- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000116 Date: Jun 19, 2024 Location: TALLAHASSEE, FL, US, 32301 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 822431 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000116 Pay Plan: Lottery Exempt Serv… more
- Providence (Mission Hills, CA)
- …best people, we must empower them. **Required qualifications:** + 2 years HMO claims processing experience in a managed care environment, preferably PMG/IPA ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills 11165… more
- Providence (Anaheim, CA)
- …+ Bachelor's Degree or equivalent education/experience. + 10 or more years HMO claims processing and/or auditing experience in a managed care environment, ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W… more
- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... information for claim or reconsideration. Required QualificationsRequired 2+ years of Medical claims processing experience Familiar with ICD and CPT coding… more
- Community Clinic Inc. (Silver Spring, MD)
- …a more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are...center personnel in maintaining accuracy in data elements and processing crucial to effective claims processing… more
- 2-10 Home Buyers Warranty (Chantilly, VA)
- Inbound Claims Specialist II - Remote **Immediately hiring for 7/8 start date** Targeted compensation: $19-$22/hrCompensation commensurate with experience and ... enjoys working in a team environment. As an Inbound Claims Specialist II, you will apply your...skills and exceptional verbal communication skills. + 3+ years claims handling or processing experience; Property, Auto,… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix...and deadlineswith extreme attention to detail and ownership + Claims Processing experience ( **preferred** **)** +… more
- Randstad US (Rocky Mount, NC)
- logistics claims specialist . + rocky mount ,...(2 years of experience is required) + Logistics + Claims Processing Qualifications + Years of experience: ... Claims Representative position. We are currently recruiting for an Claims specialist opportunity at leading supply chain solutions company. It is a office… more
- Magellan Health Services (Maryland Heights, MO)
- …2+ years of claims processing experience. General Job Information Title Claims Systems Specialist I Grade 20 Work Experience - Required Claims ... Claims Operations by investigating and resolving systemic issues relative to claims processing system files and interfaces for membership, authorizations,… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult surety and surety bond claims ; to provide resolution of highly complex nature and/or...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- HCA Healthcare (Asheville, NC)
- …where diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the Elderly) Program ... may vary by location._** We are seeking Insurance and Claims Specialist PACE Program, for our team...works with contracted, new, and potential network vendors regarding claims processing and payment concerns and appeals… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Complex Claim Specialist will be responsible for contacting all parties involved...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- Crawford & Company (Boston, MA)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- Crawford & Company (Portland, OR)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- Pike Corporation (Mount Airy, NC)
- Position Overview: The primary purpose of the Assistant Claims Specialist is to support the Claims dept. and work closely with the Claims Specialists in ... + Supports organization and specialists with maintenance of internal database and claims processing . + Handles multiple functions related to business operations,… more
- CVS Health (St. Paul, MN)
- …problems. Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity ... affordable. Position Summary Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Reviews and… more
- CenterWell (Topeka, KS)
- …and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer ... help us put health first** As an **Accounts Receivable Specialist /Healthcare Claims Denial Specialist ** ,...or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare… more
- Crawford & Company (Seattle, WA)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist ... Claims Specialists. **Responsibilities** + Leverage strong understanding of claims processing to provide research support for...member satisfaction + Serve as the escalation point for Claims Specialist ; provide guidance and mentoring to… more
- Lincoln Financial Group (Columbus, OH)
- …our ever-growing claims organization. As a Voluntary Claims Specialist you will be responsible for administering, processing , and adjudicating Accident, ... excited to bring on highly motivated Voluntary Claims Specialist I to staff...Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training… more
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