- Sedgwick (Ontario, CA)
- …medical only claims . Adjusting low and mid-level liability and/or physical damage claims under close supervision. Processing disability claims of minimal ... claims files and properly coding claim activity. Communicating claim action/ processing with claimant and client. Supporting other claims examiners and… more
- Sedgwick (Riverside, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Riverside, CA Are you looking for an opportunity to join ... best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing… more
- EssilorLuxottica (Mason, OH)
- …Manager, Director Claims & Payments and other internal customers to identify claims processing discrepancies due to system setup issues that require cross ... or equivalent work experience 3+ years of experience in Claims or Data processing / testing Knowledge...complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various… more
- Premier Administrative Solutions (Clearwater, FL)
- …dollar claims prior to payment. *Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... Overview Claims Manager Servicing Health Insurance Policies or Benefits Summary: Premier Administrative Solutions (PAS) is a Third-Party Administrator (TPA)… more
- GEICO (Richardson, TX)
- …staff scheduling and workload distribution to maintain operational efficiency. 2. Claims Processing : *Oversee the review, investigation, and settlement of ... your team in the investigation of coverage, determination of liability and damages, and processing and settling claims . The ideal candidate will have a proven… more
- POM Recoveries Inc (Farmingdale, NY)
- …professional with a minimum of 2 years of hospital in-patient and out-patient claims follow-up experience? Join our team as an Insurance Claims Follow-up ... Specialist, where you'll leverage your expertise in medical collections, denial processing , appeal submission, and EOB review to resolve unpaid claims … more
- MCI Careers (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to complete account management tasks Accurately document and process customer claims in appropriate systems Follow all required scripts, policies, and procedures… more
- University Health (San Antonio, TX)
- …is required. Five years HMO/PPO claims experience are required. Amisys claims processing system experience is preferred. Knowledgeable of all benefit ... of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims ...affect claims payment. Act as consultant to claims staff on complex claim issue resolutions. Work cooperatively… more
- Security National Financial Corporation (Salt Lake City, UT)
- …This position will primarily be responsible for following a strict procedure for processing life insurance claims , and answering phone calls from our policy ... schedule. We offer a comprehensive benefits package that includes health insurance, PTO, Employee Discounts, and more. What You'll...and more. What You'll Do: Data entry for new claims into our system Processing life insurance… more
- Innova solutions (St. Louis, MO)
- … ONR/IDR pricing and data entry The ideal candidate will have: Experience processing first time claims in Amisys Intermediate to advanced Excel knowledge: ... the requirements for the positions. Bulk and manual pricing of NSA/Non-par claims : In-patient, out-patient, FH BOT fallout, and COB pricing Pricing verification for… more
- PacificSource (Portland, OR)
- …This position is responsible for key functions of operations, including claims processing , encounters processes, payment integrity, compliance with state ... claims errors and improve efficiency in the claims processing life cycle. Effectively lead ...operations, in coordination with the Senior Vice President of Health Plan Operations, Compliance Officer, and Manager of Government… more
- Markel Corporation (Bedford, TX)
- …procedures Other duties as assigned or required Knowledge/Skills/Abilities: Knowledge of claims processing required Knowledge of Collateral Protection Insurance ... in something special! Responsible for obtaining, researching and compiling information on claims filed for settlement. Ensures files are accurate and complete before… more
- AltaMed Health Services Corporation (Montebello, CA)
- …-related issues. Minimum Requirements HS Diploma or GED Minimum of 3 years of Claims Processing experience in a managed care environment. Experience in reading ... a job; it's a calling that drives us forward every day. Job Overview The Claims Examiner II is responsible for analyzing and adjudication of medical claims as… more
- Aquent (Los Angeles, CA)
- …with contractual and regulatory requirements. Identify and resolve issues related to claims processing in a timely and efficient manner. Prepare accurate ... the Financial Compliance team, you will conduct audits of claims processed by medical groups and health ...related field. Minimum of 5 years of experience performing claims audits or claims processing … more
- MCI Careers (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... prizes ranging from electronics to dream vacations and sometimes even cars! Health Benefits: Full-time employees are eligible for comprehensive medical, dental, and… more
- MCI Careers (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to complete account management tasks Accurately document and process customer claims in appropriate systems Follow all required scripts, policies, and procedures… more
- Sedgwick (Syracuse, NY)
- …regulations and processes. This position is responsible for managing and processing workers' compensation claims , ensuring timely and accurate decisions ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Representative | New York Jurisdiction | Dedicated Client We are… more
- Berkley (Jersey City, NJ)
- …employer. Responsibilities This individual would be responsible for reviewing, processing , investigating, evaluating, negotiating and the settling of assigned ... property damage or bodily injury claims with the authority level generally up to $150,000.00....$85,000-$160,000 *Eligible to participate in annual discretionary bonus. *Benefits: Health , Dental, Vision, Life, Disability, Wellness, Paid Time Off,… more
- Iconma LLC (Roseville, CA)
- Our Client, a Business Solutions company, is looking for a Claims Examiner - Workers Compensation for their Roseville, CA/ Remote location. Responsibilities: To ... analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- MCI Careers (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... prizes ranging from electronics to dream vacations and sometimes even cars! Health Benefits: Full-time employees are eligible for comprehensive medical, dental, and… more
