- CVS Health (Hartford, CT)
- …CT 3 days per week)** **Claim Benefit Specialist** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the ... by providing accurate and timely resolution in processing medical claims . You will be a key link in providing...quality and production standards + Assist team members in support of achieving team, office, regional, and national goals… more
- Hendrick Automotive Company (Kansas City, MO)
- …Kansas City, Missouri 64114 Summary: Responsible for preparing records, reconciling warranty claims , and submitting warranty claims to the factory and ... Duties and Responsibilities include the following: + Processes warranty claims in accordance with Manufacturer Guidelines. + Verifies criteria...Desired Education: o GED √ High School Diploma o Associate Degree o Bachelor Degree o Master Degree o… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Payment… more
- Uniland Development Company (Amherst, NY)
- …The Risk Management and Insurance Coordinator provides legal and administrative support focused on insurance and risk management matters across Uniland's property ... responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and litigation… more
- TEKsystems (Chicago, IL)
- …tenants: Personal Connection Empathy Problem-Solving and Ownership. Skills help desk technical support , help desk, call center, office suite, claims adjusting ... procedures for the core and worksite calls. - Provides support for business partners as needed. - Represents the...- High school diploma or general education degree GED Associate degree preferred. - 2 years experience in a… more
- Zurich NA (Queens County, NY)
- …+ High School Diploma or Equivalent and 2 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of the insurance industry and ... and 6 or more years of experience in the Claims or Underwriting Support area OR +...area OR + Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience… more
- Humana (Oklahoma City, OK)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working… more
- AmeriHealth Caritas (Manchester, NH)
- …and state inquiries related to claim payment issues. **Work Arrangement:** + Hybrid - The associate must be in the office at least three (3) days per week at our ... Hampshire (NH) location.; **Responsibilities:** + Reviewing and auditing provider billing, claims processing and accuracy. + Develops the Pricing Agreement Templates… more
- Trinity Health (Livonia, MI)
- …in all situations. Develops sustainable, efficient, and effective processes to support customers within the parameters of the Department service level agreements. ... Term Disability, Military Leave, Family Medical Leave and Workers' Compensation claims with internal areas of expertise and external vendors. Acts independently… more
- Molina Healthcare (Kearney, NE)
- **JOB DESCRIPTION** **Job Summary** + Provides customer support and stellar service to meet the needs of our Molina members and providers. + Resolves issues and ... member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides… more