- CVS Health (San Antonio, TX)
- …measures to assist in the claim adjudication process. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or ... claim processing issues. - Routes and triages complex claims to Senior Claim Benefits Specialist...communities. The Company offers a full range of medical, dental , and vision benefits. Eligible employees may enroll in… more
- CRC Insurance Services, Inc. (Brewster, NY)
- …correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with insurance carriers to ensure claims are paid ... drawing conclusions. Acts as a liaison between insured and insurance carrier to report, track and manage claims...additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim… more
- CVS Health (Hartford, CT)
- …and Training Hours: + Training 8:00am-4:30pm + Shift: 8am-4:30pm Claim Benefit Specialist Reviews and adjudicates claims in accordance with claim ... use multiple systems and screens to obtain and record claim information + Review claims information to...communities. The Company offers a full range of medical, dental , and vision benefits. Eligible employees may enroll in… more
- CVS Health (Pittsburgh, PA)
- …written correspondence related to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim ... and affordable. Position Summary * Reviews and adjudicates routine claims in accordance with claim processing guidelines....communities. The Company offers a full range of medical, dental , and vision benefits. Eligible employees may enroll in… more
- MetLife (Oriskany, NY)
- AMS Claim Specialist Location(s) + Posting Location:Oriskany, New York Country United States Working Schedule Full-Time Commutable Distance Required Yes ... 15-May-2024 Job ID 2672 **Description and Requirements** **Absence Management Solutions** ** Claims Specialist ** **Location** **:** Virtual but MUST be commutable… more
- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process.- Insures all compliance requirements are satisfied and all… more
- CVS Health (Columbus, OH)
- …personal, convenient and affordable. Position Summary Reviews and adjudicates routine Medicare claims on HRP system in accordance with claim processing ... CMS and Aetna compliance and business requirements.Analyzes and approves routine claims that cannot be auto adjudicated.- Applies medical necessity guidelines,… more
- Sedgwick (East Meadow, NY)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist Sr - Professional Liability **PRIMARY PURPOSE** : To ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- CVS Health (Bismarck, ND)
- …Training is 12 weeks 9am-5:30pmEST + Shift: flex schedule Reviews and adjudicates routine claims on HRP system in accordance with claim processing guidelines. ... CMS and Aetna compliance and business requirements.Analyzes and approves routine claims that cannot be auto adjudicated.- Applies medical necessity guidelines,… more
- ManpowerGroup (Livingston, NJ)
- …NJ **Pay : $** 75,000 - $80,000 **What's the Job?** The Claim Specialist will be responsible for managing the claims process for clients from start ... Our client is seeking a Claims Specialist to join their team....the AMS, Epic is a plus. **Benefits:** + Health, Dental , Vision and Life Insurance Benefits +… more
- HCA Healthcare (Asheville, NC)
- …a work environment where diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for ... and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible...for benefits may vary by location._** We are seeking Insurance and Claims Specialist PACE… more
- MetLife (Tampa, FL)
- …in the lives of our customers and our communities. The LTD Claims Specialist evaluates long term disability insurance claims in accordance with plan ... Long Term Disability Claims Specialist II Location(s) + Posting...comprehensive health plan that includes medical/prescription drug and vision, dental insurance , and no-cost short- and long-term… more
- GuideOne Insurance (West Des Moines, IA)
- As the Claims Support Specialist , you will be responsible for handling tasks within the Claims Support Team, including but not limited to: in-bound phone and ... e-mail inquiries, bulk billing, claims FNOL, and program claims . You will...basic life and AD&D, long-term disability and short-term disability insurance + Medical, dental and vision plans… more
- Illumination Foundation (Santa Ana, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping...(Kaiser and Blue Shield), depending on the plan + Dental and Vision Insurance + Life, AD&D… more
- MetLife (Bloomfield, CT)
- Short Term Disability Claims Specialist Location(s) + Posting Location:Bloomfield, Connecticut + Posting Location:Oriskany, New York Country United States ... Date 02-May-2024 Job ID 2567 **Description and Requirements** Short Term Disability Claims Specialist **Job Location:** **Virtual (AFTER TRAINING), but must be… more
- City of Columbus (Columbus, OH)
- Workers' Compensation Claims Specialist (Employee Benefits Analyst II) (Vacancy) Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/4505699) ... Apply Workers' Compensation Claims Specialist (Employee Benefits Analyst II) (Vacancy)...Dental + Vision + Short-term Disability + Life Insurance + Wellness Program + Tuition Reimbursement Specifics about… more
- MetLife (Tampa, FL)
- Long Term Disability Claims Specialist I Location(s) + Posting Location:Oriskany, New York + Posting Location:Tampa, Florida Country United States Working ... Posted Date 09-May-2024 Job ID 2616 **Description and Requirements** **Long Term Disability Claims Specialist I** **Job Location** **:** Virtual but must be… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As an Electronic Claim /Remit Specialist at LogixHealth, you will work with internal teams to provide services that ... will bring your expertise to ensure timely filing of insurance carrier claims , bank file retrieval, statement...LogixHealth: We offer a comprehensive benefits package including health, dental and vision, 401(k), PTO, paid holidays, life and… more
- Conduent (Lexington, KY)
- …a culture where individuality is noticed and valued every day. **Job Description:** ** Claim Processor Specialist (Onsite )** **Must be located near Lexington, ... paid training** **Pay range $16.00** **Must type 45 WPM** ** Claim Processor Specialist ** Make an Impact Helping...provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs,… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I (Full-time/Billings) PATIENT ... hours (Non-Exempt) Starting Wage DOE: $17.00 - 21.25 The Claim Specialist 's main focus is to obtain...is responsible for preparing and submitting timely and accurate insurance claims to government and third-party payers,… more
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