- IQVIA (New Providence, NJ)
- …are looking for a 100% remote (work from home -WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this ... **Patient Support Medical Claims Processing ...**Patient Support Medical Claims Processing Representative** _Remote Role...+ High School Diploma or equivalent + Experience in claim processing required + Medical … more
- AssistRx (Phoenix, AZ)
- …Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim ... Partners with claim adjudication vendors ensure proper claims processing and data integrity. + Monitor...team members. + Subject Matter Expert on reviewing and processing of medical claims submitted… more
- Trinity Health (Livonia, MI)
- … claim process activities, opening and closing claim files, securing medical records for claims and incidents, tracking claim expenses and ... behavior. **MINIMUM QUALIFICATIONS** Must possess a comprehensive knowledge of liability claims processing and administration. High school diploma plus a… more
- EquipmentShare (St. Louis, MO)
- …(On call during the weekend only in special circumstances) Primary Responsibilities + Claims Processing : Efficiently process insurance claims from initiation ... customers filing claims . Guide them through the claims process, keeping them informed of their claim...in a customer service role, with prior experience in claims processing or the car rental industry… more
- Sedgwick (Concord, NH)
- … 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
- Teva Pharmaceuticals (Parsippany, NJ)
- …work related experience will be considered. Experience Required: + Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company ... Medicaid Claims Analyst Date: Dec 4, 2025 Location: Parsippany,...Minimum of 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets,… more
- Sedgwick (Milwaukee, WI)
- … 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
- Sedgwick (Helena, MT)
- …and files necessary documentation with state agency. + Communicates claim action/ processing with claimant, client and appropriate medical contact. + Ensures ... claim files are properly documented and claims coding is correct. + May process routine payments...routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical… more
- Sedgwick (Charleston, WV)
- … 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
- Sedgwick (Cedar Rapids, IA)
- … 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
- New York State Civil Service (Albany, NY)
- …include, but are not limited to:* Oversee all aspects of workers compensation claims processing from inception to closing* Initially determine the compensability ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 - NYHELPS Occupational...* Respond to requests for home modifications, home health care personnel, medication, and medical … more
- Humana (San Juan, PR)
- …+ High School Diploma or equivalent. + Minimum of two years' proven experience in processing and adjudicating medical claims , with a track record of accurate ... caring community and help us put health first** The Claims Review Representative makes appropriate claim decision...Exceptional attention to detail and accuracy in reviewing and processing claims . + Ability to quickly adapt… more
- Sedgwick (Sacramento, CA)
- …attends mock trials, focus groups, mediations, settlement conferences, and trials. + Prepares claim processing instructions for use by TPA, prepares and revises ... Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Manager | Staff Attorney | Public Entity Pooling...Sacramento, CA Sedgwick office, and 3 days' work at home . The role will require (~5%) travel for in… more
- Sedgwick (Charleston, WV)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower-level injury claims ; assesses damage, makes payments, and ensures claim files are ... and pursues subrogation opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- Pacific Medical Centers (Renton, WA)
- …large group practice setting. + Experience with areas of specialty claim processing (COB, Adjustments, Point of Service, Home Health and Encounters). + ... years in Managed Care operations. + 1 year of Claims processing experience, in a TPA, MSO,...to submit your concern. **Requsition ID:** 404135 **Company:** Pacific Medical Jobs **Job Category:** Claims **Job Function:**… more
- Sedgwick (Nashville, TN)
- …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... and risk transfer opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- NTT DATA North America (MO)
- …methodology/ fee schedule/ **Required Skills for this role include:** + 2+ year(s) of Medical Claims experience + 2+ year(s) using a computer with Windows ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...this Role the candidate will be responsible for:** + Processing of Professional and Hospital claim forms… more
- GuideOne Insurance (Lincoln, NE)
- … Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...coverage and reservation of rights letters. + Maintains effective claim file documentation and diary system. Monitor diary to… more
- Health Care Service Corporation (Quincy, IL)
- …experience. * Clear and concise written and verbal communication skills. * Experience processing medical claims . Preferred Job Qualifications: * Referral ... * Must have trained on the six-eight-week Blue Chip claims processing system or have the ability...the six-eight-week Blue Chip Training class. * Knowledge of medical terminology and CPT, HCPCS, and ICD9 coding. *… more
- Sedgwick (Columbia, SC)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... LOCATION** **Marlton, NJ - Hybrid (3 days work from home )** **Open to remote for candidates outside of commutable...to office** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to… more