- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000292 Date: Oct 28, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 840194 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000292 Pay Plan: Lottery Exempt… more
- CVS Health (Jacksonville, FL)
- …and affordable. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. ... handle multiple assignments competently, accurately and efficiently. Reviews and adjudicates routine claims in accordance with claim processing guidelines.… more
- Crawford & Company (Brea, CA)
- …knowledge of computer entry and operations. + Demonstrates a thorough working knowledge of claim processing and claim policies and procedures. + Demonstrates ... Touch Position Summary Under direct supervision, processes medical only claims within authority, processes other claims open...issues (indemnity, legal, etc.) have been settled and the claim is only open for payment of medical benefits… more
- University of Rochester (Rochester, NY)
- …as to why claims are not paid and steps necessary for processing /payment + Initiate collection phone calls to insurance companies to determine reason for ... claim denial, or reason for unpaid claim . Address unpaid claims , and solicit a...and monthly reports and Work Lists via calculating and processing transactions such as payer to payer transfers, contractual… more
- Travelers Insurance Company (Anchorage, AK)
- …internal and/or external resources for specific activities required to effectively resolve claims . + Maintain and document claim file activities in accordance ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- HCA Healthcare (Nashville, TN)
- …The Claims Auditor will serve as a Subject Matter Expert (SME) in medical claims processing at health plan payor, MSO, HMO, and IPA organizations with the ... join an organization that invests in you as a ** Claim Auditor** ? At Work from Home, you come...primary function to ensure examiner payment accuracy of all claims processing including analysis of support services… more
- CVS Health (Jacksonville, FL)
- …more personal, convenient and affordable. **Position Summary** * Reviews and adjudicates routine claims in accordance with claim processing guidelines. * ... inquiries and written correspondence related to claim processing issues. * Routes and triages complex claims... processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist. *… more
- CVS Health (St. Paul, MN)
- … Benefit Specialist will reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Reviews ... claim or reconsideration. **Required Qualifications:** - Required 2+ years of Medical claims processing experience - Familiar with ICD and CPT coding -… more
- Samsung SDS America (Santa Ana, CA)
- …goal and to delegate workload to maximize efficiency. + Transportation/Logistics Freight claims processing experience preferred. + Korean Bilingual preferred + ... into a global top-level third-party logistics company. Senior Logistics Claim Analyst ("Sr. Claim Analyst") will be...Claims Analyst will work on tracking and analyzing claim data, including warehouse and transportation, and supporting SEA… more
- Travelers Insurance Company (Franklin, TN)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site...mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the… more
- Providence (Mission Hills, CA)
- …in medical/institutional claims examining within a medical group/IPA setting claim processing experience. + 2 years experience in a medical/institutional ... of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include reporting… more
- Sedgwick (Concord, CA)
- …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... only claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
- Sedgwick (Marlton, NJ)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Baton Rouge, LA)
- …accuracy, and files necessary documentation with state agency. * Communicates claim action/ processing with claimant, client and appropriate medical contact. ... * Ensures claim files are properly documented and claims coding is correct. * May process routine payments and prescriptions and status reports for lifetime… more
- The Hartford (Hartford, CT)
- …a motivated, positive individual to join our claims team as a Marine claim adjuster Specialist. Responsible for maintaining and processing Marine claims . ... to ensure the highest level of customer service. + Claims Processing and Administration. + Investigation and...vendors to ensure service quality. + Reviews and analyzes claim reports to identify and address trends. + Develops… more
- Access Dubuque (Dubuque, IA)
- Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1343279 Posted On 10/30/2024 **Job Overview** ** Claims Processing ... expectation to report to the office once per week.** **Summary:** The Claims Processing Representative will provide a key role in reviewing and analyzing… more
- Sedgwick (Milwaukee, WI)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... and pursues subrogation opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- CVS Health (Scottsdale, AZ)
- …-Working within turnaround times to meet client performance guarantees for claims processing . -Meeting productivity and accuracy standards **Required ... include: -Outbound calls to Members and/or Providers for verification of information - Processing and adjudicating paper claims . -Maintaining integrity of … more
- DXC Technology (Springfield, IL)
- …and empathetic Claim Examiner (amnuity) to join our team, specializing in death claims processing . This role is integral to ensuring a seamless claim ... life cycle with precision and care. **Essential Job Functions:** + ** Claims Processing :** Validate coverage, confirm beneficiaries, and review and decision… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing/ Claims Processing + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent + **Location:** ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
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