- Albany Medical Center (Albany, NY)
- …Qualifications: High school diploma or GED is required. AAS degree is preferred .Knowledge in billing codes and EDI requirements.Knowledge of electronic claims ... processing and edits.Excellent decision-making skills, detail oriented, and have the ability to submit factual, timely and compelling appeal letters to payors regarding payment variances and denials.Able to communicate effectively and successfully with team… more
- Zurich NA (Schaumburg, IL)
- … claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful ... experience Preferred Qualifications: + Member of the Bar + Claims handling experience including Private/Non-Profit D&O, EPL, Fiduciary and/or insurance coverage… more
- NTT DATA North America (Plano, TX)
- …DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate ** to work for our end client. **NOTE** : This is a US ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …and experience makes ConnectiveRx better than the sum of its parts. The Claims Specialist, under the direction of the Supervisor (with guidance from a Team ... Lead), is responsible for processing medical claims received from patients and/or HCPs across a broad...to inquiries from patients, physicians, pharmacies, and clients. The Associate may be assigned additional responsibilities by the Supervisor.… more
- Humana (Madison, WI)
- …and settlement of claims for and against the organization. Approves all claim settlements both for and against the organization. The Claims Research & ... a part of our caring community and help us put health first** The Claims Research & Resolution Representative 3 manages claims operations that involve customer… more
- Mass Markets (Garden City, GA)
- …the below qualities: + High School Diploma/GED + Prior experience as a teller, associate , or in a banking role preferred . + Strong customer service orientation. ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Compass Group, North America (NC)
- …avoid litigation. + Manages the associates appeal process for all denied leave claims . + Keeps unit managers, Human Resources, and Benefit Team abreast of associates ... and any state regulations. + Bilingual, fluent in English/Spanish preferred + Experience in providing consultation and training on...Time Off (varies by site/state) + Personal Leave + Associate Shopping Program + Health and Wellness Programs +… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …responsible for investigating, evaluating, negotiating, and resolving personal lines property claims . Responsible for adjusting major and complex losses in their ... 2. Responsible for providing exceptional customer service and handles claims in accordance with prescribed authority and best ...determine cause of loss, and document activity on each claim to come to a resolution quickly and accurately.… more
- Marriott (Plano, TX)
- …+ Knowledge of claims processing. _Preferred_ + Applicable industry licensing. + Associate in Claims (AIC) or Associate in Risk Management (ARM). ... Management **Pay Range:** $54,900-$72,700 annually **Bonus Eligible:** Y **JOB SUMMARY** A Claims Adjuster I is responsible for the timely, good faith adjustment and… more
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate ** to work for our end client and their team. **Note** ... NTT DATA only. **Role Responsibilities** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more