior Representative 121827 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers ... identify opportunities for customer care's improvements. + Handle first and third-party claims taking responsibility to resolve all enquiries from both customer and… more
- Metropolitan Council (St. Paul, MN)
- …work would contribute to our organization and the Twin Cities region: The Claims Representative II, (Liability), will effectively handle a balanced workload ... Claims Rep. II (Liability) Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4922693) Apply ...ARE This position is eligible for a hybrid (both remote and onsite) telework arrangement. The candidate's permanent residence… more
- State of Colorado (Denver, CO)
- Claims Processor - Hybrid working arrangements Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4922602) Apply Claims Processor - Hybrid ... and long-term disability coverage + Flexible work schedule and remote -work options + No cost Eco Pass for all...Property Division, This position is responsible for processing owner claims according to the Revised Uniform Unclaimed Property Act… more
- Cognizant (Columbus, OH)
- **CUSTOMER SERVICE REPRESENTATIVE ( remote )** This is a remote position open to any qualified applicant in the United States. Due to our expansive growth, we ... are seeking a Remote Customer Service Associates who are looking for an...representative role. Understanding of the insurance industry, electronic claims , medical office knowledge and/or coding/billing preferred. **Technical Competencies:**… more
- The Hartford (Naperville, IL)
- …others accomplish theirs, too. Join our team as we help shape the future. As an Associate Claims Representative for auto, you're at the front lines for our ... Associate Claim Representative - CH10DN We're...Key Responsibilities:* Handle first and third-party Personal Lines auto claims , with a focus on financial accuracy, appropriate file… more
- Trinity Health (Davenport, IA)
- …Onsite for Training Only in Davenport, Iowa, and then 100% Remote (Pay Range: $16.8185-$25.2277) Performs day-to-day payment posting reconciliation activities within ... and professional behavior. **MINIMUM QUALIFICATIONS** High school diploma or Associate 's degree in Accounting or Business Administration and successful completion… more
- Surgery Care Affiliates (Englewood Cliffs, NJ)
- …the standard for exceptional patient care in a brand-new environment. The Associate Insurance Verification Representative will: + Verify that sufficient ... Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain...This is a full-time, in-office position, Monday through Friday. Remote work is not available for this role. Candidates… more
- Humana (Richmond, VA)
- …community and help us put health first** The Provider Relations Representative is responsible for day-to-day, front-line relationship management for network ... including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals) + Work with internal… more
- Humana (Louisville, KY)
- …community and help us put health first** The Consumer Service Operations Representative is responsible for the daily activities across multiple service functions ... area. The Consumer Service Operations Representative performs varied activities and moderately complex administrative/operational/customer support assignments.… more
- Leidos (Yigo, GU)
- …opportunity? Leidos is accepting applications for a **TRICARE Beneficiary Services Representative (BSR)** , an essential role in supporting active-duty military ... & Customer Service:** Offer guidance on TRICARE resources, benefits, enrollment, and claims , assisting beneficiaries both in person and over the phone. + **… more
- Humana (Miramar, FL)
- …community and help us put health first** The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions ... area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and… more
- Humana (Columbus, OH)
- …caring community and help us put health first** The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider ... rates and reimbursement policies are priced and applied accurately. The Correspondence Representative 2 is responsible for: * Making reimbursement policy and process… more
- Independent Health (Buffalo, NY)
- …include holidays and weekends. **Pay rate: $19/hr.** **Benefits:** As a full-time associate , you are eligible to receive benefits; Medical, Dental, Vision, 401K, and ... paid time off (PTO), including company paid holidays. The Customer Service Representative position offers an opportunity to begin a career at Independent Health. All… more
- Humana (Columbus, OH)
- …and outcomes working in a best-in-class contact center. As a Contact Center Representative 2, you will provide coverage for **Eastern Time Zone** hours, taking as ... changes, locating Providers / Specialists, benefit coverages, authorizations, Provider claims inquiries, grievances and appeals, transportation needs, and pharmacy… more
- McLaren Health Care (Shelby Township, MI)
- **Position Summary** : Under general direction, the Billing/Follow-up Rep Facility ( Remote ) is responsible for completing tasks associated with specific assignments. ... and human resources. **BILLING:** Responsible for billing hospital and physician claims , for inpatients and outpatients treated in the hospital and clinic,… more
- Molina Healthcare (Los Angeles, CA)
- **_ Remote and must live in Los Angeles County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to… more
- Trinity Health (Ann Arbor, MI)
- **Employment Type:** Full time **Shift:** **Description:** This position is not remote ; the selected individual will work on-site for each day scheduled. Responsible ... the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers… more
- MAPFRE Insurance (Webster, MA)
- …opportunity employer._ **Nearest Major Market:** Worcester **Job Segment:** Call Center Representative , Customer Service Representative , Recruiting, Claims , ... Auto Damage Insurance Claim Rep (Hybrid or Remote ) Date: Apr 4, 2025 Location: Webster MA...you will be responsible for adjusting 1st party Express claims for Auto Physical Damage through screening losses, determining… more
- Molina Healthcare (Milwaukee, WI)
- **Job Description** ** Remote and must reside in Wisconsin** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to… more
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