- Eric Jaslow - State Farm Agency (Nyack, NY)
- …take corrective actions when necessary. May be involved in managing budgets, processing daily deposits, and handling payroll and bookkeeping in smaller agencies. ... responding to inquiries regarding policy changes, coverage, billing, and claim submissions. Relationship management: Establish strong customer relationships and… more
- AssistRx (Phoenix, AZ)
- …Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim ... duplicates) + Partners with claim adjudication vendors ensure proper claims processing and data integrity. + Monitor and remediate medical and pharmacy… more
- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SUPERVISOR - 36000333 Date:...to team members. Assist in preparing the How to Claim web page information for all new promotions. + ... . Requisition No: 866202 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SUPERVISOR - 36000333 Pay Plan: Lottery Exempt Serv Position Number:… more
- IQVIA (New Providence, NJ)
- **Patient Support Medical Claims Processing Representative** _Remote Role - Location (Open to Remote US)_ As the only global provider of commercial solutions, ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
- Boston Mutual Life Insurance (Canton, MA)
- …Executive Vice President of Customer Experience. This role will also manage our external claims partners. ** Claim Processing ** : + Directs and oversees the ... handling of all insurance claims . + Ensure timely and accurate claim processing . + Implements processes and procedures for all aspects of claims . +… more
- MVP Health Care (Rochester, NY)
- …and Macess Systems. + Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + ... continuous improvement. To achieve this, we're looking for a Claims Examiner to join #TeamMVP. If you have a...Reviews and ensures the accuracy of all changes to claim line information based on information received from other… more
- Ryder System (Augusta, ME)
- …claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs… more
- AIG (Lenexa, KS)
- …party contractors or by internal claim handling teams associated with the processing of commercial or personal line claims . + Generate monthly reports that ... need to succeed + Proven claim adjudication or claim operations experience for multi-line commercial claims . Claim Audit or file review experience is… more
- NTT DATA North America (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims processing to join our team in Plano, Texas (US-TX), United ... In these roles you will be responsible for: Review and process insurance claims . Validate Member, Provider and other Claim 's information. Determine accurate… more
- Travelers Insurance Company (San Diego, CA)
- …As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and customer ... claims handling process **What Will You Do?** + Provide quality claim handling of auto claims including customer contacts, coverage, investigation,… more
- Sedgwick (Plano, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Molina Healthcare (Buffalo, NY)
- …updates/changes to member enrollment, provider contract, provider demographic information, and/or claim processing guidelines. Evaluates the accuracy of these ... communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims … more
- Travelers Insurance Company (West Bridgewater, MA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site...mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the… more
- Providence (Mission Hills, CA)
- …of functional area ie, claims operations, + HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. ... Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- CVS Health (Tallahassee, FL)
- …+ 3+ years of experience in medical billing and coding, specifically related to claims processing and root cause analysis. + 3+ years of experience with ... non-participating providers. Additionally, they will assist in creating bulletins, newsletters, and claim trainings to improve provider claims issues. as well as… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Claims Processing + **Schedule:** Full Time, Days + **Facility:** Ascension Medical Group + **Location:** Jacksonville, FL ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- CVS Health (Hartford, CT)
- … claim or reconsideration. **Required Qualifications** - 18+ months of medical claim processing experience. - Experience in a production environment. - ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- CVS Health (Franklin, TN)
- …Description **A Brief Overview** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. **What ... timely support. + Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing...Minimum Requirements** + 2+ years of experience with medical claim processing . + 2+ years of experience… more
- Trinity Health (Livonia, MI)
- …behavior. **MINIMUM QUALIFICATIONS** Must possess a comprehensive knowledge of liability claims processing and administration. High school diploma plus a ... coordinating claim process activities, opening and closing claim files, securing medical records for claims ...closing claim files, securing medical records for claims and incidents, tracking claim expenses and… more
- Highmark Health (Topeka, KS)
- …and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, ... **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health… more
