- Travelers Insurance Company (Indianapolis, IN)
- …calls and handles a wide variety of transferred customer inquiry calls requiring a Claim Handler skill set. May handle claims and other functional work involving ... claim severity triage, coordination of emergency services for claims assigned to other adjusters, fax and e-mail ...claims assigned to other adjusters, fax and e-mail processing , mentoring of Enterprise Response Team members, etc. as… 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 ... in you as a ** Claim Auditor** ? At Work from Home , you come first....primary function to ensure examiner payment accuracy of all claims processing including analysis of support services… more
- Crawford & Company (Fort Lauderdale, FL)
- …Content Claims Specialists are consistently (daily/weekly basis) assigned new claim files. + Operating from their home -based offices, edjuster's Content ... claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim....we are helping to restore our community - one claim at a time. At … more
- Axis (Red Bank, NJ)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals ... team that is among the best in the industry. At AXIS, we believe that we are only as...these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches… more
- Axis (Red Bank, NJ)
- …of action, and pursue claims to conclusion * Set accurate and timely claim reserves and make referrals to senior members of the team where necessary * Obtain ... team that is among the best in the industry. At AXIS, we believe that we are only as...these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches… more
- Fallon Health (Worcester, MA)
- …LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at a complex level.. Thorough understanding ... the office in Worcester, MA and 2 days working at home .** **About us:** Fallon Health is... claims . + Ensures accuracy and timeliness of claims processing to minimize late payment interest… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …training and/or direct work related experience. Experience Required: + Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company ... Medicaid Claims Analyst Date: Oct 21, 2024 Location: Parsippany,...+ Minimum 2+ years pharmaceutical/product focused healthcare experience; Medicaid Claim processing function; manipulation of large datasets,… more
- Sedgwick (Philadelphia, PA)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... Taking care of people is at the heart of everything we do, and...and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to… more
- Randstad US (Worcester, MA)
- …of experience is required) + Adjusting (2 years of experience is required) + Insurance Claim Processing (3 years of experience is required) + Field Adjusting (2 ... + May be responsible for all aspects of each claim , including informal hearings, arbitrations and small claims...+ May be required to have and maintain sufficient home -based internet connection + Xactimate experience preferred + Must… more
- Sedgwick (Wausau, WI)
- …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... Taking care of people is at the heart of everything we do, and...transfer opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent… more
- Mass Markets (Wichita, KS)
- …monitor, and manage production supervisors and agents to ensure accurate and timely claims processing . Experience in BPO insurance contracts, claims , ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer… more
- HCA Healthcare (Nashville, TN)
- …appropriate accounts. Requirements + High school diploma or equivalent + Two (2) years of experience processing claims , with at least one year of claims ... join an organization that invests in you as a Claims Examiner? At Work from Home...CPT, HCPC, and Revenue Coding + Ability to analyze claim issues and "trouble shoot" claims problems… more
- New York State Civil Service (Albany, NY)
- …Cost Control Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on ... DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office Occupational Category Other… more
- Sutherland Global Services (Columbus, OH)
- …and beyond. What you will be doing as a Claims Examiner: + Work independently, processing claims via data entry for 90% of your day. + Be responsible for ... how much money will be paid after an insurance claim has been examined. This is not a customer...is a data entry position where you will be processing medical claims per the specific client… more
- HCA Healthcare (Campbell, CA)
- …when necessary. Requirements: + High school diploma + Three to Five years of experience processing regular and complex claims + Ability to act as a resource and ... Do you have the career opportunities as a Senior Claims Examiner you want with your current employer? We...+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans… more
- Apex Health Solutions (Houston, TX)
- …to day interactions with any vendor partners that have direct impact to claims processing or pricing rules. Responsible for hiring, orienting, training, ... key requirements Shall oversee user acceptance testing for any impacted changes to claims processing Provide escalation support for business or revenue impacting… more
- Acosta Group (Irving, TX)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... as needed + Uses systems, reports, and Standard Operating Procedures to work assigned claim steps and gather supporting claims information + Processes invalid … more
- Randstad US (Charlotte, NC)
- …be required to have and maintain sufficient home -based internet connection Skills: + Claims Processing + Claims + Organizational Skills + Time Management ... robust learning and development programs, we encourage you - at every level - to grow and develop. Responsibilities:...+ May be responsible for all aspects of each claim , including informal hearings, arbitrations and small claims… more
- CenterWell (Topeka, KS)
- …and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer ... Specialist** , you will: + Ensure the coordination of claim activities and designated agencies, and the timely reimbursement...or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare… more
- St. Luke's University Health Network (Allentown, PA)
- …Knowledge and experience in dealing with third party insurance companies relative to claim processing and coding denials follow up. Epic Resolute experience ... a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified...for up to 8 hours per day, 3 hours at a time. Standing and walking as necessary. Fingering… more