- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000292 Date: Oct...+ 100% of the premium for individual or family dental insurance + 100% of the premium for ... Requisition No: 840194 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000292 Pay Plan:...basic life insurance + Employer contributions to the Pension Plan or… more
- CVS Health (Jacksonville, FL)
- …and affordable. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. ... handle multiple assignments competently, accurately and efficiently. Reviews and adjudicates routine claims in accordance with claim processing guidelines.… more
- 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 the ... join an organization that invests in you as a ** Claim Auditor** ? At Work from Home, you come...primary function to ensure examiner payment accuracy of all claims processing including analysis of support services… more
- CVS Health (Jacksonville, FL)
- …more personal, convenient and affordable. **Position Summary** * Reviews and adjudicates routine claims in accordance with claim processing guidelines. * ... inquiries and written correspondence related to claim processing issues. * Routes and triages complex claims...communities. The Company offers a full range of medical, dental , and vision benefits. Eligible employees may enroll in… more
- CVS Health (St. Paul, MN)
- … Benefit Specialist will reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Reviews ... claim or reconsideration. **Required Qualifications:** - Required 2+ years of Medical claims processing experience - Familiar with ICD and CPT coding -… more
- DXC Technology (Springfield, IL)
- …and empathetic Claim Examiner (amnuity) to join our team, specializing in death claims processing . This role is integral to ensuring a seamless claim ... life cycle with precision and care. **Essential Job Functions:** + ** Claims Processing :** Validate coverage, confirm beneficiaries, and review and decision… more
- Samsung SDS America (Santa Ana, CA)
- …goal and to delegate workload to maximize efficiency. + Transportation/Logistics Freight claims processing experience preferred. + Korean Bilingual preferred + ... Claims Analyst will work on tracking and analyzing claim data, including warehouse and transportation, and supporting SEA...of programs to support our employees: + Top-notch medical, dental , vision and prescription coverage + Wellness program +… more
- Providence (Mission Hills, CA)
- …in medical/institutional claims examining within a medical group/IPA setting claim processing experience. + 2 years experience in a medical/institutional ... staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units....Savings Plan with employer matching, health care benefits (medical, dental , vision), life insurance , disability insurance… more
- Sedgwick (Marlton, NJ)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Concord, CA)
- …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... only claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… 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 -...Medical Insurance (Blue Cross Blue Shield) + Dental Insurance (Delta Dental ) +… 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
- Randstad US (Itasca, IL)
- …members are empowered to grow and succeed. We seek a motivated and detail-oriented Insurance Claims Specialist to join our dynamic team. The ideal candidate will ... property claim adjuster - cat. + itasca , illinois...+ Supportive management invested in your success Skills + Claims Processing (2 years of experience is… more
- Spokane County (Spokane, WA)
- …High School diploma or GED equivalent. + Three (3) years' experience managing and processing industrial insurance claims . + Or any equivalent combination of ... of Duties + Adjudicates and monitors all self-administered industrial insurance claims in accordance with Title 51...$196.06 per month Employee & Child(ren): $128.58 per month Dental Insurance Two plans are currently available:… more
- Sedgwick (Columbus, OH)
- …and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… 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
- Sedgwick (Columbus, OH)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and legal actions. + Analyzes applicable complex liability insurance coverage and policies + Negotiates claim ...+ Calculates and assigns timely and appropriate reserves to claims ; monitors reserve adequacy throughout claim life.… more
- LogixHealth (Bedford, MA)
- …bring your expertise to ensure timely filing of insurance carrier claims , bank file retrieval, statement processing , accurate Explanation of Benefits (EOB) ... Review the Insurance Carrier Reports to resolve discrepancies or incomplete claims + Reconcile electronic payments by retrieving electronic bank files for each… more
- Sedgwick (San Diego, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Adecco US, Inc. (Concord, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
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