- Humana (Tampa, FL)
- …+ Work in Office in Tampa office 5 day a week + 1 or more years of Medical Claims knowledge + 1 or more years of the Customer Service experience + 1 or ... caring community and help us put health first** The Claims Research & Resolution Representative 2 manages...+ Computer Sciences Corporation (CSC) Experience (CarePlus Platform) + Medical claims processing experience + Member reimbursement… more
- UPMC (Pittsburgh, PA)
- …and establishes and revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains, ... UPMC Health Plan is looking for an Intermediate Clinical Auditor/Analyst to join the Quality Assurance...collaboration with appropriate Health Plan departments including Quality Improvement, Claims , and Medical Directors as needed to… more
- Travelers Insurance Company (Tampa, FL)
- … Intermediate + Value Determination- Intermediate + Settlement Techniques- Intermediate + Medical Knowledge- Intermediate **What is a Must ... is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment process… more
- Travelers Insurance Company (Lake Oswego, OR)
- …This position is responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement ... Intermediate . + Value Determination: Intermediate . + Settlement Techniques: Intermediate . + Legal Knowledge: Basic. + Medical Knowledge: Intermediate… more
- Travelers Insurance Company (Diamond Bar, CA)
- … Intermediate + Value Determination - Intermediate + Settlement Techniques - Intermediate + Legal Knowledge - Basic + Medical Knowledge - Intermediate ... and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Las Vegas, NV)
- …- Intermediate + Settlement Techniques - Intermediate + Legal Knowledge - Intermediate + Medical Knowledge - Intermediate **What is a Must Have?** + ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Richmond, VA)
- … Intermediate + Value Determination- Intermediate + Settlement Techniques- Intermediate + Medical Knowledge- Intermediate **What is a Must ... and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Franklin, TN)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature… more
- Travelers Insurance Company (St. Paul, MN)
- …investigating, evaluating, reserving, negotiating and resolving assigned Construction Property Damage claims , or first party business property claims of moderate ... such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of… more
- Travelers Insurance Company (Houston, TX)
- …oversight of the repair process and ensures appropriate expense handling. + On specified claims , evaluates medical treatment based on the nature and extent of ... moderate to complex Personal and Business Insurance Auto Damage claims as well as low complexity Bodily Injury Liability...skills and Windows proficiency, including Excel and Word - Intermediate + Verbal and written communication skills - … more
- Travelers Insurance Company (Diamond Bar, CA)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature… more
- Travelers Insurance Company (St. Paul, MN)
- …that requires satisfactory completion of required training to advance to Claim Representative - Specialty Liability position. This position is intended to develop ... skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …with or without notice. Primary Responsibilities + Handle inbound calls from members, medical providers, and others. + Adjust claims accurately, if needed. + ... About The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and...call center, experience with claims inquiry and claims review procedures, knowledge of medical specialties,… more
- TEKsystems (Nashville, TN)
- …AR accounts for a multi-physician Oncology practice. Including processing insurance claims , reviewing EOB'S, submitting appeals, follow up with insurance payers and ... are completed. These individuals are expected to work denied claims under 120 aging to collect payment. This will...Additional Skills & Qualifications: Someone who is experienced within Medical Billing. They must be able to explain the… more
- Kelly Services (Mason, OH)
- …Degree preferred) + 2+ years' experience in high-volume call center experience + Medical related background ( medical billing, claims experience, in office ... alternate day off during week **GENERAL FUNCTION** The Customer Service Representative provides high quality multi-channel (telephonic, chat, email, social media, US… more
- Garnet Health (Middletown, NY)
- … Representative on our Patient Financial Services team at/in Garnet Health Medical Center-Middletown. Responsibilities Files insurance claims to all payers in ... timely and accurate manner. Representative serves as primary contact for patient reimbursement issues...or equivalent required, Associates degree preferred in a related medical field or business. Must be proficient in computer… more
- TEKsystems (Rockville, MD)
- …or medical insurance call center environment or 1+ years of processing medical claims * Bilingual-speaking candidates strongly preferred * Must type 40 wpm ... patient? - What is the patients liability on a claims form which would be co insurance, deductible and...support the achievement of the team's goals. Experience Level: Intermediate LevelWi About TEKsystems: We're partners in transformation. We… more
- TEKsystems (Tempe, AZ)
- Description: *Inbound healthcare contact center representative role *Managing phone and message inquiries from our patients and those involved in their care as they ... navigating or learning all things healthcare, including but not limited to medical records, authorizations, referrals, and coordinating care among our members' care… more
- Nucor Steel Auburn, Inc. (Albuquerque, NM)
- …communities we serve. Nucor supports its teammates with top-tier benefits like Medical , Dental, Vision, and Disability Insurance, 401K and Roth accounts, Profit ... Profit Share 5-year Average: 20.43% A full benefits package, including Medical /Dental/Vision insurances; Life Insurance, Paid Vacation and Holidays; 401k and Stock… more
- Ryder System (Alpharetta, GA)
- …and account goals + Supports all parties with customer credit qualification, claims , Accounts Receivable from customer base, and Accounts Payable issues with carrier ... preferred + MS Office (Outlook, Excel, Word, PowerPoint, etc.) Intermediate required **Travel** Yes **Job Category:** Inside Sales **Compensation Information**… more
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