• BILINGUAL Claims Research & Resolution…

    Humana (Oklahoma City, OK)
    …a part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that ... involve customer contact, investigation, and resolution of claims . The Bilingual Claims Research & Resolution Representative 2 performs varied activities and… more
    Humana (04/25/24)
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  • Worker's Compensation Claims

    Ryder System (Oklahoma City, OK)
    …Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Claims Representative handles complex and mid-to-high ... exposure bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates...all relevant laws and regulations as well as related medical and legal terminology + Requires strong claim technical… more
    Ryder System (04/23/24)
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  • Claims Representative - General…

    Sedgwick (Oklahoma City, OK)
    …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - General Liability / Bodily Injury | CST & EST ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...medical , dental vision, 401K on day one. \#claimsexaminer # claims Sedgwick is an Equal Opportunity Employer and a… more
    Sedgwick (04/24/24)
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  • Claims Representative - Auto

    Sedgwick (Oklahoma City, OK)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process ... low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
    Sedgwick (04/28/24)
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  • Complex Claims Manager, Long Term…

    Guardian Life (Oklahoma City, OK)
    **Complex Claims Manager, LTD Claims ** The Complex Claims Manager, LTD Claims is responsible for making accurate decisions on assigned complex claims ... federal guidelines, and established protocols. This position will manage a portfolio of claims which have complexities driven by things including but not limited to… more
    Guardian Life (04/17/24)
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  • Claims Case Manager II, Supplemental Health

    Guardian Life (Oklahoma City, OK)
    …telephone for information needed on initial and ongoing claim management ( medical information, accident details, hospital services). + Communicate claim status and ... decisions via telephone and in writing. + Prioritize and review new claims to adhere to established departmental turnaround times. + Meet productivity requirements… more
    Guardian Life (04/11/24)
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  • Medical DME Representative

    Randstad US (Oklahoma City, OK)
    medical dme representative - oklahoma only. +...+ HIPAA + Basic Medical Terminology + Medical Secretary Duties + EHR/Epic + Claims Processing ... job details Our client, a large healthcare company, is looking fora Medical DME Representative in the state of Oklahoma to support a WFH/Remote role. This… more
    Randstad US (05/02/24)
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  • Financial Underwriter Representative

    Humana (Oklahoma City, OK)
    …our caring community and help us put health first** The Financial Underwriting Representative 3 computes rates for both renewing and prospective moderate to complex ... Dental, Vision, Life and Disability products. The Financial Underwriting Representative 3 performs advanced administrative/operational/customer support duties that require… more
    Humana (04/30/24)
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  • Customer Service Representative - Work…

    CVS Health (Oklahoma City, OK)
    …excellent customer services for high volume in bound provider calls for the Claims Inquiry/ Claims Research team. Extensive claims research on multiple ... + Assists in compiling claim data for customer audits. Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating… more
    CVS Health (03/09/24)
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  • Outside Sales Representative - Electrical…

    Graybar (Oklahoma City, OK)
    Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
    Graybar (02/23/24)
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  • Representative , Customer Service I (Fully…

    Evolent Health (Oklahoma City, OK)
    …+ Answer and manage inbound inquiries regarding health plan benefits and claims , eligibility, medical and other healthcare procedures, billing and payments ... care, Commercial, Marketplace, Medicaid and/or Medicare programs; knowledge of medical policy benefits and exclusions - **Preferred** **Technical Requirements:** We… more
    Evolent Health (04/23/24)
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  • First Party Examiner

    Robert Half Accountemps (Oklahoma City, OK)
    Description We are seeking a Temporary-to-Hire Insurance Claims Customer Care Representative to join our team. This role involves providing exceptional customer ... service to clients navigating insurance claims processes. As a pivotal point of contact, you...United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance. Hired… more
    Robert Half Accountemps (04/16/24)
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  • VP Clinical Operations

    Sedgwick (Oklahoma City, OK)
    …guidelines. + Assures efficient, cost effective, quality program delivery for medical and disability management. + Responsible for clinical oversight of dedicated ... and experience required to include five (5) years of medical case management, three (3) years of managed care...is selected to advance to the next round, a representative from Sedgwick will be in touch. The statements… more
    Sedgwick (04/09/24)
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  • Field Operations Project Manager 1 - Utilities

    Jacobs (Oklahoma City, OK)
    …on job progress, labor, equipment and material used. Acts as on-site Company representative and liaison with all state and local government officials as applicable. ... emergency incidents, including natural disasters. Coordinates with Customer Service Field, Claims , Public Affairs, Gas Engineering, and Outreach teams as needed. *… more
    Jacobs (03/27/24)
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  • Manager, Fraud and Waste * Special Investigations…

    Humana (Oklahoma City, OK)
    …Bachelor's Degree in health or business related field + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC ... of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and… more
    Humana (04/30/24)
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