- Central Maine Medical Center (Lewiston, ME)
- …experiences for our community and for each other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is a full time ... The rate of pay is $20.00 per hour. The Claims Processing Billing Representative's responsibility is to...a robust benefits package that includes: + Robust Paid Time Off (PTO) program + Medical plan with enhanced… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …Services Supervisor, the Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front end "edits, as well as ... claims edits from secondary claims . In the event a claim edit...standards and performance measures for this position **Job Title: Claims Processing Specialist** **Location: Pearland Administrative Office**… more
- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- Travelers Insurance Company (St. Paul, MN)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... and processes out-going mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the proper handling of… more
- Sedgwick (Sun Prairie, WI)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... and pursues subrogation opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Essential Qualifications + Strong knowledge of contracts, medical terminology, and claim dispute processing and procedures. + Previous experience handling ... change, or new ones may be assigned at any time with or without notice. Primary Responsibilities + Thorough... claim disputes. + Claim knowledge including professional, facility and ancillary claims… more
- Henry Ford Health System (Farmington Hills, MI)
- GENERAL SUMMARY + Department: Ear Institute + Schedule: Full- time Days: Monday - Friday, + Location: Farmington Hills, MI Prepares and issues bills for reimbursement ... in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission to third party payers and/or responsible parties. .… more
- Sedgwick (Flagstaff, AZ)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...maximize settlement. + Performs coverage analysis and opinion as part of the claim process including all… more
- Highmark Health (Frankfort, KY)
- …and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, ... **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health… more
- BrightSpring Health Services (Louisville, KY)
- …with available resources and tools. This includes researching both denied and paid claim transactions, understanding root cause for denied claims or under ... a retail to office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician experience and/or knowledge of… more
- Kelly Services (New Haven, CT)
- …general liability or as a claim technical assistant for lost time claims . + Requires knowledge of workerscompensation statutes, regulations and compliance. ... Summary:** + Handles all aspects of workers' compensation lost time claims from set-up to case closure...OUS business entities. **TOP 3 MUST HAVES:** + Lost Time Claim Examiner position with prior experience… more
- Sedgwick (Sacramento, CA)
- …** by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...in mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- HCA Healthcare (Frankfort, KY)
- …of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full- time and part - time colleagues based on income. Learn more about ... certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time ...a dedicated Medicare Specialist like you to be a part of our team. **Job Summary and Qualifications** Seeking… more
- Sedgwick (Little Rock, AR)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Sedgwick (Dallas, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Guardian Life (Pittsfield, MA)
- …unexpected queries and reactions. + Strong attention to detail and accuracy in processing claim set-ups and other policy-related transactions. + Proven track ... **Overview:** Our Claims Call Center Team is known for delivering...and provide accurate information on policy features, benefits and claim status. + Achieve customer satisfaction and loyalty by… more
- CVS Health (Plymouth, MN)
- …stop loss carrier. **Required Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with the suite ... join a dynamic team that is an important, strategic part of a Fortune 5 company in one of...role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and… more
- Holcim US (Nashville, TN)
- …by reviewing data from all available resources to efficiently respond to warranty claim issues. The Warranty Claims Investigator will be responsible for ... necessary repairs, communicating to all relevant parties, and negotiating claim resolution. In reaching resolution, the Claims ...guidance to Junior Warranty Claims Investigator regarding claims analysis and processing . **WHAT WE ARE… more
- Conduent (Warren, MI)
- …is onsite in Warren, MI** Training: Mon- Thur ( On the job) Production is Part - Time Mon- Thur 8:00AM-5:00PM EST **Position Overview** The GM North America ... opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and...claim reviews. **Responsibilities:** + Validate costs for Supplier Claims according to contract Terms & Conditions. + Generate… more
- Sedgwick (Roseville, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more