- 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
- Molina Healthcare (Dayton, 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
- 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
- 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
- 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
- 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