- NTT DATA Group Corporation (St. Louis, MO)
- …methodology/ fee schedule Required Skills/Experience *Minimum of 1 year hands-on experience in healthcare claims processing *Minimum of 2 years using a computer ... here. NTT DATA is seeking to hire a Remote Claims Processor to work remote (MO). Role Responsibilities: *Processing...*Work independently to research, review and act on the claims *Prioritize work and adjudicate claims as… more
- System One Holdings, LLC (Fairfax, VA)
- ALTA IT Services is staffing a contract to hire opportunity for a Healthcare Claims Processor to support a leading health insurance customer. The individual will ... review and adjudicate paper/electronic claims , also use automated system..., also use automated system processes to send pending claims to ensure accurate completion according to medical policy,… more
- UHS (Reno, NV)
- …Supervisor will play a crucial role in ensuring the efficient and accurate processing of healthcare claims within our organization. You will lead a team of ... business or related field or equivalent experience Minimum of 3 years in healthcare claims processing or a related role. In-depth knowledge of healthcare … more
- AMN Healthcare (Dallas, TX)
- …the Best: Forbes Recognition: We don't just make lists; we make headlines. AMN Healthcare proudly claims a spot on Forbes' prestigious lists not once, but ... Job Description Welcome to AMN Healthcare : Where Your Career Becomes the Next Big...to build one of the largest and most successful healthcare staffing and total talent solutions companies? It takes… more
- Markel Corporation (Red Bank, NJ)
- …responsible for the investigation and resolution of higher complexity and higher exposure claims consisting of medical malpractice or other healthcare or allied ... healthcare professional liability. These claims will consist of primarily litigated matters. Under minimal...making sound decisions within delegated authority. Adheres to Fair Claims Practices regulations as applicable in various states. Some… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …improvements for Core back-Office systems including but not limited to: Core Healthcare Claims Processing Platform including Eligibility & Enrollment (Group, ... with a strong emphasis on quality control and improvements to enhance claims processing stability, flexibility, and innovation. The Director will be responsible for… more
- AUROBINDO (Durham, NC)
- …manufacture, we have a robust pipeline of products. Aurolife's aim is to provide healthcare at economical prices to make this a healthier world to live in.Job ... (FMLA, STD, etc.), Visas and Immigration (H1B, L1, etc.), Workers Compensation claims , Unemployment Claims , etc.Committee member for all employee activities… more
- Formation Bio (New York, NY)
- …and scientific use cases.This position sits at the intersection of healthcare data engineering, modern data platform infrastructure, and generative AI. While ... data tooling. You'll play a key role in shaping how healthcare data becomes discoverable, structured, and impactful across the organization.Responsibilities Model… more
- IntePros (Philadelphia, PA)
- …the ability to work both independently and collaboratively. Preferred: Prior healthcare or insurance industry experience. Familiarity with claims adjudication ... Job Title: FEP Claims Payment Processor/Adjuster Location: Philadelphia, PA Position Type:...Position Summary: We are seeking a detail-oriented and experienced Claims Processor/Adjuster to join our team. This role is… more
- Eisai, Inc (Indianapolis, IN)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... pharmaceutical laws and industry guidelines including the Anti-Kickback Statute, False Claims Act, federal and state pricing-related laws and regulations, PhRMA Code… more
- Eisai, Inc (Phoenix, AZ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- Sinceri Senior Living (Phoenix, AZ)
- …care or assisted living 2+ years of experience in risk management, claims management, or healthcare administration Experience working with insurance carriers ... to protect our organization and residents through proactive risk assessment, claims management, and quality improvement initiatives. The position requires a… more
- GEICO (Richardson, TX)
- …Great Company, Great Culture, Great Rewards and Great Careers. Experienced Claims Supervisor: Dallas, TX Salary Range: $85,000 - $124,025 annually- commensurate ... need. Exciting opportunity to join an industry leading Auto Claims team. We are looking for highly motivated ...and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports… more
- Chubb (Southfield, MI)
- …to a brighter future for employees everywhere! We are seeking a skilled Senior Claims Representative to enhance our team. Reporting to the Claims Team Leader, ... you will play a vital role in investigating and managing claims promptly and equitably, in line with established best practices. Key Responsibilities: Conduct… more
- Highlight Health (Philadelphia, PA)
- …Health is a mission-driven company that protects consumer rights and controls healthcare costs exclusively for self-funded employers and their stop loss carriers. We ... are looking for a health coverage large and complex claims analysis expert - an expert who has scrutinized...engineers new ways to protect consumer rights and control healthcare costs for self-funded employers. Nearly every American has… more
- biBERK Insurance Services (Omaha, NE)
- The Commercial Auto Claims Adjuster will be responsible for evaluating and resolving all components of first and third-party auto claims . This position will ... require solid knowledge of auto claims adjusting practices, as well as the ability to...on major holidays 401(k) with company match A fantastic healthcare package Tuition reimbursement after 6 months of employment… more
- Medix (Sherman Oaks, CA)
- …a position at one of our clients. Job Summary Our client is seeking a Claims Auditor responsible for ensuring the quality of claims processes and compliance with ... process improvements, and providing information to all staff. Additionally, the Claims Auditor will conduct special projects and support management by auditing… more
- The LaSalle Group (Chicago, IL)
- …great opportunity to grow your career in a supportive and fast-paced healthcare environment. You'll handle claims processing, insurance verification, denial ... customer service. Medical Biller Responsibilities: Review and submit provider claims accurately and efficiently Verify insurance information with patients and… more
- Sante Health (Fresno, CA)
- …care, and leadership in our community. Sante is one of the largest healthcare claims and billing management companies in Central California. The strength ... the opportunity to build a satisfying career with an established and respected healthcare organization. Wondering how to apply? It's easy! Apply for this position by… more
