- Sedgwick (Portland, OR)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Workers Compensation | OR & WA Residents Are you ... resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. +… more
- Zurich NA (Topeka, KS)
- Associate Degree Apprenticeship Program - RCIS Claims - Central Kansas (Summer 2025) 115916 **_Zurich North America's Apprentice Program_** Zurich is accepting ... education and the experience to launch a rewarding career as a Crop Claims Adjuster with Rural Community Insurance Services (RCIS). Zurich's initiative is to develop… more
- Danfoss (Van Wert, OH)
- …This role may also assist with commercial processing. **Job Responsibilities** + Defect Claim Creation -Receive claims from customers. Must be able to ... presentation for Business Unit and Quality to be used for investigation. + Streamlined Claim Processing for less complex, lower value claims . This would be doing… more
- Zurich NA (Anoka, MN)
- Associate Degree Apprenticeship Program - RCIS Claims - Anoka, MN (Summer 2025) 115920 **_Zurich North America's Apprentice Program_** Zurich is accepting ... the experience to launch a rewarding career as a Claims Processing Associate with Rural Community Insurance...Department of Labor Certificate of Apprenticeship + Earn CAPP certification and licensing + Possess credentials and skills for… more
- Trinity Health (Albany, NY)
- …of coding systems, policies, and processes, training courses, materials and certification exercises. Designs and develops training and education programs that align ... Regional Manager on a routine basis. Assists with denials, complex coding cases, claim edits and errors, and may perform coding duties as workflow necessitates.… more
- United Infrastructure Gro (Great Falls, SC)
- …with insurance carriers, legal teams, and internal stakeholders to ensure timely and accurate claims processing. + Track and report on claim trends and provide ... Off + Life and Disability Insurance + Training, Education, Certification , and Qualification Assistance Note : Benefits may vary...position and length of employment. Role Overview: Risk and Claims Coordinator As a Risk and Claims … more
- Humana (Miramar, FL)
- …providers, and other stakeholders to gather necessary information and provide updates on claim status. Ensures all claims are processed in accordance with ... a part of our caring community and help us put health first** The Claims Processing Representative reviews and adjudicates complex or specialty claims , submitted… more
- Zurich NA (Jefferson City, MO)
- RCIS Crop Claims Specialist, MO: Clark, Knox, Lewis, or Scotland county 118432 Zurich North America is hiring an RCIS Crop Claims Specialist to join our team! We ... findings of crop loss with farmers on the most complex non-routine, problematic claims including controversial claims . + Ability to convey complex regulations… more
- Rush Enterprises (New Braunfels, TX)
- The Risk and Insurance Analyst - Workers' Compensation Claims is responsible for managing WC claims with oversight of the Third Party Claims Administrator ... (TPA), coordination of the return-to-work program, handling lost time claims , authorizing settlements, and maintaining accurate records. The Analyst serves as the… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …the GS-0675 series in VHA must have either (1), (2), or (3) below: Apprentice/ Associate Level Certification through AHIMA or AAPC. Mastery Level Certification ... for details. Qualifications Applicants pending the completion of educational or certification /licensure requirements may be referred and tentatively selected but may… more
- Healthfirst (NC)
- …the development and configuration of new business, member benefits and products, claims editing, reference data and their enhancements including claims ... enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier… more
- Ascension Health (Jacksonville, FL)
- …party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review ... claims for accuracy, including proper diagnosis and procedure codes. + Review claim rejections and communicates with payers to resolve billing issues. + Prepare… more
- Dignity Health (Bakersfield, CA)
- …Other benefits include Paid Time Off and Sick Leave. **Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and ... accurate processing, review, and adjudication of complex healthcare claims . This position requires expert knowledge of claims...of CPT, ICD-10, HCPCS coding, and medical terminology. + Associate 's Degree - Associate 's Degree in healthcare… more
- Zurich NA (Topeka, KS)
- …crop insurance and claims adjusting area + Crop Adjuster Proficiency Program Certification (CAPP) must be obtained with 180 days of hire date + Reliable personal ... RCIS Crop Claims Specialist Southwest Kansas 118739 Zurich North America...Kansas Virtual Office Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LC1 #LI- ASSOCIATE … more
- Humana (Columbus, OH)
- …age). + Board Certified in an approved ABMS Medical Specialty with continued certification throughout employment. + A current and unrestricted license in at least ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- City of New York (New York, NY)
- …to the Bureau's Claim Prepares used to track and identify all claims submitted for reimbursement. - Assist with the management of the distribution of scanned ... a highly responsible individual to serve as a Claiming Associate who is critical to tracking and cataloging of...is critical to tracking and cataloging of all BCR claims , as well as the submission of all DSS… more
- Rising Medical Solutions (Chicago, IL)
- …thinking & problem-solving experience + A bachelor's degree, or an Associate 's/ Certification with professional experience + A customer service mindset ... CNA, Medical Assistant, Physical Therapy Aide, Workers' Compensation, Medical Unit Claims Administrator, IME Coordinator, Medical Office Manager + Experience with… more
- Mass Markets (Tampa, FL)
- …are highly motivated, dedicated and should possess the below qualities: + Associate degree, Certification or Equivalent Combination of Training and Experience ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (Tampa, FL)
- …are highly motivated, dedicated and should possess the below qualities: + Associate degree, Certification or Equivalent Combination of Training and Experience ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Banner Health (AZ)
- …coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing ... Health. In this **Inpatient Facility/HIMS Certified Medical Coder, Quality Associate ** position, you bring your **5 years of acute...or CPC or CCS-P, and/or RHIT or RHIA Coding Certification , and make a difference!** **This is a Quality… more