- Merck & Co. (North Wales, PA)
- …Our Quantitative Sciences team uses big data to analyze the safety and efficacy claims of our potential medical breakthroughs. We review the quality and ... - $213,400.00Available benefits include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and family),… more
- Merck & Co. (North Wales, PA)
- …Economy, Computer Science , Statistics, Decision Science, Marketing, Engineering, Public Health , Biological Sciences, Nursing, Pharmacy, Medical Sciences is ... - $175,300.00Available benefits include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and family),… more
- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines.… more
- Elevance Health (Rancho Cordova, CA)
- … Examiner I meeting expectations on quality and quantity or three (3) years medical claims processing/ health insurance customer service experience or ... education. Preferred Skills, Capabilities & Experiences: + Thorough knowledge of medical terminology and claims processing procedures/systems. + Effective… more
- Elevance Health (Rancho Cordova, CA)
- …(internal applicants shall have preference over external applicants) or medical claims processing/or other health insurance or equivalent education. ... ** Claims Examiner I** UNION POSITION **Location :** This...Refers to policy overage and benefit limitations information (ie medical guidelines, corporate policy, contract provisions, other coverage etc.)… more
- TEKsystems (Austin, TX)
- …health insurance , provider claims , medical claims processing, health insurance claims , cpc, claims analysis, Medical , payer ... Medical billing,Accounts receivable,Claim, Health care,Collection, Insurance , Medical claim,revenue cycle,medicare, insurance verification,accounts payable,denied claims… more
- TEKsystems (Charlotte, NC)
- …health insurance , provider claims , medical claims processing, health insurance claims , claims analysis, Medical , payer relations, ... resolution, medical collections, eligibility verification, benefits investigation, claims processing, medical insurance , prior authorization,… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …Automobile No-fault etc. all necessary. Transmits claims and current medical reports to insurance company. Corresponds with field activities claimants' ... Privacy Act requirements responding to inquiries received from hospitals insurance carriers and other health agencies. Assists...gain general knowledge of medical /dental and life insurance and benefit claims . OR SUBSTITUTION OF… more
- Trinity Health (Farmington Hills, MI)
- …organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... in Microsoft Office, including Outlook, Word, PowerPoint, and Excel. **Experience with hospital medical claims follow-up with Medicaid in the state of Ohio… more
- Elevance Health (West Des Moines, IA)
- …III ( Health & Dental)** is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. **How ... ** Claims Representative III ( Health & Dental)**...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Trinity Health (Farmington Hills, MI)
- …organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.… more
- Travelers Insurance Company (Walnut Creek, CA)
- …years Workers Compensation claim handling experience **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a … more
- HP Inc. (Spring, TX)
- …**Benefits:** HP offers a comprehensive benefits package for this position, including: + Health insurance + Dental insurance + Vision insurance ... The Manager, Global Claims & Insurance is responsible for...claims and settlement values and strategies. Understanding of medical and legal issues and terminology + Excellent communication… more
- Providence (WA)
- …+ Insurance Carrier Experience + Third Party Professional Negligence Claims Experience + Experience handling Medical Negligence Professional Liability ... medical negligence claims + Experience analyzing medical professional and general liability insurance policy...Plan with employer matching, health care benefits ( medical , dental, vision), life insurance , disability … more
- AON (AZ)
- Insurance & Claims Manager - Captive Insurance We are seeking an Insurance & Claims Manager to primarily oversee the captive insurance program ... plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance , various types...and responsibilities to this job at any time. 2543084 Insurance & Claims Manager - Captive … more
- American Family Insurance - Corporate (Atlanta, GA)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- CRC Insurance Services, Inc. (TX)
- …gathering information and drawing conclusions. Acts as a liaison between insured and insurance carrier to report, track and manage claims process. Provides ... and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with insurance...benefits may be determined by the division of TIH Insurance offering the position. TIH offers medical ,… more
- CVS Health (St. Paul, MN)
- …dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, ... Bring your heart to CVS Health . Every one of us at CVS ...adjust SF (Self-funded), FI (Fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims … more
- American Family Insurance - Corporate (Seattle, WA)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities that will put customers at the ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- American Family Insurance - Corporate (Reno, NV)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
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