- CHRISTUS Health (Arp, TX)
- …CHRISTUS services. These services will be provided by monitoring cases and claims , analyzing biometric and health risk assessment data , organizing disease ... with members, physicians and other providers. Incumbent oversees integrated data warehouse including program utilization, disease management programs and contracted… more
- Jooble (Alamogordo, NM)
- …CHRISTUS services. These services will be provided by monitoring cases and claims , analyzing biometric and health risk assessment data , organizing disease ... with members, physicians and other providers. Incumbent oversees integrated data warehouse including program utilization, disease management programs and contracted… more
- Elevance Health (Louisville, KY)
- ** Medical Claims Data Integrity Consultant** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Chicago, IL; Louisville, KY (preferred). This role ... position is not eligible for current or future visa sponsorship._ The ** Medical Claims Data Integrity Consultant** (Business Information Developer… more
- NTT DATA North America (Ontario, CA)
- …as part of an overall sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Team Lead to join our team remotely for a 3 month contract ... At NTT DATA , we know that with the right people... examiners, ensuring the accurate and timely processing of medical claims using the Xcelys system. The… more
- NTT DATA North America (Ontario, CA)
- NTT DATA is currently seeking **Senior Medical Claims Examiners (3+ years of Xcelys required)** to join our US based team. This is a 100% remote role. **Must ... To serve as a senior-level adjudicator and SME for medical claims within the Xcelys environment. Provide...manage high-volume workload and meet performance metrics About NTT DATA : At NTT DATA , we know that… more
- NTT DATA North America (Ontario, CA)
- …as part of an overall sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Examiners to join our team remotely for a 3 month contract ... At NTT DATA , we know that with the right people...role. **MUST HAVE XCELYS EXPERIENCE** To serve as a Medical Claims Processor within the Xcelys environment.… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... and report outcome results on edits implemented. + Utilize data to examine large claims data...care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding, Compliance, Payment Integrity and Analytics… 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 ... is responsible for supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review … more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service ... responsible for supporting processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job...serving as a partner to employers to deliver program integrity . *What you'd do:* Lead Claims Examiner/Job… more
- NTT DATA North America (Decatur, IL)
- …future for NTT DATA Services and for the people who work here. NTT DATA seeks a ** Claims Examiner** on a **project** basis to work **remote, from home** ... right people on board, anything is possible. The quality, integrity , and commitment of our employees are key factors...Experience in the GBAS system + Experience processing Dental Claims \#LI-NorthAmerica **About NTT DATA ** NTT … more
- USAA (Phoenix, AZ)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... truly makes us special and impactful. **The Opportunity** As a dedicated Manager, Claims Operations you will lead and be accountable for auto, property, and other… more
- USAA (Plano, TX)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... truly makes us special and impactful. **The Opportunity** As a dedicated **Manager, Claims Operations (Field)** , you will handle and be accountable for auto,… more
- USAA (Chesapeake, VA)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... what truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager Senior, you will managed complex litigation arising out of… more
- USAA (Chesapeake, VA)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... makes us special and impactful. **The Opportunity** As a dedicated Senior Auto Claims Adjuster, you will adjust highly complex auto insurance claims presented… more
- USAA (Tampa, FL)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... **Auto Adjuster** you will proactively handle the complete end to end claims process. Taking statements, policy and coverages, determination of liability and… more
- APTIM (Santa Fe, NM)
- …technical advisement to team members and ensure adherence to program training and data integrity requirements + Positively and professionally represent the ... preferred + A minimum of ten (10) years of combined experience in claims /case processing roles including customer service, data entry, reviewing, and evaluating… more
- AssistRx (Dallas, TX)
- DUTIES AND RESPONSIBILITIES: + Processes medical copay claims in accordance with program business rules. + Liaison with other program-specific AssistRx resources ... Ensures accuracy with attention to detail for copay claim processing and additional data collection. + Performs other related duties as assigned by management. +… more
- HCA Healthcare (Nashville, TN)
- …with our broker and risk information management vendor(s). + Manage the ongoing data integrity efforts including the audits of various insurance database ... organization that invests in you as a Senior Property Claims Supervisor? At HCA Healthcare, you come first. HCA...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Casualty Claims Examiner I **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part ... responsible for the investigation and resolution of moderately complex claims . This incumbent will work closely with internal and...and laws, and analysis of estimates of repair, analyzing medical reports * Handle all monetary aspects of assigned… more
- Axis (Red Bank, NJ)
- …taking part in the selection process. About the Team AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its North America Claim Team. ... This role involves managing primary and excess claims for various AXIS policy forms. How does this... adjusters. Supporting underwriting and actuarial teams by maintaining data and analytics. Maintaining and developing relationships with senior… more
