• Claims Processing Representative

    Access Dubuque (Dubuque, IA)
    Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1343279 Posted On 10/30/2024 **Job Overview** ** Claims Processing ... report to the office once per week.** **Summary:** The Claims Processing Representative will provide a key...Administrator Cottingham & Butler/ SISCO Sales Executive - Casualty Claims (Fully Remote ) Cottingham & Butler/ SISCO… more
    Access Dubuque (10/31/24)
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  • Sr. Professional Liability Medical

    Providence (WA)
    …we must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, Evaluate, and Manage Professional, ... + Work with defense attorneys specializing in defense of medical negligence claims + Have direct responsibility...+ 7+ years of relevant general and professional liability claims processing or management experience + 5+… more
    Providence (10/05/24)
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  • Billing and Follow Up Representative-II (Hospital…

    Trinity Health (Farmington Hills, MI)
    …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... in Microsoft Office, including Outlook, Word, PowerPoint, and Excel. **Experience with hospital medical claims follow-up with Medicaid in the state of Ohio… more
    Trinity Health (10/29/24)
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  • Billing and Follow-up Representative-I (Hospital…

    Trinity Health (Farmington Hills, MI)
    …managed care organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, ... Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $16.8185-$25.2277) Performs day-to-day billing and follow-up… more
    Trinity Health (11/01/24)
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  • Medical Claims Adjustor (Fully…

    CVS Health (St. Paul, MN)
    …all dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine ... of experience in a production environment. **Preferred Qualifications** + DG system claims processing experience. + Demonstrated ability to handle multiple… more
    CVS Health (10/31/24)
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  • Workers Compensation Claims Examiner…

    Sedgwick (Richmond, VA)
    …growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Remote | Experience with MD, VA, & DC… more
    Sedgwick (11/02/24)
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  • Liability Claims Representative…

    Sedgwick (Columbus, OH)
    …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... work. 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… more
    Sedgwick (10/31/24)
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  • General Liability Claims Manager,…

    Providence (NM)
    …in any of the following areas of focus / specialty: + General Liability Claims Processing + General Liability Claims Management + General Liability ... patient safety projects, through the Risk & Integrity Services division and Risk, Claims , & Insurance department **Providence welcomes 100% remote work for… more
    Providence (10/05/24)
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  • Workers Compensation Claims Representative…

    Sedgwick (Columbus, OH)
    …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | REMOTE (Knowledge of OH jurisdiction) Are you… more
    Sedgwick (10/23/24)
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  • Claims Examiner - Auto - Commercial…

    Sedgwick (Roseville, CA)
    …Forbes Best-in-State Employer Claims Examiner - Auto - Commercial Trucking I Remote (Pacific or Mountain Time Zone) Handling claims for large commercial ... : To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the… more
    Sedgwick (10/26/24)
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  • Remote Medical Claims Analyst

    TEKsystems (Minneapolis, MN)
    …member and pharmacy remediation analysis caused by errors coded into the RxClaim processing system, along with claims monitoring and data validation activities. ... they will succeed in this role. The understanding of medical terminology (Copays, deductibles, and benefit plans) will help... experience with emphasis on researching / auditing not processing or production + Claims software experience… more
    TEKsystems (10/26/24)
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  • Remote CAT Claims Adjuster

    Randstad US (Alpharetta, GA)
    remote cat claims adjuster. + alpharetta...Email your resume and availability to ###@randsstadusa.com. Skills + Claims + Claims Processing + ... after a disaster? Join our team as a CAT Claims Adjuster, where you'll play a vital role in...and be available on short notice. Job Perks: + Medical , dental, vision, and life insurance + PTO +… more
    Randstad US (10/29/24)
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  • Claims Examiner - Workers Comp…

    Sedgwick (Birmingham, AL)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Comp ( Remote ) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult workers' compensation claims to determine benefits due; to work with high...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
    Sedgwick (11/01/24)
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  • Remote Claims Analyst

    TEKsystems (Minneapolis, MN)
    …member and pharmacy remediation analysis caused by errors coded into the RxClaim processing system, along with claims monitoring and data validation activities. ... Claims Analyst, Audit, support, analysis, workflow, claim, Healthcare, Medical Terminology Top Skills Details: Claims , RxClaims, Pharmacy benefits,… more
    TEKsystems (10/26/24)
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  • Remote - Claims Adjuster…

    Reynolds & Reynolds (Phoenix, AZ)
    Remote - Claims Adjuster - Automotive/RV Phoenix, AZ Full-Time Apply Here ‹ View jobs Position description: This is a full-time, remote position. American ... (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive/RV for our growing team. In...- Answering inbound calls - Provide information about claim processing and explain the different levels of contract coverage… more
    Reynolds & Reynolds (10/26/24)
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  • Senior Claims Benefit Specialist…

    CVS Health (St. Paul, MN)
    … or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes ... and affordable. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as… more
    CVS Health (10/30/24)
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  • Healthcare Medical Claims Coding Sr.…

    Commonwealth Care Alliance (Boston, MA)
    …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for...Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills &… more
    Commonwealth Care Alliance (10/17/24)
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  • Medical Claims Examiner

    CHS (Clearwater, FL)
    medical terminology **Qualifications** **Qualifications:** Minimum two (2) years of medical claims processing experience **Education and/or Experience:** ... **Overview** **Health Insurance Medical Claims Examiner** **(Initial Training on...Examiner** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a reasonable commuting… more
    CHS (10/24/24)
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  • Claims Examiner I

    Elevance Health (Rancho Cordova, CA)
    …Minimum Requirements : + Minimum of one (1) year of Anthem Blue Cross medical claims processing experience (internal applicants shall have preference over ... Examiner I** UNION POSITION **Location :** This is a remote position however the associate will be mapped to...external applicants) or medical claims processing /or other health… more
    Elevance Health (10/25/24)
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  • Senior Product Manager - Claims

    Highmark Health (Pittsburgh, PA)
    …**systems and technology** **will be essential.** **This includes k** nowledge of claims processing platforms, data management systems, and relevant technologies ... medical , dental, pharmacy, etc.). **Demonstrated success with leading** ** claims ** **transformations as well as experience with claims...like AI/ML to optimize claims processing . **ESSENTIAL RESPONSIBILITIES** + Understand the… more
    Highmark Health (10/10/24)
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