- Integrity Marketing Group (Clearwater, FL)
- …each of our employees a place where they can excel. Job Summary Analyze claims to determine the extent of insurance carrier liability. Interpret contract ... About Insurance Administrative Solutions Insurance Administrative Solutions...benefits in accordance with specific claims processing guidelines. Receive, organize and make daily use… more
- APS Medical (Toledo, OH)
- …locations throughout the United States. Responsibilities Follow up on unresolved claims within the standard billing cycle Investigate, identify, research, and appeal ... denied claims Ensure accuracy and quality work on a day-to-day...and regulations in various states; across government and non-government insurance carriers Strong computer and typing skills as well… more
- Molina Healthcare (Long Beach, CA)
- …portals to validate state, vendor, and internal COB leads. Updates the other insurance table on the claims transactional system and COB tracking database. ... other carriers are responsible for payment. This requires the maintenance of other insurance records and has a direct impact on medical expenses and premium… more
- Lili (New York, NY)
- …to decisioning, working with customers, the Lili customer service team and our payment processor to support this function. You will be expected to adhere to all ... dispute through the investigation and resolution. Review of outstanding claims in a timely manner to meet applicable regulations...is located outside New York City. Stock Options Health Insurance Benefits Vision Insurance Dental Insurance… more
- Property Damage Appraisers (Albany, NY)
- …the client and or claimant. CONTRACT REQUIREMENTS INCLUDE: *1 + years field claims experience including auto claims ; *Electronic estimating experience using one ... and local market pricing; *Has a working knowledge of Department of Insurance and State Regulations; *Submits detailed auto inspections, reports summarizing the… more
- UPMC Senior Communities (Pittsburgh, PA)
- …actions; submission of prescription information to correct insurance processor , troubleshoot and resolve rejected claims , reliably coordinate multiple ... PRIOR AUTHORIZATION PROCESSING: possess a high level of knowledge regarding insurance prior authorization process including communication with patient and health… more
- System One (Fairfax, VA)
- …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...coverage options including medical, dental, vision, spending accounts, life insurance , voluntary plans, as well as participation in a… more
- Tufts Medicine (Boston, MA)
- … inquiries, invoices, generation of system and excel based reports related to claims and insurance , managing phone inquiries, and the distribution of mail. ... 2. Two (2) years of more progressively responsible experience processing claims . **Preferred Qualifications:** 1. Associate's degree. 2. Insurance experience.… more
- CACI International (Chantilly, VA)
- …Claims Processor , your duties will include analyzing and processing insurance claims , negotiating settlement elements, and maintaining accurate claims ... Claims Processor Customer Service Job Category:...these policies and regulations. **Responsibilities:** + Analyze and process insurance claims + Negotiate settlement terms +… more
- City of New York (New York, NY)
- …of Citywide Administrative Services (DCAS) seeks to hire a Claims Processor within Human Capital's Unemployment Insurance Unit. The Unemployment Insurance ... The Unemployment Insurance (UI) unit seeks to hire one (1) Claims Processor to support the UI Administrative Manager. With latitude to exercise independent… more
- TEKsystems (Brookfield, WI)
- …PM or 8:30 AM-5:00 PM About the Role Seeking a detail-oriented and experienced Claim Processor to join our growing team. This role is critical to our Medicaid line ... of business expansion and involves processing healthcare claims with accuracy and efficiency. If you have a...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- NTT DATA North America (MO)
- **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** : Non-Exempt **Department** : Operations **Level** : Entry to mid-level ... Work independently to research, review and act on the claims * Prioritize work and adjudicate claims ...offered. Company benefits may include medical, dental, and vision insurance , flexible spending or health savings account, life, and… more
- NTT DATA North America (St. Louis, MO)
- …the people who work here. NTT DATA is seeking to hire a **Remote Claims Processor ** to work **remote (MO).** **Role Responsibilities:** * Processing of ... Work independently to research, review and act on the claims * Prioritize work and adjudicate claims ...offered. Company benefits may include medical, dental, and vision insurance , flexible spending or health savings account, life, and… more
- Conduent (OH)
- …be part of a culture where individuality is noticed and valued every day. ** Claims Processor (Remote)** Are you detail-oriented with claims experience and ... looking for a remote opportunity where your performance is rewarded? We're hiring Claims Processors to join our team! Pay & Schedule: + Training Pay: $18/hour… more
- TEKsystems (Brookfield, WI)
- Description As a Claims Analyst II you will be tasked with the following: - Examine and process paper claims and/or electronic claims . - The person in this ... role determines whether to return, pend, deny or pay claims within established policies and procedures. - Determines steps...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- US Tech Solutions (Myrtle Beach, SC)
- …**Job Description:** + Responsible for the accurate and timely processing of claims . + Research and processes claims according to business regulation, ... coding of procedure and diagnosis codes. Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.… more
- Conduent (Honolulu, HI)
- …of Medicaid Claims data in the company systems + Verify and process insurance claims + Ensure accuracy, completeness and compliance with company policies and ... and company policies and guidelines + Experience in medical claims data-entry or similar a plus + Able to...provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and… more
- TEKsystems (Hillsboro, OR)
- A National Insurance and Financial company is looking to add a Hybrid Claims and Benefits Processor to their team in Hillsboro, Oregon! This position would ... interested in candidates with experience in Financial or Healthcare Claims ! Job Description The main function of the Benefits...! Job Description The main function of the Benefits Processor is to analyze disability claim information, make benefit… more
- NJM Insurance (Trenton, NJ)
- …a century, NJM is a leading provider of worker's compensation, automobile, and homeowners insurance in New Jersey. Become a member of our team and you'll be part ... plan, and much more! Our West Trenton MCS (Medical Claims Services) Medical Bill Processing Department has an opening...Bill Processing Department has an opening for a Bill Processor and is seeking a candidate who has excellent… more
- TEKsystems (Austin, TX)
- …in document processing + 2+ years in administrative support + Prior experience in insurance or claims processing is a plus + Technical Proficiency: + Strong ... Document Processor (Remote) Location: Eastern or Central Time Zone...per day-by identifying and uploading documents to the appropriate claims . This position is ideal for someone who is… more
