- 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
- New York State Civil Service (Melville, NY)
- …to this position. Duties Description Oversees all aspects of workers' compensation claims processing from inception to closing; reviews individual claims ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/Trainee 2 (NY HELPS) Occupational Category Other Professional Careers… more
- Medical Mutual of Ohio (Toledo, OH)
- …+ High School diploma or GED + 2 years of experience as a Claims Representative in health insurance operation or equivalent experience with professional, ... of data entry and standard office procedures + Knowledge of health insurance claims processing and provider coding + Alpha-numeric keyboarding skills at a… more
- Sedgwick (Alexandria, VA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | VA Jurisdiction | Remote Are you looking ... growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- NFTA (Buffalo, NY)
- CLAIMS REPRESENTATIVE Title Description: NON-REPRESENTED Date Posted: 11/8/2024 Deadline: 11/29/2024 Job Number: 178-24-N Branch: Salary: $53,407 - $80,110 Union ... subject to final review and approval by the Senior Claims Representative or the Manager. ESSENTIAL FUNCTIONS:...attends trials and mediations as necessary. * Assists in processing all claims from initial report to… more
- Texas Veterans Commission (Amarillo, TX)
- …of Veteran Affairs. . Knowledge of laws, rules, and regulations applicable to the processing of veterans' claims ; and of assessment techniques. . Fluent in ... solving. . Ability to interpret laws, rules, and regulations applicable to the processing of veterans' claims . . Ability to communicate effectively both orally… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Denver, CO)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - IAP | Workers Compensation Training Program **PRIMARY ... + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability...physical damage claims under close supervision. + Processing disability claims of minimal disability duration… more
- Sedgwick (Marlton, NJ)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Marlton, NJ (Hybrid Schedule) | GL, BI & ... growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Las Vegas, NV)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Workers Compensation | Las Vegas, NV Are you ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Humana (Tampa, FL)
- …+ Computer Sciences Corporation (CSC) Experience (CarePlus Platform) + Medical claims processing experience + Member reimbursement experience + Advanced ... our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve investigation of… more
- Elevance Health (Houston, TX)
- ** Claims Representative II (Health & Dental)** **Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX or Mason, OH.** The ** Claims ... II (Health & Dental)** is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.… more
- Sedgwick (Sun Prairie, WI)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Commercial Auto Claims Representative - Liability **PRIMARY PURPOSE** : To analyze and ... related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing ,...party claims . + Knowledge of total loss processing , State salvage forms and title requirements. + Excellent… more
- Trinity Health (Farmington Hills, MI)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s)....in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as… more
- Robert Half Accountemps (Overland Park, KS)
- Description We are offering a contract to hire employment opportunity for a Claims Representative in Overland Park, Kansas. The individual will primarily handle ... Auto General Liability Claims and maintain all related file reviews. This role...in Training and Policy development * Proficiency in Payment Processing and Supervising teams * Familiarity with Claim Administration… more
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The Claims Representative II position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, OH or ... . Processes claims edits from receipt to completion. . Utilizes claims and ancillary systems and adheres to processing procedures resulting in… more
- IKO (Kankakee, IL)
- …you! Job Description Reporting to the Warranty Claims Manager (US) , the Warranty Claims Representative is a key position within our team. You will be the ... listen, solve problems, answer questions and work to bring claims to conclusion. WHEN YOU JOIN US YOU WILL...MS Excel, MS Word & MS Outlook + Word processing skills of at least 25 wpm + Salesforce… more
- Mass Markets (Las Cruces, NM)
- POSITION OVERVIEW CALL CENTER CLAIMS REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We are looking for call center claims representatives to ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer… more
- Elevance Health (Cincinnati, OH)
- **Title: Claims Representative I (Health & Dental) - FHPS** **Location:** This position will work a **hybrid model (remote and office)** . The ideal candidate ... attendance during the first 12 weeks of training. Start date: 1/27/2025.** The ** Claims Representative I** will be responsible for successfully completing the… more
- Elevance Health (Houston, TX)
- ** Claims Representative I (Health & Dental)** **Location:** Must live within 50 miles of the Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, ... TX, Indianapolis, IN, Atlanta, GA, Miami, FL, or Tampa, FL PulsePoints. The ** Claims Representative I (Health & Dental)** is responsible for successfully… more
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