- The Hartford (Hartford, CT)
- Claims Representative - CH09CNWe're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... at the center of everything we do.Key Responsibilities:Handle a high volume of claims , with a focus on financial accuracy, appropriate file disposition, and an… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …claims , which is dependent on either the facts of the case or the claim type; determines compensability of claims , manages the medical treatment program, and ... About the Role:Job SummaryPrimarily responsible for the investigation and management of workers' compensation claims . Conducts a 1 to 3-point contact on the managed … more
- MultiPlan (Atlanta, GA)
- …healthcare claims thoroughly to maximize savings opportunities on each claim within the established department production standards and individual goals by ... healthcare providers to discuss negotiations for a specific dollar range of eligible claims /bills prior to payment, in order to achieve maximum discounts and savings… more
- Mindlance (Columbia, SC)
- …according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct ... Job Title: Claims Customer Service Advocate Job Location: Columbia, SC...Customer Service . Inbound/outbound call . Data Entry . Claims processing Job Responsibilities Responsible for responding to customer… more
- CMJobPoster (Ontario, CA)
- Job Title: Claims Team Lead Location (On-site, Remote, or Hybrid?): Ontario, CA (hybrid) Contract Duration: Contract until 11/16/2024 Description: County of Los ... payments process according to procedure Review and approve new claim determinations and provide initial directions as to whether...inquiries and phone calls to assist our customers Review claims for supervisor direction every 90 days or sooner… more
- US Tech Solutions, Inc. (Hamilton Township, NJ)
- …on Medicaid rules and regulation established for final processing. * Resolves claims resolution and/or adjustments/voids. * Processes claim adjustments through ... Job Title: Claims Resolution Representative Location: Onsite at Hamilton Township,...of extension) Job Description: . Looking for candidates as Claims Resolution Representative who can resolve customer issues in… more
- Integrated Resources, Inc (Atlanta, GA)
- …variety of Third-Party Administrator (TPA) payments. . Willingness to learn different claim platforms within eviCore and client claims platforms when necessary. ... Job Title: Claims Associate Representative Location: 100% Remote Job Duration:...concentration in revenue cycle management. . The Accounts Receivable claim examiner must have a thorough knowledge of government,… more
- MultiPlan (Atlanta, GA)
- …and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES AND RESPONSIBILITIES: 1. ... to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to ensure medical...mining and coordination of benefits techniques to client paid claims data.3. Evaluate medical claims for coding… more
- Percepta (Melbourne, FL)
- Automotive Claims RepresentativeAt Percepta, we bring first-class service across each market we support. As a Automotive Claims Representative in Melbourne ... a unique culture.What You'll Be Doing * Ability to analyze repair shop claim information to determine contract coverage * Ability to speak confidently about extended… more
- Cambia Health Solutions, Inc (Portland, OR)
- Claims Supervisor Remote within WA, OR, UT, IDOnsite/Hybrid can be an option if an office is available in the local area.Primary Job Purpose:This role supports ... workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to State, Federal and company… more
- Rose International (San Diego, CA)
- …Posted: 04/22/2024 Hiring Organization: Rose International Position Number: 462737 Job Title: Claims Analyst Job Location: San Diego, CA, USA, 92123 Work Model: ... 30.00 Max Hourly Rate ($): 36.23 Must Have Skills/Attributes: Case Management, Claims , Investigations, MS Excel, MS Office Job Description **Only those lawfully… more
- ICONMA (Los Angeles, CA)
- … handling, investigative techniques, legal requirements, and regulations. 5+ years' experience required handling Workers Compensation handling California Claims ... The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's responsibility for lost… more
- Fidelity TalentSource LLC (Westlake, TX)
- Claims Reconciliation Representative Fidelity TalentSource is your destination for discovering your next temporary role at Fidelity Investments. We are currently ... sourcing for a Claims Reconciliation Representative to work in Westlake, TX! The...Representative to work in Westlake, TX! The Role The Claims Reconciliations Representative will report to the Senior Manager… more
- Staffing Now (Boston, MA)
- Our Boston, MA healthcare client is seeking a temporary Medical Claims Processor to work M-F 8:30am-5:00pm in their Downtown Crossing office. Duties: Open and sort ... mail, check medical claims for accuracy and manually enter claims into an Excel spreadsheet. 1-2 years of medical claims experience. Must be proficient in MS… more
- Pyramid Consulting, Inc (Columbia, SC)
- Immediate need for a talented Claims Processor I . This is a 12+ Months contract opportunity with long-term potential and is located in Columbia South Carolina ... (Onsite) . Please review the job description below and contact me ASAP if you are interested. Job ID: 24-23827 Pay Range: $18/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick… more
- AppleOne (Pittsburgh, PA)
- …about providing support and assistance to individuals navigating workers' compensation claims ? We're looking for a dedicated medical claims coordinator ... to a supportive team environment, we want to hear from you! Apply now to become our newest Claims Coordinator and embark on a fulfilling career journey with us. more
- SECURA Insurance (Neenah, WI)
- …from various social sites such as Facebook, Twitter, and LinkedIn for potential claim cases. This is a year-round internship. The ideal candidate will be available ... approximately 10+ hours during the school year and up to full-time during breaks. We are flexible and can work with your school schedule. more
- Accounting Now (Pinellas Park, FL)
- …for ensuring accurate billing, timely submission of electronic and/or paper claims , monitoring claim status, researching rejections and denials, documenting ... on information that seems incomplete or is lacking for proper account / claim adjudicationResponsible for correcting, completing, and processing claims for all… more
- Globe Life Inc. (Oklahoma City, OK)
- …offer a competitive salary with a great benefits package. Job Summary The LNL Support Claims Clerk assists the claim operation by completing a wide variety of ... Associate Communication Clerk-Onsite Primary Duties & Responsibilities LNL Support Claims Clerk - Downtown Oklahoma City-Onsite Are you ready...tasks designed to gather and organize claim information for processing by Claim Examiners… more
- MultiPlan (Atlanta, GA)
- …coding standards and regulations to claims billed. Research and review individual claims , claim trends or detailed itemized bills, operative notes and other ... Coding Specialist provides analysis of the highest dollar and most complex claims by applying research, coding standards, industry knowledge and federal regulations… more
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