- TRP Infrastructures (Fort Worth, TX)
- …record keeping. Problem-solving and decision-making skills. Experience in risk management and claims processing . Benefits * Health Insurance *Dental Insurance ... in accordance with the law. Requirements Claim Management Investigating and processing workers' compensation and liability claims . Determining eligibility for… more
- IQVIA, Inc. (Cleveland, OH)
- Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, ... are looking for a 100% remote (work from home-WFH) contact Patient Support Medical Claims Processing Representative to join our team. In this position, you will… 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
- Sedgwick (Brea, CA)
- …specific client service requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate ... settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the… more
- EssilorLuxottica (Mason, OH)
- …Manager, Director Claims & Payments and other internal customers to identify claims processing discrepancies due to system setup issues that require cross ... or equivalent work experience 3+ years of experience in Claims or Data processing / testing Knowledge...complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various… more
- Sedgwick (Marlton, NJ)
- …medical only claims . Adjusting low and mid-level liability and/or physical damage claims under close supervision. Processing disability claims of minimal ... claims files and properly coding claim activity. Communicating claim action/ processing with claimant and client. Supporting other claims examiners and… more
- Insperity (Chatsworth, CA)
- … health plan) Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines. Experience with CPT-4, ICD-10-CM, RBRVS, ASA, ... and impact. This is your moment if you're driven to ensure timely and accurate claims processing while supporting a people-first mission. Apply now and help us… more
- Sentry (Stevens Point, WI)
- …skills along with a strong desire to assist customers. Provides prompt investigation, processing and settlement of claims with minor exposures. Requires the ... An entry-level Claims Customer Service position requiring a learning nature,...and damages such as material damage and medical bill processing . Entry-level role for associates who are new to… more
- GEICO (Katy, TX)
- …staff scheduling and workload distribution to maintain operational efficiency. 2. Claims Processing : *Oversee the review, investigation, and settlement of ... your team in the investigation of coverage, determination of liability and damages, and processing and settling claims . The ideal candidate will have a proven… more
- Impresiv Health (Irving, TX)
- …insurance and/or medical terminology. Experience working with appropriate claims processing procedures and documentation About Impresiv Health : Impresiv ... 1-2x per week in office Description: Processes less complex or small standard claims to ensure accurate and timely completion. What You Will Do: Enters insurance… 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
- NTT DATA Group Corporation (St. Louis, MO)
- …fee schedule Required Skills/Experience *Minimum of 1 year hands-on experience in healthcare claims processing *Minimum of 2 years using a computer with Windows ... a Remote Claims Processor to work remote (MO). Role Responsibilities: * Processing of Professional claim forms files by provider *Reviewing the policies and… more
- Kaiser Permanente (Denver, CO)
- … processing , applicable insurance laws and regulations and procedures related to claims processing , including Medicare, Medicaid, work comp and no fault. ... inpatient/outpatient setting required. Minimum of six (6) months of experience researching and processing medical claims required. Minimum of six (6) months of… more
- Sedgwick (Syracuse, NY)
- …practices, and specific client service requirements. ESSENTIAL RESPONSIBLITIES Analyzing and processing claims through well-developed action plans to an ... settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the… more
- Allied World Assurance Company Holdings, Ltd (Farmington, CT)
- …closely with our claims analysts to resolve issues and ensure smooth processing of claims . v Provide top-notch customer service by responding promptly to ... Description Claims Assistant/Sr. Claims Assistant -North American...respond in non-traditional ways. Our generous benefits package includes: Health , Dental and Disability Insurance, a company match 401k… more
- Sedgwick (West Des Moines, IA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Recovery Our teams connect! We collaborate in the office. Our ... physical, financial and professional needs. PRIMARY PURPOSE: Processes and reviews subrogation claims across all lines of business and all jurisdictions within an… more
- Foundation Risk Partners (Rockville Centre, NY)
- … Specialist supports the Vice President of Risk Management by receiving and processing incoming workers' compensation claims , assisting with overall claims ... firms in the US, is adding a Workers' Compensation Claims Specialist to their Durnan Group in Rockville Centre,...by law. Benefits: FRP offers a comprehensive range of health -related benefit options including medical, vision, and dental. We… more
- Navitus Health Solutions, LLC (Brentwood, TN)
- …operational issues, analyze, and identify solutions to resolve issues in benefit setup, claims processing , member eligibility and benefit accumulators as well as ... team at an exciting time in our history. The Claims Operations Analyst will be a key member of...core operations and become a key individual contributor. The Claims Operations Analyst will be responsible for working with… more
- Sedgwick (Roseville, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (Commercial Auto) Are you looking for an opportunity to ... best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing… more
- PGBA, LLC (Myrtle Beach, SC)
- Summary Responsible for the accurate and timely processing of claims . Description Logistics: PGBA - one of BlueCross BlueShield's South Carolina subsidiary ... process claims according to business regulation, internal standards and processing guidelines. Verify the coding of procedure and diagnosis codes. Resolve system… more
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