- Sedgwick (Fayetteville, NC)
- …General Adjuster - Mid Atlantic Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other companies ... including handling accounting-based losses (business interruption and stock). + Examines claim form and other records to determine insurance coverage. + Interviews,… more
- CVS Health (NC)
- …position is to collaborate with non-par providers to negotiate the pricing of medical and facility claims to obtain the highest possible success rates, ... issues and concerns. **Required Qualifications** + General knowledge on negotiation (through medical billing process, claim processing, or other avenues). +… more
- Cardinal Health (Raleigh, NC)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid… more
- Cardinal Health (Raleigh, NC)
- …things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Sedgwick (Greensboro, NC)
- …Adjuster - Mid Atlantic Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- CVS Health (Raleigh, NC)
- …with complex systems and solving challenging analytical problems + Previous medical /dental healthcare experience, claim domain knowledge and proficiency in ... solutions that meet the evolving needs of our business. The Commercial Claim team handles complex project work that crosses many Aetna Technology… more
- Elevance Health (Durham, NC)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies,… more
- KPH Healthcare Services, Inc. (Greensboro, NC)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- Army National Guard Units (Raleigh, NC)
- …to on-the-job injuries, illnesses; coordinate case details between employees, supervisors, medical personnel, claims offices; review claims / medical ... policies/regulations; serve as a technical expert in matters regarding employees' claims for Workers Compensation; serve as the Injury Compensation Program… more
- CVS Health (Raleigh, NC)
- …with complex systems and solving challenging analytical problems + Previous medical /dental healthcare experience, claim domain knowledge and proficiency in ... a highly skilled and experienced Senior Product Owner to join our Commercial Claim Adjudication engineering team. As a Senior Product Owner, you will contribute to… more