- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... 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… more
- NTT DATA North America (MO)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role ... Responsibilities** - Processing of Professional claim forms files by...**Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a… more
- NTT DATA North America (St. Louis, MO)
- …DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this ... Role the candidate will be responsible for:** + Processing of Professional claim forms files by...schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a… more
- Travelers Insurance Company (Houston, TX)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... and processes out-going mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the proper handling of… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY + Department: Pediatric Billing + Schedule: Full- time Days: Monday - Friday + Location: Remote after training in Detroit, MI Prepares and issues ... in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission to third party payers and/or responsible parties. .… more
- AON (LA)
- …develops and prepares regular reports outlining project claims performance. Monitors claims activity to identify early negative claim trends or other issues ... may negatively impact projectperformance.* Is responsible for oversight and processing of workers' compensation claims : What the...position: Aon offers a comprehensive package of benefits for full- time and regular part - time colleagues,… more
- Sedgwick (New Orleans, LA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...maximize settlement. + Performs coverage analysis and opinion as part of the claim process including all… more
- Highmark Health (Frankfort, KY)
- …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
- Sedgwick (Los Angeles, CA)
- …** by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...in mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Axis (New York, NY)
- …protected by law. Accommodation is available upon request for candidates taking part in the selection process. Reinsurance Senior Claim Specialist - ... claims function goals of providing quality and efficient claim service in addition to delivering internal and external...collaborate with team members to ensure timely and efficient processing of claims * Evidence based problem… more
- CVS Health (Plymouth, MN)
- …stop loss carrier. **Required Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with the suite ... join a dynamic team that is an important, strategic part of a Fortune 5 company in one of...role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and… more
- AIG (Atlanta, GA)
- …established guidelines and authority, indemnity and legal payments through the appropriate Claims Processing Systems. + Forecast potential recoveries and updates ... to manage risk. Join us as a Global Marine Claims Recovery Supervisor to play your part ...regional basis including attending mediations and trials as necessary. Claims Handling: + Review assigned claim files… more
- Sedgwick (Roseville, CA)
- … 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
- Zurich NA (Stevens Point, WI)
- …75% of time conversing verbally with stakeholders.This role involves high claim volume, low valueclaim exposure, non-litigated claims with no complex ... for travelproducts and/or benefits embedded within partnership card benefit programs. Claim processing will related to benefits including but not limite… more
- Carnival Cruise Line (Miami, FL)
- …maintaining productivity. + Familiarity with relevant software and databases used for claims processing document management (IRM, Markview, Polar, Siebel, MAPS ... with claimants or their legal representatives. + **Administrating Guest Claims :** This position reviews the guest's claim ...Paid Time Off + Holidays - All full- time and part - time with benefits… more
- HUB International (Irving, TX)
- …VPP/Theft product offerings. This role ensures efficient policy administration, effective claims processing , and excellent customer service, while maintaining ... Coordinate with customers, lenders, dealerships, and insurance providers to facilitate claims processing . While providing exceptional customer service to… more
- Sedgwick (Phoenix, AZ)
- …files are properly documented and claims coding is correct. + Communicating claim activity and processing with the claimant and the client. **QUALIFICATIONS ... service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to...and gathering information to determine the exposure on the claim . + Reporting claims to the excess… more
- Metropolitan Council (St. Paul, MN)
- …of claims . Ensures efficient processing , monitoring, and filing of claims ; compiles reports of claim expenses, and claims status. Investigates ... 390 Robert St. N St. Paul, MN Job Type Full- Time Job Number 2025-00069 Division Regional Administration Department Risk...the following areas: risk management, claims examination, claims administration, claims coordination/ processing , … more
- VNS Health (Manhattan, NY)
- … errors and payment delays. + Oversees the day-to-day operations of the claims processing department, ensuring adherence to established procedures and timelines. ... + Monitors claims processing metrics and identifies opportunities for...processing . + Identifies trends and root causes of claim errors and develops corrective action plans. + Monitors… more
- State of Colorado (Denver, CO)
- …reviewing documentation for eligibility and providing customer service or processing claims for a business. Part - time experience will be pro-rated. ... $51,000.00 Annually Location Denver Metro, CO Job Type Full Time Job Number WAA00056 - 04.25 Department Department of...the law and applying it to the review process. Claims processing duties: + Reviews and analyzes… more