• Liability Claims Representative

    Sedgwick (Columbia, SC)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
    Sedgwick (08/01/24)
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  • Commercial Auto Claims

    Sedgwick (Columbia, SC)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Commercial Auto Claims Representative - Liability **PRIMARY PURPOSE** : To analyze and ... related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing ,...party claims . + Knowledge of total loss processing , State salvage forms and title requirements. + Excellent… more
    Sedgwick (08/07/24)
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  • Senior Product Manager - Claims

    HealthEdge Software Inc (Columbia, SC)
    …suite includes the industry's leading, digital,next-generationclaims administration processing system, business intelligence, integration capabilities, a unique ... to industry configuration and promotion application, and home and host processing support available on both public and private clouds. The fact is, a Core… more
    HealthEdge Software Inc (09/11/24)
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  • Call center Representative

    US Tech Solutions (Columbia, SC)
    …of new employees and cross training of coworkers. **Experience:** + 1 year of claims processing or customer service experience OR Bachelor's Degree in lieu of ... **Job Title: Call Center Representative ** **Location: 4101 Percival Road, Columbia, SC 29229**...Diploma or equivalent Required Work Experience: 1 year of claims processing or customer service experience OR… more
    US Tech Solutions (09/26/24)
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  • Grievances & Appeals Representative 4

    Humana (Columbia, SC)
    …Previous inbound call center or related customer service experience + Previous experience processing medical claims + Bilingual (English and Spanish); with the ... help us put health first** The Grievances & Appeals Representative 4 manages client denials and concerns by conducting...clinical and other Humana parties. The Grievances & Appeals Representative 4 assumes ownership and leads advanced and highly… more
    Humana (09/24/24)
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  • Customer Service Representative

    US Tech Solutions (Columbia, SC)
    …of new employees and cross training of coworkers. **Experience:** + 1 year of claims processing or customer service experience OR Bachelor's Degree in lieu of ... 8am -4:30pm + NICE TO HAVE skill sets/qualities: knowledge of Excel, detailed oriented, and claims knowledge would be a plus. + A typical day would be like this… more
    US Tech Solutions (09/25/24)
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  • Group insurance representative

    US Tech Solutions (Columbia, SC)
    …to ensure appropriate documentation is received for accurate and timely processing . Verifies all group submissions are in compliance with BCBS underwriting ... Reviews rating for workers' compensation and out of state employees. Retrieves claims historical information. Acquires necessary approval from Companion Life. + 15%… more
    US Tech Solutions (07/20/24)
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  • Customer Service Representative

    TEKsystems (Elgin, SC)
    …Diploma or equivalent required. Associate Degree preferred. + Experience: 1 year of claims processing or customer service experience, or a Bachelor's Degree in ... with the ability to operate multiple systems efficiently. Knowledge of word processing , spreadsheets, and databases is a plus. Qualifications: + Education: High… more
    TEKsystems (09/21/24)
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  • Senior Manager, Product Operations

    HealthEdge Software Inc (Columbia, SC)
    …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream… more
    HealthEdge Software Inc (09/21/24)
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  • Director, Product Management (Billing/Financials)

    HealthEdge Software Inc (Columbia, SC)
    …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream… more
    HealthEdge Software Inc (09/21/24)
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  • Product Manager, Commercialization/GTM

    HealthEdge Software Inc (Columbia, SC)
    …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital,next-generationclaims administration processing system, business intelligence, integration capabilities, a unique to… more
    HealthEdge Software Inc (09/20/24)
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  • Associate Technical Services Engineer

    HealthEdge Software Inc (Columbia, SC)
    …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... a unique to industry configuration and promotion application, and home and host processing support available on both public and private clouds. The fact is, a… more
    HealthEdge Software Inc (09/11/24)
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  • Sr Manager, Product Design

    HealthEdge Software Inc (Columbia, SC)
    …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital,next-generationclaims administration processing system, business intelligence, integration capabilities, a unique to… more
    HealthEdge Software Inc (09/11/24)
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  • Customer Service Representatives/Healthcare…

    Sutherland Global Services (Columbia, SC)
    …and distraction-free dedicated workspace **Duties & Responsibilities;** + Assist providers with claims and claims investigations + Status Inquiries + Denial ... a high-volume call center environment as a customer service representative + Effective verbal and written communication skills +...or coding + 1-2 years of experience with back-end processing **_IMPORTANT NOTE_** : This job is open only… more
    Sutherland Global Services (09/21/24)
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  • Reimbursement Coordinator

    Cardinal Health (Columbia, SC)
    …needs of the patient and/or program + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance ... what appropriate action is needed for the Benefit Investigation processing + Working alongside teammates to best support the...practices, preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience + 1-2 years'… more
    Cardinal Health (08/23/24)
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