- CHRISTUS Health (Whitehouse, TX)
- …CHRISTUS services. These services will be provided by monitoring cases and claims , analyzing biometric and health risk assessment data, organizing disease management ... Prepare cost analysis and other reports to determine the reasonableness of claim /cost data and utilization rates. Make recommendations based on data analysis for… more
- LE Cox Medical Centers (Lake Spring, MO)
- …collaboratively in teams ▪ Proficient Computer skills ▪ Medical Terminology and Insurance Claim /AR Follow-up ▪ Self-starter and the ability to multi task. ▪ 10 key, ... credit card machine and scanner experience. Licensure/Certification/Registration: ▪ N/A more
- LE Cox Medical Centers (Lake Spring, MO)
- …Diploma or Equivalent Experience: ▪ Preferred: medical billing experience and claims processing knowledge; familiar with the insurance industry and collection ... process Skills: ▪ Excellent verbal and written communication skills. ▪ Able to work independently and collaboratively in teams. ▪ Self starter. ▪ Proficient in using computers and computer systems ▪ Ability to multi-task and have attention to detail… more
- Jobleads-US (Saddle Brook, NJ)
- …consultations above scope authority to appropriate leadership. Maintain diary for open claims and document specific claim related activities in Risk Management ... claim , ensure aggressive strategy is developed on litigated claims , and bring claims to timely resolution....projects. Maintain and foster relationships with carriers and TPAs claims teams. Assist with claim data analysis… more
- UnisLink (Phoenix, AZ)
- …of a growing team with long-term career potential? UnisLink is hiring a Medical Claims Clerk to support our billing and operations teams. No prior medical billing ... will include: Acting as the primary resource for printing and mailing secondary claims and appeals for multiple clients. Handling unprinted claims and ensuring… more
- LE Cox Medical Centers (Lake Spring, MO)
- …and analyzes medical records to ensure billing accuracies. Reviews coding on healthcare claims in order to reimburse from the health plan to the billing provider. ... The Coder CHP aids in coordinating and resolving coding issues with all internal CHP departments and Providers. Oversees the coding training throughout Cox HealthPlans.Education: ▪ Required: High school or Equivalent Preferred; College course-work in Health… more
- Jobleads-US (Calabasas, CA)
- Claims Manager-Workers Compensation page is loaded## Claims Manager-Workers Compensationlocations: Calabasas, CA (USA)time type: Full timeposted on: Posted ... perform at their best.**Essential Job Functions and Responsibilities Oversees Claims department operations, optimizing workflows and ensuring high productivity.*… more
- CoxHealth (Lake Spring, MO)
- …or Equivalent ◦ Experience ▪ Preferred: medical billing experience and claims processing knowledge; familiar with the insurance industry and collection process ... ◦ Skills ▪ Excellent verbal and written communication skills. ▪ Able to work independently and collaboratively in teams. ▪ Self starter. ▪ Proficient in using computers and computer systems ▪ Ability to multi-task and have attention to detail ◦… more
- Jobleads-US (Houston, TX)
- …to Grow" with us? Pay range: $130,000.00 YOUR ROLE: The Workers Compensation Claims Manager is responsible for the oversight and positive performance of CEVA's Third ... (TPA) as they adjust, manage and administer our workers' compensation claims portfolio insured through traditional Workers Compensation insurance lines, monopolistic… more
- Hallmark Financial (Dallas, TX)
- Job Description: Position Title: Senior Claims Adjuster (Fast Track- Bodily Injury) Job Summary: Investigates, evaluates, negotiates and resolves claims of ... and interaction with insured's and claimants in accordance to established claims procedures and state regulations. Essential Duties and Responsibilities include the… more
- Collectors Holdings, Inc. (Santa Ana, CA)
- …Hong Kong, Toronto, Guadalajara, Dallas, and Paris. We're looking for a Claims Investigator to join our Collectors Claimsteam, providing essential assistance to our ... their times of need. Our team's core responsibility revolves around efficiently handling claims for customers who may have encountered damage or loss of their items… more
- Formation Bio (New York, NY)
- …curated data assets. You'll partner closely with domain experts in areas like claims , EHR, and biomedical research - ensuring their deep knowledge is translated into ... harmonization across healthcare and pharmaceutical datasets. Partner with domain experts ( claims , EHR, pharma, research) to align technical standards across diverse… more
- Eisai, Inc (Nutley, NJ)
- …well as managing Eisai's insurance requirements to provide optimum coverage, costs, and claim settlements is falls within the scope of this position.The Manager of ... calculations for premium adjustments; Manage the end-to-end process of claim settlement, including documentation, coordination with insurers, and resolution;… more
- Hallmark Financial (Dallas, TX)
- …The Compliance Specialist: Accurately processes monthly compliance review ensuring regulatory compliance. Essential Functions include the following. Other duties may ... be assigned. Process monthly and quarterly SOX compliance control testing. Assist with internal and external compliance audits. Maintain compliance records. Complete additional compliance related tasks as they arise Qualifications To perform this job… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …electronic claim issues within Data Management, collaborating with the Claims and Network Services departments to correct discrepancies related to provider ... **Overview** BroadPath is seeking an **Electronic Claims Analyst** to join our dynamic, fully remote...+ Review and address error reports generated from electronic claim loads + Communicate with providers regarding billing procedures… more
- WEL Companies (De Pere, WI)
- …1st Shift Job Category Safety Description POSITION SUMMARY As a Claims Representative, you'll be interacting with WEL departments, drivers, insurance companies, ... information and comments, as well as actions taken. Review claims by approving or disapproving customers claims ....Review claims by approving or disapproving customers claims . Review insurance invoices for accuracy. Investigate when damage… more
- Cipla (Hauppauge, NY)
- …FDA, EMA) and industry standards, including proper labeling, dosage information, and claim . Maintain and organize a comprehensive archive of approved artwork files ... for all products, ensuring that all versions and revisions are properly documented and accessible for future reference. Monitor environmental conditions (temperature, humidity, and light) within the warehouse to ensure that all pharmaceutical products and… more
- FM (Reston, VA)
- …make a difference in the future - yours, your clients', and the company's? The Claims team within our DC Operations in Reston (VA) has a great opportunity for you ... summer 2026! When you join FM as a Property Claims intern, you can bring your talents to life...collaborative, inclusive and diverse environment with Clients during the claims process. This internship will provide the successful candidate… more
- Carrot (Des Moines, IA)
- …Bachelors Degree 1-3 years of relevant work experience including claims submission/processing experience Highly detail-oriented and organized Structured thinker and ... issues An innovative spirit to push the boundaries of claims operations Preferred Qualifications: Literacy in Spanish (to support...to lean in to changing priorities and processes Track claims and denials through the entire lifecycle Identify gaps… more
- Ally (Trenton, NJ)
- …for a Field Adjuster that can appraise and/or adjust physical damage and mechanical claims within an assigned territory and key point or other assigned location for ... claimant vehicles. * Handle catastrophe losses as directed by claim management. * Initiate the total loss handling process...the total loss handling process for conclusion by the Claim Offices. * Handle Additional Repair Orders (AROs) and… more
