• Claims Auditor (Remote - WI or MN)

    Marshfield Clinic (Marshfield, WI)
    …international classification of diseases (ICD), health care procedure coding system (HCPCS) and medical terminology. **Preferred/Optional:** Associate degree ... the most exciting missions in the world!** **Job Title:** Claims Auditor (Remote - WI or MN) **Cost Center:**...Auditor has working knowledge of the overall aspects of claim processing, both in and outside of Security Health… more
    Marshfield Clinic (11/13/25)
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  • RCIS Crop Claims Specialist

    Zurich NA (Springfield, IL)
    RCIS Crop Claims Specialist 128694 Zurich is currently looking for Crop Claims Specialist to join our Rural Community Insurance Services (RCIS) team. RCIS is one ... this role you will be responsible for: + Completes high dollar/quality assurance type claim reviews for Crop Hail/Named Peril with $250K and above approval limits. +… more
    Zurich NA (11/13/25)
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  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …or configuration updates. + Document all research, findings, and outcomes in claims systems (eg, Salesforce, Facets) in compliance with audit standards ... 011250 CCA- Claims **_This position is available to remote employees...**Essential Duties & Responsibilities:** + Analyze MassHealth and Medicare claim reimbursements to ensure compliance with contractual terms, state… more
    Commonwealth Care Alliance (11/30/25)
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  • Medical Claims Processor - Remote

    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 and their team. **NOTE** : ... 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
    NTT DATA North America (10/29/25)
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  • Business Analyst - Fraud Claims Initiatives

    First Horizon Bank (Maryville, TN)
    …maps, and functional specifications. + Support the design and rollout of new fraud claims systems and enhancements to existing platforms. + Participate in UAT ... Monitoring relevant regulatory changes and suggesting compliance-driven improvements. + Facilitating associate training related to new system or process changes.… more
    First Horizon Bank (11/18/25)
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  • Medical Claims Processor - Remote

    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
    NTT DATA North America (10/30/25)
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  • Claims Analyst, Configuration Information…

    Molina Healthcare (Dallas, TX)
    …experience and knowledge to research and resolve claim /encounter issues, pended claims and facilitate system update(s) as necessary. + Works with fluctuating ... claims databases. Synchronizes data among operational and claims systems and application of business rules...housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
    Molina Healthcare (11/23/25)
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  • Claims Examiner - Job Service Rep I

    State of Massachusetts (Boston, MA)
    …questionable or difficult to determine. 7. Prepare accurate case notations within claims management system which contain accurate, specific, and sufficient facts ... * Claims Examiner/Job Service Representative I| Department of Family...reports generated by the agency and/or agency partners computer systems . 3. Identify discrepancies or issues and escalate or… more
    State of Massachusetts (11/22/25)
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  • Claims Adjuster I

    Marriott (Plano, TX)
    …years claims adjusting or equivalent/relevant experience. _Preferred_ Knowledge of claims processing. Applicable industry licensing. Associate in Claims ... and Procedure Manual requirements Effectively utilize the Valley Oaks System (iVOS) to manage all claims electronically...Valley Oaks System (iVOS) to manage all claims electronically Enter action plan notes/website notes into iVOS… more
    Marriott (10/06/25)
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  • Assistant of Claims Processing

    Ascension Health (Jacksonville, FL)
    **Details** + **Department:** Claims Processing + **Schedule:** Full Time, Days + **Facility:** Ascension Medical Group + **Location:** Jacksonville, FL **Benefits** ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
    Ascension Health (11/25/25)
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