• Delta Dental of Michigan (Okemos, MI)
    …exposure to dental benefit contract, summary plan, and certificate language and dental claims processing preferred. Will accept any suitable combination ... of education, training, or experience. Position requires knowledge of dental benefit contract administration and spreadsheet, word processing , database, and… more
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  • EmblemHealth (New York, NY)
    …claim records and supporting documentation needed for resolution. Collaborate with Dental Consultants to review and triage escalated claims , pre-determinations, ... efficiency to Dental Director. Qualifications Bachelor's Degree (Preferred) Certification as Dental Hygienist or Claims Coding (Required) 2 -3+ years of… more
    Upward (07/09/25)
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  • Sedgwick (Brea, CA)
    …specific client service requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate ... settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the… more
    Upward (07/24/25)
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  • Sedgwick (Marlton, NJ)
    …medical only claims . Adjusting low and mid-level liability and/or physical damage claims under close supervision. Processing disability claims of minimal ... claims files and properly coding claim activity. Communicating claim action/ processing with claimant and client. Supporting other claims examiners and… more
    Upward (07/21/25)
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  • Sentry (Stevens Point, WI)
    …skills along with a strong desire to assist customers. Provides prompt investigation, processing and settlement of claims with minor exposures. Requires the ... An entry-level Claims Customer Service position requiring a learning nature,...and damages such as material damage and medical bill processing . Entry-level role for associates who are new to… more
    Upward (07/25/25)
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  • Insperity (Chatsworth, CA)
    …IPA, or health plan) Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines. Experience with CPT-4, ICD-10-CM, RBRVS, ... and impact. This is your moment if you're driven to ensure timely and accurate claims processing while supporting a people-first mission. Apply now and help us… more
    Upward (07/23/25)
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  • Trinity Health (Livonia, MI)
    Employment Type: Full time Shift: Description: Claims Analyst Location: Trinity Health PACE Corp Michigan, Livonia, MI Status: Full time Shift: 730 am to 4 pm or 8 ... work in the office each Wednesday. Position Purpose: The Claims Analyst is responsible for analyzing and reviewing ...and eligibility. Prepares and maintains reports and records for processing . Position Details: HYBRID work environment - remote 4… more
    Upward (07/17/25)
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  • Sedgwick (Long Beach, CA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Long Beach or Roseville, CA (Hybrid) Are you looking for ... best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing… more
    Upward (07/13/25)
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  • NTT DATA Group Corporation (St. Louis, MO)
    …fee schedule Required Skills/Experience *Minimum of 1 year hands-on experience in healthcare claims processing *Minimum of 2 years using a computer with Windows ... a Remote Claims Processor to work remote (MO). Role Responsibilities: * Processing of Professional claim forms files by provider *Reviewing the policies and… more
    Upward (07/18/25)
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  • Sedgwick (Syracuse, NY)
    …practices, and specific client service requirements. ESSENTIAL RESPONSIBLITIES Analyzing and processing claims through well-developed action plans to an ... settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the… more
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  • Allied World Assurance Company Holdings, Ltd (Farmington, CT)
    …closely with our claims analysts to resolve issues and ensure smooth processing of claims . v Provide top-notch customer service by responding promptly to ... Description Claims Assistant/Sr. Claims Assistant -North American...in non-traditional ways. Our generous benefits package includes: Health, Dental and Disability Insurance, a company match 401k plan,… more
    Upward (07/01/25)
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  • Sedgwick (West Des Moines, IA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Recovery Our teams connect! We collaborate in the office. Our ... physical, financial and professional needs. PRIMARY PURPOSE: Processes and reviews subrogation claims across all lines of business and all jurisdictions within an… more
    Upward (07/03/25)
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  • Foundation Risk Partners (Rockville Centre, NY)
    … Specialist supports the Vice President of Risk Management by receiving and processing incoming workers' compensation claims , assisting with overall claims ... firms in the US, is adding a Workers' Compensation Claims Specialist to their Durnan Group in Rockville Centre,...range of health-related benefit options including medical, vision, and dental . We offer a 401(k) with company match, company… more
    Upward (07/19/25)
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  • TRP Infrastructures (Fort Worth, TX)
    …record keeping. Problem-solving and decision-making skills. Experience in risk management and claims processing . Benefits *Health Insurance * Dental Insurance ... in accordance with the law. Requirements Claim Management Investigating and processing workers' compensation and liability claims . Determining eligibility for… more
    Upward (07/21/25)
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  • Randstad (Fenton, MO)
    …and skills. Assist management with specific issues or projects as requested. Skills Claims Claims Processing Mechanical Maintenance Qualifications Years of ... and play a vital role behind the scenes! Qualified candidates do not need to have Claims background but do need to have a heavy knowledge of the automotive parts and… more
    Upward (07/05/25)
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  • Sedgwick (Roseville, CA)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (Commercial Auto) Are you looking for an opportunity to ... best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing… more
    Upward (07/06/25)
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  • 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...on the 31st day of employment and include medical, dental , and vision insurance, as well as HSA, FSA,… more
    Upward (07/14/25)
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  • PGBA, LLC (Myrtle Beach, SC)
    Summary Responsible for the accurate and timely processing of claims . Description Logistics: PGBA - one of BlueCross BlueShield's South Carolina subsidiary ... process claims according to business regulation, internal standards and processing guidelines. Verify the coding of procedure and diagnosis codes. Resolve system… more
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  • Premier Administrative Solutions (Clearwater, FL)
    …of medical terminology Qualifications Qualifications: Minimum two (2) years of medical claims processing experience Must live a reasonable commutable distance ... Overview Health Insurance Medical Claims Examiner (Initial Training On Site - 90...Monday-Friday Schedule with daytime hours Responsibilities Summary: The Medical Claims Examiner adjudicates medical claims based on… more
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  • Berkley (Philadelphia, PA)
    …The company is an equal opportunity employer. Responsibilities This Sr. Claims Specialist would be responsible for reviewing, processing , investigating, ... negotiating and the settling of assigned property damage or bodily injury claims with the authority level generally up to $150,000.00. This position requires… more
    Upward (07/13/25)
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