- Publix (Lakeland, FL)
- …in Microsoft Word, Excel and PowerPoint + basic skill level in Risk Management Claims System and Medicare Reporting System **Zip Code:** 33811-3311 ... Casualty events regardless of whether they escalate to a claim . Customer claims cost $2,200 to resolve...litigation in all states that Publix does business. Each associate will process approximately 250 new attorney-represented claims… more
- State of Minnesota (St. Paul, MN)
- … claims management for a self-insured employer, third party claim administrator, an insurance carrier, governmental employer, or similar environment. Workers' ... one (1) year of experience as described below. An Associate 's degree may be substituted for six (6) months...claims management for a self-insured employer, third party claim administrator, an insurance carrier, governmental employer, or similar… more
- APTIM (Santa Fe, NM)
- …+ Provide coaching, feedback, and refresher training to ensure team proficiency in claims systems and regulations + Coordinate with SMEs, site inspectors, and ... customer service. **Key Responsibilities/Accountabilities:** + Supervise day-to-day work of claims reviewers and technical staff, ensuring timely claim … more
- NTT DATA North America (TX)
- …the potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other ... DATA, Inc. currently seeks a **Coordination of Benefits (COB) Associate ** to join our team. Our Client is one...for this role include:** + 3+ years of medical claims processing experience + 5+ years of experience using… more
- Zurich NA (Schaumburg, IL)
- …strategic direction + Leverage AI and machine learning technologies to automated and streamline claim system processes + Drives the execution of a number of ... or product development area Preferred Qualifications: + P&C - Commercial Insurance, Claims system experience desired + Practical experience utilizing Microsoft… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …entry or customer service experience required. * Able to learn and operate internal claims system for entry and processing. * Ability to efficiently resolve ... performs timely and accurate data-entry and transactional processing in the claims administration system . The incumbent processes and adjudicates Long-Term… more
- UMB Bank (Kansas City, MO)
- …Online Banking, Mobile, Wire, ACH & P2P. Responsible for managing multi-channel fraud claims . Responsible for mastering the associated systems and tools used for ... This position will report directly to the Manager, Enterprise Fraud Claims , supporting UMB's protection against multi-channel payment fraud loss. These payment… more
- MetLife (Warwick, RI)
- …made by team member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and ... Ability to Partner with Internal/External Customers . High School Diploma Preferred: . Associate Degree . 2 plus years of claims management experience preferably… more
- Molina Healthcare (Columbus, OH)
- …and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree or ... , provider and investigation/research experience. Outcome focused and knowledge of multiple systems . 1+ years of claims research and/or issue resolution or… more
- Albany Medical Center (Albany, NY)
- …for securing revenue for services provided by hospital of Albany Med Health System by competing appeals, phone calls, and account review. Qualifications: High school ... preferred.Knowledge in billing codes and EDI requirements.Knowledge of electronic claims processing and edits.Excellent decision-making skills, detail oriented, and… more
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