- Premier Administrative Solutions (Clearwater, FL)
- Overview Health Insurance Medical Claims Examiner (Initial Training On Site - 90 days - Remote position after training in FL) Must live within a reasonable ... Summary: The Medical Claims Examiner adjudicates medical claims based on health policy provisions and... Examiner adjudicates medical claims based on health policy provisions and established guidelines. Essential Duties and… more
- TRP Infrastructures (Fort Worth, TX)
- …keeping. Problem-solving and decision-making skills. Experience in risk management and claims processing. Benefits * Health Insurance *Dental Insurance *Vision ... Workers' Compensation and Liability Specialist you will manage and process the claims related to workplace injuries and accidents, ensuring compliance with relevant… more
- Trinity Health (Livonia, MI)
- Employment Type: Full time Shift: Description: Claims Analyst Location: Trinity Health PACE Corp Michigan, Livonia, MI Status: Full time Shift: 730 am to 4 pm or ... experience preferred. Experience with Medicare reimbursement rules and CMS-1500 & UB-04 claims preferred. Previous experience with PACE Health Plan Operation,… more
- Mary Free Bed Rehabilitation Hospital (Grand Rapids, MI)
- …Job Qualifications *Prior experience in health navigation *Experience with health insurance claims management Physical Requirements for Essential Job ... Health Navigator -RN Health Navigator RN Summary The Health Navigator helps our members move through the healthcare system through educating members and… more
- Michael Page (Skokie, IL)
- …Review: Oversee the review and approval of product labels, marketing materials, and health claims to ensure compliance with legal and regulatory requirements. ... foods. Committed to science, quality, and consumer trust, they create advanced health and wellness products that meet top industry standards and anticipate market… more
- Beloit Health System (Beloit, WI)
- …independently (WI and IL residents only) Be responsible for accurate billing of health system services Prepare claims for billing through edit resolution Ensure ... Insurance/Billing We offer competitive pay. Our benefits package includes exceptional health and dental insurance, a generous vacation allowance, daycare assistance… more
- Cynet Systems (Baltimore, MD)
- …functions. Education Level: High School Diploma. Experience: 3 years experience in health care claims /service areas or office support. Preferred Qualifications: ... which may include benefit verification, authorization creation and management, claims inquiries and case documentation. 35% Reviews authorization requests for… more
- Ourisman Volkswagen of Bethesda (Bethesda, MD)
- …skills, with the ability to resolve discrepancies and issues related to warranty claims . Benefits Health , dental, and vision insurance Life insurance options ... is seeking a detail-oriented and organized Warranty Clerk to manage warranty claims and ensure efficient processing and reimbursement. The Warranty Clerk will work… more
- Gallagher (Downers Grove, IL)
- …Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to ... role is eligible for fully remote work. How you'll make an impact Apply claims management experience to execute decision-making to analyze claims exposure, plan… 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
- Curative HR LLC (Monrovia, CA)
- Claims Negotiation Specialists are needed to combat rising healthcare costs and empower health plans! Until recently, surprise medical bills were a leading cause ... instead prescribing a system of negotiation and arbitration that health plans and providers must follow to resolve billing...and providers must follow to resolve billing disputes. The Claims Negotiation Specialists primary goal will be to maximize… more
- Sedgwick (Brea, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation, Claims Examiner | Hybrid - Brea, CA Are you looking for an opportunity ... best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing… more
- EssilorLuxottica (Mason, OH)
- …industry. Discover more by following us on LinkedIn. GENERAL FUNCTION The Sr Analyst, Claims Testing is responsible for the complete claims validation for client ... testing. The Sr Analyst with be the liaison to Claims Testing Manager, Director Claims & Payments...complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various… more
- Sedgwick (Marlton, NJ)
- …in Financial Services & Insurance Industry Advancement Program | Workers Compensation Claims Representative Trainee | Marlton, NJ Are you looking for an impactful ... trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. ARE YOU AN IDEAL CANDIDATE? We are seeking… more
- Holland America Group (Miami, FL)
- …Boat promises something for everyone. We are looking for an amazing Director, Guest Claims Management to fill this role, which is based in our Miami office. Oversees ... the guest claims team of 7 adjusters and the supervisor for...Cruise and Travel Privileges for You and Your Family Health Benefits 401(k) Employee Stock Purchase Plan Training &… more
- FBL Financial Group (West Des Moines, IA)
- Catastrophe Claims Representative Inside Are you looking for an exciting career where you can directly impact someone's life? We are seeking a service-minded ... individual to join our Catastrophe (CAT) Claims team! Who We Are: With Farm Bureau Financial...We offer an enhanced 401K with a match, low-cost health , dental, and vision benefits, and life and disability… more
- Corvel (Norristown, PA)
- The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while ... adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance,… more
- Chubb (Dallas, TX)
- Job Description ESIS is seeking a Claims Representative, AGL to handle commercial automobile and general liability claims for our client accounts. The Claims ... the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. Duties include but… more
- Insperity (Chatsworth, CA)
- Description & Requirements Medical Claims Examiner - Chatsworth Join a team where your attention to detail and commitment to quality care make a difference. Thrifty ... dedicated MSO for Preferred IPA of California, seeks a skilled and compassionate Claims Examiner to help us deliver exceptional healthcare support. In this role, you… more
- Sedgwick (Long Beach, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Long Beach or Roseville, CA (Hybrid) Are you looking for ... best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing… more
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