- AIG (Jersey City, NJ)
- Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our ... service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes… more
- NTT DATA North America (MO)
- **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** : Non-Exempt **Department** : Operations **Level** : Entry to mid-level ... be responsible for:** + Processing of Professional and Hospital claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims * Prioritize work and adjudicate claims … more
- TEKsystems (Earth City, MO)
- …for proposed vehicle repairs using provided guidelines. + Customer Questions - Explain claim decisions and guide customers through the claims process. + Repair ... Job Title: Mechanical Claims Specialist Start Date: December 1st Location: Remote/Hybrid...and repair facilities via phone and email to resolve claim -related inquiries. + Provide empathetic and professional customer service,… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 168166 Claims Management Specialist Are you a seasoned medical insurance professional with a passion for leadership and operational excellence? ... FlexStaff is seeking a dynamic Claims Management Specialist for our client to oversee their...client to oversee their Medicare, Medicaid, and Out-of-Network Insurance operations in beautiful Chappaqua, NY. If you thrive in… more
- TEKsystems (San Antonio, TX)
- TEKsystems is looking to hire several FULLY REMOTE Seasoned Medical Claims Analyst for a large healthcare client. **If you have 5+ years of completing a deep level ... of research within PBM claims , and have 3+ years of experience running queries...that the coupon once uploaded would then correct the claim with accurate billing. Right now though a … more
- TEKsystems (St. Louis, MO)
- …be responsible for: + Pulling and analyzing claims reports, including rejected claims + Assisting with claim reprocessing efforts + Supporting analysts with ... Now Hiring: Claims Technical Analyst (Remote) Contract Duration: Through June...Analyst to join a dynamic team supporting pharmacy benefit operations . This hybrid role bridges the gap between specialist… more
- Healthfirst (NY)
- …Evaluates, develops, and recommends strategic plans to ensure modern and efficient claims management and provider payment + Analyzes, evaluates, develops, and leads ... strategic plans in alignment with the future vision of Claims ,Healthfirst delivery system and the company. + Establishes...across the organization to improve delivery system and provider operations . + Ensures all NY state and federal compliance,… more
- TEKsystems (Columbia, SC)
- …according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct ... 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
- NTT DATA North America (Plano, TX)
- …DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, ... executed as part of an overall sourcing strategy. NTT DATA currently seeks a **Medical Claims Processor** to join our team in **Plano, TX for a remote position** .… more
- NTT DATA North America (Plano, TX)
- …DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, ... strategy. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...NTT DATA only. **Role Responsibilities** + Processing of Professional claim forms files by provider + Reviewing the policies… more