- Mindlance (Columbia, SC)
- …Top 3/5 Skills: . Customer Service . Inbound/outbound call . Data Entry Claims processing Job Responsibilities Responsible for responding to customer inquiries. ... of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality...desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and reports potential… more
- Spectraforce Technologies Inc (Columbia, SC)
- …after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards. ... Title: Claims Customer Service Advocate I Location: Columbia, SC,...desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and promptly reports… more
- Eisai, Inc (Nutley, NJ)
- … Lead the Contract Operations team ensuring timely and accurate review and processing of claims .Serve as a subject matter expert supporting internal and ... profile, we want to hear from you. Job Summary This role will lead Contract Operation activities such as membership review, chargebacks, and rebate processing… more
- US Tech Solutions, Inc. (Columbia, SC)
- …errors to the appropriate departments. Experience: . 1 Year Customer service or claims processing experience Skills: . Strong oral and written communication ... of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality...desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and promptly reports… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …IT Projects in health and human services programs (such as Medicaid, MMIS, claims processing , eligibility, HHS analytics, data warehouse, etc.) Proven track ... or direct reporting relationship. 5+ years' experience performing a lead client facing role in a system integration, ideally...managing projects of similar size and scope in MMIS ( claims , provider, or TPL). 2+ years of hands-on experience… more
- Creative Financial Staffing (Fort Wayne, IN)
- …receipt activity. In addition to these responsibilities, you will be involved in processing claims , collecting money for special orders being shipped, filing ... account information. You will play a crucial part in credit application processing , evaluating the creditworthiness of potential new customers based on established… more
- Creative Financial Staffing (Indianapolis, IN)
- …providing relevant company records and information Serve as HR backup for Payroll processing Lead various projects and initiatives in support of enhancing ... and personal property tax processes Work with Insurance Broker on renewal preparation and claims administration. Support Sales Operations and RFP process by… more
- Providence (Anaheim, CA)
- …+ Bachelor's Degree or equivalent education/experience. + 10 or more years HMO claims processing and/or auditing experience in a managed care environment, ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W… more
- Conduent (Hunt Valley, MD)
- …developing team members to achieve their goals?** **About the Role:** As a Senior Supervisor, Claims Processing , you will lead a complex medical claim ... **Senior Supervisor, Claims Processing ** **Are you a seasoned leader ready to elevate operational excellence and drive performance in a dynamic team… more
- Equitable (Charlotte, NC)
- …both environments. This position is a lead role, guiding team members on claims processing projects. + Work with the business to develop processes and ... Employee Benefits- Technology Strategy Claims Lead Analyst ( 2400007L ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED… more
- Trinity Health (Troy, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** CLAIMS PROCESSING TECH II - Eddy Home Care - FT Days The Eddy Senior Living division is ... way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce… more
- Subaru of America (Camden, NJ)
- …PowerPoint, Excel). + Strong working knowledge of all system applications related to claims processing , including the claims system, Subarunet, Retail Parts ... SUMMARY Provides direct, day-to-day supervision of a team of Retailer Claims Specialists, including prioritizing workload, performance review and coaching, and… more
- AON (Garden City, NY)
- …latest technological advancements and explore how they can be applied to improve claims processing and customer service. Education: + Bachelor's degree strongly ... Lead and Mentor: Guide a team of 120+ claims professionals and develop the 6+ direct reports in...and explore how they can be applied to improve claims processing and customer service. Education: +… more
- Axis (Princeton, NJ)
- …reinsurance claims , ensuring compliance with regulations, as well as fair claims processing . You'll also be responsible for developing and implementing ... needed. + Lead and foster a change, transformation mindset supporting claims improvement and growth aligned to Underwriting strategy and growth plans. + Maintain… more
- Wells Fargo (Chandler, AZ)
- …to the Head of Claims and Recovery. This group is responsible for end-to-end claims processing for all dispute types. This individual will lead a large, ... + Address issues and maintain an awareness of fraud and claims activity across the company + Lead fraud and claims team by making strategic decisions… more
- Access Dubuque (Dubuque, IA)
- …growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... - Auto Liability Sedgwick Client Service Representative (CSR) Kunkel & Associates, Inc. Claims Associate - Recovery Sedgwick TPA Team Lead - Remote (Must… more
- UMB Bank (Columbus, OH)
- …to credit card fraud + Demonstrates in-depth knowledge of back-office fraud claims processing + Demonstrates knowledge of report building and presentation ... **Duties & Responsibilities** The Manager, Card Fraud Claims , will oversee and manage the UMB card...and accurate resolution of fraud cases. The role will lead a team of fraud analysts and assist in… more
- Entergy (Reserve, LA)
- Customer Service Specialist - Claims **Date:** Jun 25, 2024 **Location:** Reserve, Louisiana, United States **Company:** Entergy **Work Place Flexibility:** Hybrid ... internal and external stakeholders in order to thoroughly and fairly resolve claims . **JOB DUTIES/RESPONSIBILITIES** + Handles claims in assigned territories… more
- Wellpath (Nashville, TN)
- …into the RMIS system, analyzing exposures, recommending settlements or denials, and processing claims within designated authority levels. Work closely with ... medical malpractice claims , preferably in a multi-state environment. The Claims Litigation Manager will lead the litigation team inprovidingstrategic… more
- Trinity Health (Livonia, MI)
- …behavior. **MINIMUM QUALIFICATIONS** Must possess a comprehensive knowledge of liability claims processing and administration. High school diploma plus a ... week._** Claim technicians are a vital component to the IRMS Liability Claims operation. The position is responsible for maintaining electronic claim files,… more
