- Axis (Alpharetta, GA)
- …, XSLT transforms, and SQL database queries to create solutions that enhance claims processing . + Develop and maintain system configurations, working with both ... available upon request for candidates taking part in the selection process. ** Lead Duck Creek Claims Configurator/Developer** **Job Family Grouping: IT Group**… more
- Providence (Renton, WA)
- …an accomplished senior level claims adjudicator with at least 3 years prior claims processing experience and a proven track record of working with IDX ... Managed Care operations, including a minimum of 3 years claims processing experience, in a TPA, MSO,...Pacific Medical Centers, or equivalent external experience in a lead capacity. + Experience with information systems supporting the… more
- Guardian Life (Bethlehem, PA)
- … Claims , you will play a key role in supporting the Life Insurance claims processing , product and system configuration on Claims management platform and ... will offer a depth and breadth of knowledge of claims processing systems including integration points, data...issues. + Evolve as a subject matter expert to lead specific projects or initiatives. + Effectively and proactively… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …work with a team that reviews claims and claims data from the MaineCare claims processing system and the accuracy of the work of the Claims Division ... oversight necessary to ensure accountability and efficient and effective administration. The Claims Adjustment Division oversees the re- processing of claims … more
- State of Minnesota (St. Paul, MN)
- …minimum qualifications will be considered for this position.** Two (2) years* experience processing claims and/or appeals with one (1) of those years involving ... support work for the Paid Leave division. The Senior Claims Adjudicator involves lead work and handles...Training and mentoring of other staff to enhance their claims processing abilities. + Knowledge of techniques… more
- AON (LA)
- …other issues that may negatively impact projectperformance.* Is responsible for oversight and processing of workers' compensation claims : What the day will look ... by Bechtel Risk Management. Skills and experience that will lead to success * Requires a Bachelor's Degree or...may negatively impact projectperformance.* Is responsible for oversight and processing of workers' compensation claims : What the… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of issues in...capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
- Robert Half Finance & Accounting (Winston Salem, NC)
- …insurance or policy administration. -Strong understanding of health insurance policies, claims processing , and claims adjudication processes. -Familiarity ... - Lead and manage a team of medical claims examiners to provide high-quality support for policyholders. -Oversee...related field (eg, CPC, CPMA, or CHC) -Experience with claims processing in a managed care or… more
- University of Michigan (Ann Arbor, MI)
- …Casualty Programs. This position is responsible for ensuring efficient and compliant claims processing , as well as enhancing customer service and streamlining ... Claims Administration Manager Apply Now **Job Summary** The...and procedures to enhance program efficiency and effectiveness. + Lead multidisciplinary conferences, acting as a liaison to resolve… more
- Walworth County (Elkhorn, WI)
- Deputy Clerk of Courts - Civil & Small Claims Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/4906244) Apply Deputy Clerk of Courts - Civil ... & Small Claims Salary $21.15 - $28.61 Hourly Location Elkhorn, WI...and court records. SUPERVISION This position acts as a lead worker to the department's Administrative Clerk. SCHEDULE Days:… more
- CHS (Clearwater, FL)
- … claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... the client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims Department in delivering exceptional service to… more
- HCA Healthcare (Nashville, TN)
- …Physician's Services Group and other corporate departments that will mutually benefit the Claims Department and the organization. + Lead and/or participate in ... Do you want to join an organization that invests in you as a(an) Sr Claims Supervisor? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300… more
- System One (Newtown Square, PA)
- …or related field (Master's preferred). + Extensive experience with healthcare claims processing , policy development, and vendor oversight. + Demonstrated ... Overview We are seeking an experienced and strategic Director of Health Claims Administration to lead and oversee all operational aspects of our Claims … more
- Elevance Health (Miami, FL)
- …provide our members with only the best service and experience possible. The ** Claims Representative III** is responsible for keying, processing and/or adjusting ... **Job Title:** Claims Representative III **Schedule:** Monday-Friday 7am-3:30pm EST **Location:**...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- ITW (Troy, OH)
- …for ITW FEG and Hobart Service. This position manages the accurate and timely processing of claims submitted by Hobart Service offices and authorized independent ... independent service provider agreements, including annual system financial updates. + Lead and develop specific warranty claims application training, including… more
- TEKsystems (Raleigh, NC)
- …Proficiency: Deep understanding of revenue cycle billing, hospital billing, and claims processing operations. + Communication: Excellent verbal and written ... Our client is looking for a Senior Hospital Billing Claims Analyst to join the team! This will be...changes to meet evolving business needs. + Workflow Design: Lead the design and testing of billing workflows within… more
- UCLA Health (Los Angeles, CA)
- …2 years' experience in supervising staff required + Must have comprehensive knowledge of claims processing and regulations. + Must have strong ability to problem ... Description We are seeking a detail-oriented and experienced Claims Quality Supervisor to lead our audit and quality assurance initiatives across all aspects of … more
- Sedgwick (Orlando, FL)
- … claims files and properly coding claim activity. + Partners with claim lead to observe claim action/ processing communication with claimant and client. + ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Property Claims Apprentice- Entry Level- In Office (Orlando) **PRIMARY PURPOSE** **:** To… more
- Elevance Health (Roanoke, VA)
- **Title: Claims Representative I (Health & Dental) - FEP** **Location:** This position will work a **hybrid model (remote and office)** . The ideal candidate will ... during the first 14 weeks of training. Start date: 5/27/2025.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Amentum (Washington, DC)
- …This involves monitoring various claim statuses or queues and identifying claims assignable within the Special Master's guidance. + Determine individual team ... data to provide daily determination entry numbers to the Lead Project Manager. + Work with Claim Review Team...on weekly Eligibility-Only claim review assignments to SMO's for claims produced for approval. + Update SharePoint site as… more