• Claims Processing Specialist

    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 Serv Position Number:… more
    MyFlorida (10/29/24)
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  • Claims Processing Representative

    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
    Access Dubuque (10/31/24)
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  • Claims Processing - Representative…

    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
    CVS Health (10/31/24)
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  • Supervisor Claims - Claims

    Providence (Mission Hills, CA)
    …the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
    Providence (09/25/24)
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  • Assistant of Claims Processing

    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
    Ascension Health (10/31/24)
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  • Claims Examiner - $21/hour - Hybrid

    Fallon Health (Worcester, MA)
    …complex and high dollar claims . + Ensures accuracy and timeliness of claims processing to minimize late payment interest penalties and ensure compliance with ... Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing ...The Claims Examiner should have thorough claim processing knowledge at a complex level.. Thorough understanding of… more
    Fallon Health (10/22/24)
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  • Claims Examiner - Managed Care

    Cedars-Sinai (CA)
    …applicable tracking databases. **Qualifications** **Experience:** Three (3) years of medical claims processing for Medicare and Commercial products and provider ... claims required. Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred) preferred. **About Us** Cedars-Sinai is… more
    Cedars-Sinai (09/12/24)
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  • Claims Examiner I

    Elevance Health (Rancho Cordova, CA)
    …: + Minimum of one (1) year of Anthem Blue Cross medical claims processing experience (internal applicants shall have preference over external applicants) ... or medical claims processing /or other health insurance or equivalent education. Preferred Skills, Capabilities & Experience : + Familiarity with basic arithmetic… more
    Elevance Health (10/25/24)
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  • Claims Coordinator

    AON (Chicago, IL)
    …Hotels, Vendors on any disputes/issues, updates, escalations, or discrepancies. + Ensure all claims processing adheres to internal policies, as well as local, ... Vendors on any disputes/issues, updates, escalations, or discrepancies. + Ensure all claims processing adheres to internal policies, as well as local, state, and… more
    AON (10/16/24)
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  • Senior Product Manager - Claims

    Highmark Health (Pittsburgh, PA)
    …**systems and technology** **will be essential.** **This includes k** nowledge of claims processing platforms, data management systems, and relevant technologies ... like AI/ML to optimize claims processing . **ESSENTIAL RESPONSIBILITIES** + Understand the department's and the company's strategic roadmap and competitive… more
    Highmark Health (10/10/24)
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  • Workers Comp- Regional Claims Specialist…

    NJM Insurance (Trenton, NJ)
    …including strong knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a ... strong knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level - 5+ years' experience as a Workers' Comp… more
    NJM Insurance (09/24/24)
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  • Manager, Claims

    LA Care Health Plan (Los Angeles, CA)
    processing of claims . Skills Required: Solid understanding of standard claims processing systems and claims data analysis. Advanced working knowledge ... the application of Division of Financial Responsibility (DOFR) to claims processing . Licenses/Certifications Required Licenses/Certifications Preferred Required… more
    LA Care Health Plan (09/20/24)
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  • Content Claims Specialist - Field - Level I

    Crawford & Company (Fort Lauderdale, FL)
    …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
    Crawford & Company (09/20/24)
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  • Insurance Claims Representative

    Robert Half Office Team (Merrillville, IN)
    …regular claims audits to ensure accuracy and compliance. * Manage insurance claims processing efficiently. * Handle Auto General Liability (AGL) Claims ... in Microsoft Excel * Experience in Claims audits * Familiarity with Claims Processing * Solid understanding of Insurance Claims * Experience with Auto… more
    Robert Half Office Team (11/02/24)
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  • Claims Account Specialist (I/II/Sr.)

    NJM Insurance (Hammonton, NJ)
    …including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a ... strong knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level - 5+ years' experience as a Workers' Comp… more
    NJM Insurance (11/01/24)
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  • Claims Examiner II

    Elevance Health (Rancho Cordova, CA)
    …meeting expectations on quality and quantity or three (3) years medical claims processing /health insurance customer service experience or equivalent education. ... Capabilities & Experiences: + Thorough knowledge of medical terminology and claims processing procedures/systems. + Effective communication and personal computer… more
    Elevance Health (10/25/24)
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  • Claims Examiner

    State of Connecticut, Department of Administrative Services (Hartford, CT)
    …years of experience in financial record keeping, accounting, purchasing, or claims processing . MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED College training ... claims . + Two or more years' experience independently processing claims or similarly complex processes for legitimacy, compliance with rules, regulations,… more
    State of Connecticut, Department of Administrative Services (10/25/24)
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  • Supervisor Claims Resolution

    Acosta Group (Tampa, FL)
    …and salary recommendations *Consistently demonstrates a high level of proficiency in processing claims , Acosta, client and customer systems, and client, customer ... provides recommendations to prevent them in the future *Escalates recurring claims processing errors to the Hub Manager for assistance *Escalates associate… more
    Acosta Group (10/16/24)
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  • Pharmacy Claims Specialist

    BrightSpring Health Services (Uniondale, NY)
    …experience or knowledge of pharmaceuticals, that's a big plus! + Learn essential skills in claims processing while being part of a high-growth team. + Enjoy a ... step out of retail and dive into the world of claims , billing, and insurance processing -all in an office environment that supports growth and career progression!… more
    BrightSpring Health Services (09/03/24)
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