- CVS Health (PA)
- …And we do it all with heart, each and every day. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists ... use multiple systems and screens to obtain and record claim information + Review claims information to...preferred **Education** High School diploma or Equivalent **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
- CVS Health (Tallahassee, FL)
- …non-participating providers. Additionally, they will assist in creating bulletins, newsletters, and claim trainings to improve provider claims issues. as well as ... Field Analyst** works with the grievance and appeal and claims operations department to trend provider claim ...8am-5pm EST, with the flexibility to work beyond core hours as needed. **Preferred Qualifications** + Excellent verbal and… more
- WTW (Houston, TX)
- …As a Medical Claim Field Auditor, you will apply your medical claims audit, project management and claim processing and auditing experience to perform ... environment + Claims processing knowledge/exposure to one or more administrator claim systems such as UNET, WGS, NASCO, ACAS, Proclaim, PowerMHS, Facets, ITS,… more
- CRC Insurance Services, Inc. (TX)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage with insurance carriers to ... America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates… more
- CRC Insurance Services, Inc. (ID)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with...computer and office skills 12. Ability to work extended hours when necessary **Preferred Qualifications:** 1. New York adjuster… more
- CVS Health (Franklin, TN)
- …all with heart, each and every day. **Position Summary** Performs claim documentation review, verifies policy coverage, assesses policy application validity, ... to the efficient and accurate handling of medical and final expense claims for reimbursement through knowledge of medical records reviews, team processes, and… more
- University of Rochester (Rochester, NY)
- … to obtain and verify insurance coverage. + Follows up on unpaid accounts working claims . + Reviews reasons for claim denial. + Reviews payer website or contacts ... 14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours : 40 Department: 500011 Patient Financial Services Work Shift: UR - Day… more
- CVS Health (MA)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- University of Rochester (Rochester, NY)
- …14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours : 40 Department: 500011 Patient Financial Services Work Shift: UR - Day ... closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action...are required. + Remote location must be within 2 hours of RTP and within New York State. **ESSENTIAL… more
- Alight (NJ)
- …you a successful leader who is experienced in leading a team of claims professionals? Seeking an experienced team leader skilled in delivering subject matter ... and leading a team of leave and disability managers with varying degrees of claim handling skills. This role will leverage expertise to navigate complex claim … more