- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative II is ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner/Job Service Representative II will review, analyze and evaluate disputed … more
- Encore (Schiller Park, IL)
- …**_Incident and Claims Administration_** + Provides support to Encore's Claims Manager with incident reporting and intake setup, investigations and ... departments and provides guidance on various filing and process activities relating to claims management. **_Contract & Claim File Management_** + Ensures key… more
- JB Hunt Transport (Lowell, AR)
- …(Required), High School (Required) **Work Experience:** Customer Service/Account Manager , Transportation/Logistics **Job Opening ID:** 00596249 OSD/Cargo Claims ... **Job Title:** OSD/Cargo Claims Intake Representative I **Department:** Insurance **Country:** United...information, as well as identify missing, incorrect, or updated claim information, to determine appropriate course of action and… more
- Elevance Health (Atlanta, GA)
- …establish patterns for payment integrity. + Possess a solid understanding of the claims workflow, including its interconnection with claim forms. + Experience ... **Medical Claims Data Integrity Consultant** **Location:** Atlanta, GA; Norfolk,...advanced knowledge of data warehouse database design, data definitions, system capabilities, and data integrity issues. + Acts as… more
- Athene (West Des Moines, IA)
- …requirements. + Recognizes potential issues with claims and refers questionable claims to Escalation-Team, Team Lead or Manager . + Aids in administering ... and dynamic work environment at our various locations. Purpose: We're hiring Claims Representatives! A Claims Representative at Athene is responsible for… more
- TEKsystems (Columbia, SC)
- …appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of ... procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay … more
- First Student (Cincinnati, OH)
- …regulations. + Maintain accurate and up-to-date electronic claim files in the claims management system . + Prepare and send claim -related communications ... has to offer.** **About the Position** **Key Responsibilities:** + Support Claims Adjusters in the intake, documentation, and processing of transportation-related… more
- IKO (Kankakee, IL)
- …to our customers by listening, analyzing problems, and resolving issues + Enter warranty claims into internal claim system + Evaluate and make ... who hold these values. People like you! Job Description Reporting to the Warranty Claims Manager (US) , the Warranty Claims Representative is a key position… more
- Dragonfly Health (Mesa, AZ)
- …or manager ._ 1. Assist pharmacies with real-time and retrospective claims adjudication. Adjust and correct authorizations in dispensing and PBM systems ... by Pharmacy Claims Team Leaders on Pharmacy Claims (Support Services) Manager . 11. Support Call...and written communication skills * Ability to learn proprietary systems used for claims management and facility… more
- Access Dubuque (Dubuque, IA)
- …the client program. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Sets up and enters new claims into claims management system . + Inputs and reviews ... world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey....notes/diaries in claims management system as instructed. + Processes payments. + Processes mail;… more