- Insight Global (Nashville, TN)
- …and Requirements . Must have high school diploma or GED, bachelors degree highly preferred . 8-10+ years of Medicare claims processing experience with knowledge ... Job Description . Specialist performs pre- and post-payment audits of external claims ; ensures that the company rigorously manages claims for external services;… more
- Molina Healthcare (Savannah, GA)
- **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating, ... investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge… more
- Dragonfly Health (Mesa, AZ)
- …**Required** + CPhT or EXCPT **Experience** **Required** + Experience with pharmacy claims adjudication is required. ** Preferred ** + Minimum of six (6) ... supervisor or manager._ 1. Assist pharmacies with real-time and retrospective claims adjudication. Adjust and correct authorizations in dispensing and PBM systems… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Claims Adjudicator** **Job Class: State Program Administrator, Intermediate** **Agency: Department of Employment and Economic Development** + **Job ... Department / MAPE + **Division/Unit** : Paid Family & Medical Leave / Paid Leave- Claims 9 + **Work Shift/Work Hours** : Day Shift, 8:00AM - 4:30PM + **Days… more
- ManpowerGroup (Marquette, MI)
- …degree in health information processing or related area; coding certification. + Preferred : 1-2 years of medical office or claims /billing experience and ... a leader in the healthcare industry, is seeking a Claims Service Representative to join their team. As a... Service Representative to join their team. As a Claims Service Representative, you will be part of the… more
- Zurich NA (Atlanta, GA)
- Claims Team Manager, General Liability 126578 Zurich North America is hiring a Team Manager - General Liability to join our team! We are open to hiring talent in one ... Park KS. With moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims . Coordinates the work… more
- MTA (Brooklyn, NY)
- Claims Manager Job ID: 11803 Business Unit: MABSTOA Location: Brooklyn, NY, United States Regular/Temporary: Regular Department: Torts Date Posted: May 21, 2025 ... Description Job Information Title: Claims Manager Last Date of Posting: Open Until Filled...or a satisfactory equivalent combination of education and experience. Preferred : * Extensive knowledge of NYCT bus and subway… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …files. * Fill requests from internal and external parties regarding attorney represented claims . * Collect, prepare, and distribute claim and underwriting files ... various administrative functions and project-related activities in support of the Claims Litigation Department. KEY RESPONSIBILITIES Following is a summary of… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The primary purpose of this position is to examine & process claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for ... This position is responsible for the accurate review, input & adjudication of claims using payment policies & methodologies that are consistent with and recognized… more
- Texas Veterans Commission (Fort Worth, TX)
- …able to successfully pass federal background checks and obtain accreditation to submit claims with the Department of Veterans Affairs. * Preferred Experience and ... it is incomplete. Attaching documents to the application is preferred . Resumes do not take the place of this...and eligible persons with the Department of Veterans Affairs claims process. Work involves collaboration with external partners to… more