- 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
- 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
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …enabled the applicant to gain general knowledge of medical/ dental and life insurance and benefit claims . OR SUBSTITUTION OF EDUCATION FOR EXPERIENCE: One ... that appropriate forms are completed and forwarded to the insurance company for further processing . As necessary...Life insurance plan or other related medical / dental and life benefits claims experience of… more
- CVS Health (Tualatin, OR)
- …with internal and external clients. Knowledge of pharmacy payers and insurance plans. Knowledge of manufacturer-related drug restrictions and ESP reporting. ... communities. The Company offers a full range of medical, dental , and vision benefits. Eligible employees may enroll in...eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… more
- Mass Markets (Wichita, KS)
- …and manage production supervisors and agents to ensure accurate and timely claims processing . Experience in BPO insurance contracts, claims , call center ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer… more
- Robert Half Accountemps (Norfolk, VA)
- Description We are seeking an Insurance Claims Specialist to join our team in the higher education sector based in Norfolk, Virginia. The role involves the ... at least 1-year experience in the role of an Insurance Claims Specialist or a similar role....Benefits are available to contract/temporary professionals, including medical, vision, dental , and life and disability insurance . Hired… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …with one year of supervisory experience 3. Maintain current knowledge of the insurance industry and Claim's processing ideas through regular attendance of ... for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES...benefits may be determined by the division of TIH Insurance offering the position. TIH offers medical, dental… more
- GuideOne Insurance (Dallas, TX)
- … Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...basic life and AD&D, long-term disability and short-term disability insurance + Medical, dental and vision plans… more
- AON (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
- GuideOne Insurance (Chicago, IL)
- …eligible salary + Free basic life and AD&D, long-term disability and short-term disability insurance + Medical, dental and vision plans to meet your unique ... As the Casualty Claims Manager, you will be responsible for independently...mentoring and developing GuideOne's future leaders. + Loss assignment processing and pre-assignment instructions to adjusters + Assist in… more
- Commonwealth of Pennsylvania (PA)
- …+ A bachelor's degree;or + Two years of technical experience in evaluating or processing claims , or interviewing consumers to obtain or review financial, ... + Four years of technical experience in evaluating or processing claims or interviewing consumers to collect...witnesses, or other involved parties to gather information regarding insurance claims , to determine the nature of… more
- Banner Health (AZ)
- **Primary City/State:** Arizona, Arizona **Department Name:** Claims Processing **Work Shift:** Day **Job Category:** Administrative Services A rewarding career ... Educator, you will leverage your expertise in Medical Claims Processing to enhance and expand the... Claims adjudication to include professional, facility and dental claims . Responsible for regulatory guidance with… more
- Commonwealth of Pennsylvania (PA)
- …Minimum Experience and Training Requirements: + One year of experience as a Tort Claims Representative or Insurance Claims Evaluator 1 (commonwealth titles); ... + Four years of technical experience in evaluating or processing claims , or interviewing consumers to collect...employed by the Commonwealth of Pennsylvania as a Tort Claims Representative or Insurance Claims … more
- Elevance Health (Virginia Beach, VA)
- ** Claims Representative I** **Location:** The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point. A ** Claims ... Work is reviewed for technical accuracy and soundness. + Codes and processes claims forms for payment ensuring all information is supplied before eligible payments… more
- Dignity Health (Bakersfield, CA)
- … Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves ... they want from a variety of options including medical dental and vision plans for the employee and their...Qualifications:** + Minimum of 5 years of experience in claims processing , quality assurance, or a related… 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, ... GA, Miami, FL, Tampa, FL, Winston-Salem, NC, or Midland, GA PulsePoints. The ** Claims Representative I (Health & Dental )** is responsible for successfully… more
- HomeSafe Alliance (Columbus, OH)
- …trends and performance. + Identify and resolve challenges and issues related to claims processing . + Perform other duties as assigned **Qualifications:** + ... **Title:** Claims Manager (HHG/Military Move) **_HomeSafe Alliance_** is the...more innovative, more resilient, and safer. Benefits: + Medical, Dental and Vision Insurance . + Paid time… more
- HomeSafe Alliance (Columbus, OH)
- …and working together, we are more innovative, more resilient, and safer. Benefits: + Medical, Dental and Vision Insurance . + Paid time off (PTO) Three weeks of ... **Title:** Claims Administrator (SCA) HHG/Military Move **_HomeSafe Alliance_** is...carefully managed to protect personal information. Benefits: + Medical, Dental and Vision Insurance . + Paid time… more
- United Infrastructure Gro (Great Falls, SC)
- …Typical Duties include but are not limited to: + Assist in managing and processing insurance claims related to workplace incidents, property damage, and ... teams, and internal stakeholders to ensure timely and accurate claims processing . + Track and report on...submission of regulatory filings related to workplace safety and insurance claims . + Perform other related duties… more
- Terracon (Olathe, KS)
- …in a mature and professional manner while using sound judgment and discretion in processing claims and assisting staff. + Valid driver's license with acceptable ... the company's Workers Compensation program. Act as the liaison with third-party claims administrators and insurance company representatives. Negotiate and manage… more
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