- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000292 Date: Oct...+ 100% of the premium for individual or family dental insurance + 100% of the premium for basic life ... . Requisition No: 840194 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000292 Pay Plan: Lottery Exempt Serv Position Number:… more
- 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
- The Cigna Group (Bloomfield, CT)
- …Career Track Role with Cigna-Evernorth Services, Inc. * Support and enhance existing Dental Claims Processing applications used by consumers and operational ... employment, you'll be offered several health-related benefits including medical, vision, dental , and well-being and behavioral health programs. We also offer 401(k)… more
- 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
- Elevance Health (West Des Moines, IA)
- …Des Moines, IA or Mason, OH.** The ** Claims Representative III (Health & Dental )** is responsible for keying, processing and/or adjusting health claims ... ** Claims Representative III (Health & Dental )** **Must be located within 50 miles of Norfolk, VA, Tampa, FL,… more
- 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 ... with Labor & Industries to ensure proper coverage. The position includes reviewing, processing , and adjudicating claims and the management of the Spokane County… more
- Elevance Health (Richmond, VA)
- ** Claims Representative I (Health & Dental )** **Location:** Must live within 50 miles of the Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, ... Atlanta, GA, Miami, FL, or Tampa, FL PulsePoints. The ** Claims Representative I (Health & Dental )** is...experience using PC, database system, and related software (word processing , spreadsheets, etc.) strongly preferred. + Claims … more
- 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, ... Hotels, Vendors on any disputes/issues, updates, escalations, or discrepancies. + Ensure all claims processing adheres to internal policies, as well as local,… more
- 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 ... WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -...Offered: + Medical Insurance (Blue Cross Blue Shield) + Dental Insurance (Delta Dental ) + Vision (Delta… more
- 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...programs (unless covered by a collective bargaining agreement), medical, dental , vision, short and long term disability benefits, 401(k)… more
- Highmark Health (Pittsburgh, PA)
- …**systems and technology** **will be essential.** **This includes k** nowledge of claims processing platforms, data management systems, and relevant technologies ... grievances along with familiarity with various claim types (medical, dental , pharmacy, etc.). **Demonstrated success with leading** ** claims...like AI/ML to optimize claims processing . **ESSENTIAL RESPONSIBILITIES** + Understand the… more
- 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
- Robert Half Accountemps (Winter Garden, FL)
- …Florida. As a Medical Claims Analyst, your primary role will be to handle claims adjudication and oversee the payment and processing of medical claims . ... contract to hire employment opportunity. Responsibilities: * Oversee the timely and efficient processing and payment of medical claims . * Maintain a positive… more
- Elevance Health (Roanoke, VA)
- **Title: Claims Representative I (Health & Dental ) - FHPS** **Location:** This position will work a **hybrid model (remote and office)** . The ideal candidate ... during the first 12 weeks of training. Start date: 1/6/2025.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- 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 ... Proficiency in Microsoft Excel * Experience in Claims audits * Familiarity with Claims Processing * Solid understanding of Insurance Claims * Experience… more
- 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
- 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 ... and approving claims . + Two or more years' experience independently processing claims or similarly complex processes for legitimacy, compliance with rules,… more
- 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 ... out of retail and dive into the world of claims , billing, and insurance processing -all in an...Pay + Shift Differential: Recognizing your dedication. + Health, Dental , Vision, and Life Insurance: Comprehensive benefits to keep… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …other responsible work that enabled the applicant to gain general knowledge of medical/ dental and life insurance and benefit claims . OR SUBSTITUTION OF EDUCATION ... completed and forwarded to the insurance company for further processing . As necessary assists employees on the completion of... and Life insurance plan or other related medical / dental and life benefits claims experience of… more
- Sedgwick (Columbus, OH)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... 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 join… more
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