- Sedgwick (Meridian, ID)
- … claim action/processing with claimant, client and appropriate medical contact. + Ensures claim files are properly documented and claims coding is correct. + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claim Associate - Medical Only | Meridian, ID Are...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Sedgwick (San Diego, CA)
- … claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claim Representative - IAP (On-Site San Diego, CA) THIS...Claims Progression Program required without a degree. Prior claims experience preferred . **Skills and Knowledge** +… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding ... standards. **Knowledge/Skills/Abilities** * Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases,… more
- Cognizant (Dover, DE)
- **Healthcare Accounts Receivables - Claims Denials (remote)** Cognizant is one of the world's leading professional services companies, we help our clients modernize ... successful candidate performs advanced level work related to resolution of physician claim denials. This position will be responsible for root cause analysis… more
- CVS Health (Lansing, MI)
- …Demonstrated ability to handle multiple assignments competently, accurately and efficiently. ** Preferred Qualifications** - 18+ months of medical claim ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Donegal Insurance Group (Marietta, PA)
- …most. Job Summary Donegal Insurance Group has an opening for an entry-level Claim Representative ( Claim Trainees) in our Marietta Headquarters. Only candidates ... along the Susquehanna River in beautiful Lancaster County, Pennsylvania our claims operations offer a great career and development opportunity, an engaging… more
- Molina Healthcare (Warren, MI)
- …to providers. **Job Duties** + Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which ... work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience,… more
- MAPFRE Insurance (Webster, MA)
- …or equivalent, related experience preferred . + A minimum of five (5) years claims technical experience is preferred , to include bodily injury and litigation ... Claim Consultant - Commercial/Complex (Hybrid or Remote) Date:...with a high level of independence handling high exposure claims and litigation potentially in multiple lines of coverage… more
- AIG (New York, NY)
- …the way we help customers to manage risk. Join us as a Complex Claim Director - Employment Practices Liability (EPL) to play your part in that transformation. ... valued member of the team. Make your mark in Claims Stewardship Our Claims teams are the...the litigation and arbitration process + Juris Doctor is preferred For positions based in New York, NY and… more
- CVS Health (Austin, TX)
- …skills. + Proficiency in using systems and tools for data analysis and auditing. ** Preferred Qualifications** + 1-2 year of DG Claims systems experience + ... heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist serves as a quality champion and...to test plan development. + Analyze and resolve complex claims scenarios within established timeframes. + Respond to internal… more