• Claim Auditor

    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
    HCA Healthcare (10/24/24)
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  • Worker's Compensation Claims Adjudicator…

    Spokane County (Spokane, WA)
    …per week. Positions allocated to this classification are responsible for adjudication, processing , and reserving claims filed by Spokane County employees. This ... Industries to ensure proper coverage. The position includes reviewing, processing , and adjudicating claims and the management...purpose of ensuring that appropriate services are provided, monitoring claim costs and resolving claims in a… more
    Spokane County (10/25/24)
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  • Content Claims Specialist - Field - Level I

    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
    Crawford & Company (09/20/24)
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  • Claims Specialist - Primary Casualty

    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
    Axis (10/16/24)
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  • Claims Examiner - $21/hour - Hybrid

    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
    Fallon Health (10/22/24)
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  • Claims Examiner-Lost Time - Hybrid New…

    TEKsystems (New Haven, CT)
    TEKsystems is hiring for a Claims Examiner - Lost Time! This reputable organization and a TOP ADMIRED COMPANY! Come join our team! Position title: Claims ... Haven, CT Job Duties: Handles all aspects of workers compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained… more
    TEKsystems (10/26/24)
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  • Claims Operations Associate

    System One (Cincinnati, OH)
    …job Education, Experience, Location and Availability: + High school diploma is required + Related claims set up, claims processing or claims operations ... Claims Operations department. This is a work from home opportunity for candidates available to work a schedule...OpsNow, Maven, Outlook, and FNOL to track workload, finalize claims , manage activities, confirm claim information, and… more
    System One (11/02/24)
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  • Medicaid Claims Analyst

    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
    Teva Pharmaceuticals (10/26/24)
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  • Workers Compensation Claims Examiner…

    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
    Sedgwick (09/28/24)
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  • Bodily Injury Claims Examiner

    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
    Sedgwick (09/24/24)
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  • Insurance Call Center Claims Manager

    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
    Mass Markets (08/27/24)
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  • Field CAT Claims Adjusters

    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
    Randstad US (10/29/24)
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  • Senior Construction Claims Analyst (Cost…

    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
    New York State Civil Service (10/19/24)
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  • Manager, Claims Operations

    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
    Apex Health Solutions (09/25/24)
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  • CAT Claims Field Adjuster - Remote

    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
    Randstad US (10/23/24)
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  • Healthcare Claims Denials Specialist

    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
    CenterWell (10/30/24)
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  • Claims and Denial Coding Analyst

    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
    St. Luke's University Health Network (10/16/24)
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  • Full Time Experienced Claims Adjuster…

    Falvey Insurance Group (North Kingstown, RI)
    …with 3 days in the office, Wednesday and Thursday are required and 2 days at home . This position requires occasional flexibility for working additional hours to ... Position Functions This position is responsible for: + Management of assigned claims book including intake, processing , adjustment, and settlement of the… more
    Falvey Insurance Group (11/02/24)
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  • Remote - Claims Adjuster - Automotive/RV

    Reynolds & Reynolds (Phoenix, AZ)
    …but are not limited to: - Answering inbound calls - Provide information about claim processing and explain the different levels of contract coverage and terms ... - Accurately establish, review and authorize claims - Entering claim and contract information...have a quiet designated work space to work from home + Must have reliable internet with at more
    Reynolds & Reynolds (10/26/24)
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  • Claims Examiner III - Medicare Advantage

    UCLA Health (Los Angeles, CA)
    …and resolve complex claim issues as well as train others on claims processes and workflows. Salary Range: $29.42 - $42.12/Hourly Qualifications We're seeking a ... and pricing methodologies for outpatient/inpatient institutional, ancillary, and professional claims + Experience processing complex institutional claims more
    UCLA Health (10/15/24)
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