- LA Care Health Plan (Los Angeles, CA)
- …Degree Experience Required: 1 year of experience in healthcare insurance coordination, claims processing, or data validation . Experience in Customer ... Data Validation - Review and validate coordination of benefits data , including insurance policies, coverage details, and claims information. Identify… more
- Trinity Health (Farmington Hills, MI)
- …of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates ... objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and...payers determining the cause for delay and supplying additional data as required. May prepare special reports as directed… more
- TEKsystems (Temple, TX)
- Description: Responsible for entering and maintaining provider demographic and contractual data within the claims processing system and working with various ... (NPPES) and other data sources to ensure data integrity within the claims processing system....administrative tasks, including but not limited to, entry and validation of data for multiple departments. Ensures… more
- Trinity Health (Farmington Hills, MI)
- …of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates ... objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and...and determining the cause for delay and supplying additional data as required. May prepare special reports as directed… more
- Citigroup (San Antonio, TX)
- …infrastructure and processes. **Responsibilities:** + Assist with the creation, execution, and validation of User Acceptance test plans and scripts to ensure all ... as needed + Research and interpret standard information and identify inconsistencies in data or results + Assist in training team members on loan resources as… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …specific issues for all lines of business. + Excellent analytical, research, documentation, data validation and report preparation skills with the highest degree ... to support business requirements. + Independently and comprehensively develops data validation tools, data quality...data , reports, and file extracts and to ensure compliance with departmental and corporate expectations. + Assists Lead… more
- BeiGene (San Mateo, CA)
- …includes rules to manage key business processes for customer alignment, channel data (3PL/SP/SD/Voucher/Copay), patient journey, patient claims , VA sales & ... partner closely with Sales, Marketing, Market Access, Medical Affairs, Compliance , GTS, Business Planning & GTS organizations. This position... data , Patient Hub data , VA data , CRM, Digital, MCM & Claims is… more
- Point32Health (Canton, MA)
- …who can deliver meaningful insight on business performance. This role uses claims data and other supporting information to evaluate provider-specific ... + 5-7 years' related experience in a payer/provider role, with health insurance claims data experience + Demonstrated experience with complex data … more
- FM Global (Johnston, RI)
- …team, the Data Engineer is responsible for ensuring the highest standards of data quality, security and compliance . Additionally, the Data Engineer will ... 100 countries, in a variety of challenging roles. The Data Engineer III is responsible for analysis, data...journey (Underwriting and Risk; Client Service, Sales and Marketing; Claims ; Account and Location Engineering) as well as emerging… more
- Alight (IN)
- …Leader in establishing standardized policies and procedures for the administration of insurance claims related to leave absence | Ensure compliance with industry ... and external stakeholders. . Risk Management: | Mitigate risks associated with claims processing errors, fraud, and non- compliance . | Implement preventive… more
- Trinity Health (Farmington Hills, MI)
- …appeal letters to resolve payment rejections and/or denials. + Updates and refiles timely, accurate claims . + Reports and maintains data on types of claims ... resolves payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments with direction from the Supervisor… more
- Trinity Health (Farmington Hills, MI)
- …appeal letters to resolve payment rejections and/or denials. + Updates and refiles timely, accurate claims . + Reports and maintains data on types of claims ... resolves payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments. Processes payments as appropriate in… more
- Travelers Insurance Company (Manassas, VA)
- …this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim ... resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business… more
- Travelers Insurance Company (Glen Burnie, MD)
- …supervision, this position is responsible for handling first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal ... claim resolution for personal or business claims of high severity and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts,… more
- MyFlorida (Pensacola, FL)
- …for performing duties related to customer service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book ... representative for calls made to the district office. + Pay/ validation operator and assists players in completing claims...moving up to 50 lbs. + Compiles and analyzes data for administrative decisions. + May occasionally be required… more
- MyFlorida (Tallahassee, FL)
- …for performing duties related to customer service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book ... representative for calls made to the district office. + Pay/ validation operator and assists players in completing claims...moving up to 50 lbs. + Compiles and analyzes data for administrative decisions. + May occasionally be required… more
- Amgen (Thousand Oaks, CA)
- …(FDA, EU & global standards). + Assist in the development of any existing validation program to ensure continued compliance to the necessary regulations. + ... excellence in aseptic processing, technology transfer, process characterization, process validation and continuous process verification. A focus on visual inspection… more
- UIC Government Services and the Bowhead Family of Companies (Nellis AFB, NV)
- …SIPRNET and alternate tokens. + Providing data management techniques and processes, including data collection, data validation , and data storage. + ... data , test incident reporting, and test products database. + Managing data certification, validation , and analysis. + Providing Information Technology… more
- Travelers Insurance Company (San Francisco, CA)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state… more
- Travelers Insurance Company (Windsor, CT)
- …As a Property Claim Representative Trainee you will walk our customers through claims while evaluating damage and negotiating on their behalf. You will leverage your ... critical thinking skills to resolve previously closed personal and business property claims . As Property Claim Representative Trainee you will develop skills in… more