- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Claims Processing Representative 1 reviews and adjudicates complex or ... specialty claims , submitted via paper. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer… more
- Humana (Washington, DC)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages...(Spanish / English) (see Language Proficiency Testing below)** + ** 1 or more years of Call Center or Telephonic… more
- Ryder System (Washington, DC)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- ASM Research, An Accenture Federal Services Company (Washington, DC)
- …entered; verifies, edits, and generates required letters and documents. + Confirms timely processing of all new claims from receipt through the screening ... opportunities and knowledge management. **Minimum Qualifications** + Associate's Degree or one ( 1 ) years of experience working in a similar environment is required +… more
- CVS Health (Washington, DC)
- …key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic claim ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Patent and Trademark Office (Alexandria, VA)
- …to via various methods. Contacts other agency employees, applicants and their representative in order to obtain or provide information and to explain certain ... grade level is a GS-06. Specialized experience for this position includes: 1 . Experience examining legal documents such as applications, petitions, notices and other… more