- Zurich NA (Nashville, TN)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in ... commitment to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist , you will manage supplier performance and work… more
- CVS Health (Nashville, TN)
- …do** + Executes both routine and non-routine business support tasks for the Claim Benefit area under limited supervision, referring deviations from standard ... execute techniques, processes, and responsibilities. **Required Qualifications** + 3+ years medical claim processing experience. + Working knowledge of problem… more
- Travelers Insurance Company (Nashville, TN)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- CVS Health (Nashville, TN)
- …the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including ... leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.… more
- CVS Health (Franklin, TN)
- …strict adherence to policies and guidelines. + Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and ... heart, each and every day. **Position Summary** + Performs claim documentation review, verifies policy coverage, assesses claim...be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,**… more
- Travelers Insurance Company (Franklin, TN)
- …mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and ... professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and… more
- CVS Health (Franklin, TN)
- …the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including ... Summary** This role will have a focus on training Claims processing and Claims Call Center staff...dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending… more
- Tractor Supply Company (Brentwood, TN)
- …mitigate claims expense including, but not limited to consistent medical care, minimizes overutilization, litigation costs and all other vendors are effectively ... Specialist , Workers Comp **Overall Job Summary** This position...support their well-being today and in the future. Our benefits extend beyond medical , dental, and vision… more
- Akumin (Nashville, TN)
- The ** Medical Reimburse Specialist ** is responsible for...the web to find out the status of the claim using the aging's, ticklers and touch point reports ... and other forms received through the lockbox to the Medical Billing system. Completes spreadsheets and balances work on...be able to read and understand an Explanation of Benefits , use Excel or other spreadsheet programs and understand… more
- Sedgwick (Nashville, TN)
- …to support the claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical documentation received ... medical management of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and… more
- Elevance Health (Nashville, TN)
- …laws and contracts. Accountable for end-to-end functionality on every Coordination of Benefits (COB) function including reconciliation of claim , membership and ... **eCOB Specialist I** **Location:** Virtual, this role enables associates...medical , dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan, life insurance, wellness… more
- HCA Healthcare (Hendersonville, TN)
- …and integrity. We care like family! Jump-start your career as a Medicare Specialist today with Parallon. ** Benefits ** Parallon offers a total rewards package ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- HCA Healthcare (Hermitage, TN)
- …Qualifications** The Billing Specialist will be responsible for submitting hospital medical claims to insurance companies for reimbursement. What you will do ... is recognized. Submit your application for the opportunity below:Billing SpecialistParallon ** Benefits ** Parallon offers a total rewards package that supports the… more
- Elevance Health (Nashville, TN)
- …unless an accommodation is granted as required by law._ The **Excess Loss Specialist ** is responsible for working independently reviewing claims and interpreting ... **Excess Loss Specialist ** **Location :** This role enables associates to...medical , dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan, life insurance, wellness… more
- Datavant (Nashville, TN)
- …The Specialist is responsible for identifying, analyzing, and resolving claim denials across the entire revenue cycle to ensure optimal reimbursement and ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
- Sedgwick (Nashville, TN)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research,...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
- CGI Technologies and Solutions, Inc. (Nashville, TN)
- **Business Processing Specialist ** **Category:** Administration **Main location:** United States, Tennessee, Nashville **Position ID:** J0925-0220 **Employment ... the provision of affordable housing has an opening for a Business Processing Specialist in Nashville, TN. Under the direction of the Asset Manager/Central Services… more
- Sedgwick (Nashville, TN)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of ... disability. + Provides clear and appropriate follow-up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made… more
- HCA Healthcare (Nashville, TN)
- …purpose and integrity. We care like family! Jump-start your career as a Collections Specialist WFH today with Work from Home. ** Benefits ** Work from Home offers ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Kelly Services (Murfreesboro, TN)
- …Enjoy 16 paid holidays and 10-15 days of paid time off each year. + **Enhanced Medical Benefits :** Comprehensive medical coverage to keep you and your family ... **Join Our Team as an Arbitration Specialist !** Kelly Services, in partnership with Nissan North...perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical , dental, vision, telemedicine,… more