- Humana (Milwaukee, WI)
- …ready to make a meaningful impact in the world of healthcare claims ? As a Claims Representative 2 , you will play a vital role in collaborating with ... for adjustments + Cross trained in multiple areas within the Claims Department + Review and update internal policies and procedures as needed + Provide… more
- New York State Civil Service (Albany, NY)
- …State NY Zip Code 12206 Duties Description Under the general supervision of a Claims Services Representative 2 responsibilities include, but are not limited ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/ 2...settlements * Issue payments and request for reimbursement where claims for supplemental benefits are involved * Review… more
- Dragonfly Health (Mesa, AZ)
- …supervisor or manager._ 1. Assist pharmacies with real-time and retrospective claims adjudication. Adjust and correct authorizations in dispensing and PBM systems ... to ensure timely claims submission. Research and resolve rejected claims ... by contacting hospices for approvals or updated authorizations. 2 . Maintain accuracy of patient profiles, involving authorization status… more
- EquipmentShare (St. Louis, MO)
- Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting applications for a future Claims Representative in the St. ... that truly cares. We're accepting applications for a future Claims Representative role at our rental facility...on claim trends, outcomes, and customer feedback for management review . + Team Collaboration: Work closely with other departments,… more
- Sedgwick (West Des Moines, IA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability and Bodily Injury | Hybrid Are you looking ... equivalent combination of education and experience or successful completion of Claims Representative training required. Bodily Injury experience preferred.… more
- Sedgwick (Shreveport, LA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation | Jurisdiction: Multi State | ... or equivalent combination of education and experience or successful completion of Claims Representative training required. Jurisdiction: Multi State - 15 states… more
- Sedgwick (Fayetteville, NC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation (REMOTE- State License Required)) Are ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **TAKING CARE OF YOU** + Flexible… more
- Sedgwick (Milwaukee, WI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability **PRIMARY PURPOSE** : To process low level ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Phoenix, AZ Are you looking for an ... be required to obtain Arizona Adjuster License. **Experience** Two ( 2 ) years of claims management experience or...combination of education and experience or successful completion of Claims Representative training required. **TAKING CARE OF… more
- Sedgwick (Tulsa, OK)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Representative **PRIMARY PURPOSE** : To process low level workers ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Sedgwick (Las Vegas, NV)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Comp | Las Vegas - In Office Are you ... combination of education and experience or successful completion of Claims Representative training required. **Jurisdiction Knowledge:** Nevada **Licensing:**… more
- The Hartford (San Antonio, TX)
- Claims Representative - CH09CN We're determined...with customers and business partners in the management of claims ; + Review and analyze policies and ... Representative is a claim handling role within Complex Claims Unit - Bodily Injury (CCU-BI). CCU is a...Office especially Word and Excel PREFERRED QUALIFICATIONS: + 1- 2 years of claim handling or equivalent experience (prefer… more
- USAA (Phoenix, AZ)
- …impactful. **The Opportunity** **It is all about learning and growing.** Our Customer Service Claims Representative role may be a new career for you. There's a ... months in-office, you'll have the opportunity to work offsite 2 days a week.** Military veterans and spouses are...Norterra Drive, Phoenix, AZ 85085)** as a Customer Service Claims Representative . You will be part of… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*RCM Representative Senior*to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely ... Knowledge of applicable federal and state regulations **Title:** *RCM Representative Senior, Third-Party Claims -HB&PB* **Location:** *MN-Minneapolis-Downtown Campus*… more
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative ** to join our team in **for a remote position** . This ... is a US based, W- 2 project. All candidates will be paid through NTT...compliance training of NTT Data/Client -Work independently to research, review and act on the claims -Prioritize… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …status of the issue. + Adjust claim(s) as warranted based on discussion and review of the provider's issue. + Deliver all information and questions in a positive, ... applicable state and federal regulations. Education and Experience : + HS Diploma + 2 years of college preferred About us: Centers Plan for Healthy Living (CPHL), is… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Manager | Staff Attorney | Public Entity Pooling | Hybrid Are you ... work, your location, and your career path. **Hybrid** setting 2 days in the Sacramento, CA Sedgwick office, and...8+ years of experience collaborating with outside counsel and claims examiners to oversee litigated claims ? Have… more
- CRC Insurance Services, Inc. (NY)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... 1. Bachelor's degree with a concentration in business or equivalent work experience 2 . Three years of Claims handling experience and commercial and multi-line… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …process ensuring proper documentation was created in the system and/or files. 7. Review claims and approve payments under the appropriate binding authorities. 8. ... **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Responsible for overseeing, managing...time. 1. Manage the supervision and coordination of the claims department and staff. 2 . Organize and… more
- University of Washington (Seattle, WA)
- …UW Medicine Faculty Practice Plane Services has and outstanding opportunity for a ** Claims Specialist (Patient Account Representative 2 ).** This position is ... responsible for claims review , clearing claim edits, and timely and accurate submission...payers by phone. + Process claim attachments and secondary claims . + Review and identify corrected … more