- CVS Health (Richardson, TX)
- …And we do it all with heart, each and every day. As part of the Rx Claim Adjudication team, you will be expected to be proficient in all critical functions of the ... experience + 3+ years of recent experience leading projects ** Preferred Qualifications** + 7+ years of experience overall +...Experience with RxClaim or other PBM Adjudication system is preferred . + Experience on Cloud Technologies like GCP, AWS,… more
- Centene Corporation (Austin, TX)
- …for hiring, training, assigning work and managing performance of staff. Claims capacity planning experience highly preferred . Pay Range: $145,100.00 ... managing, and owning workforce management strategy, process, and execution for claims . Will focus on tactical and strategic plans, capacity planning, quality,… more
- Atrius Health (Chelmsford, MA)
- …Connecting. Growing together.* *SUMMARY* *This position is looking for a Medical Claims Representative to join the Self Pay team at our Chelmsford location ... working with third party billing practices, (experience with physician's billing preferred ) required. *_SKILLS_* * Proven knowledge of ICD-9, CPT-4 and HCPCS… more
- New York State Civil Service (Liverpool, NY)
- …Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) Claims Med Pay (NYHELPS) Occupational Category IT Engineering, Sciences Salary ... Code 13088 Duties Description As a member of NYSIF's Claims MedPay DBL-PHS team, incumbents of these positions will...are not counted towards the 15 semester credit hours. Preferred Qualifications:The candidate should have a basic understanding of… more
- Regions Bank (Hoover, AL)
- …self-starter + Strong data and analytics capabilities + Previous experience with fraud claims is highly preferred for this role + Experience with fraud ... claims from intake to final decision + Understanding of Compelling Evidence and Visa Chargeback processes + Understanding of Reg E, Reg CC + Ability to understand and document detailed process flows from intake to final decision + Ability to suggest and… more
- Amergis (Columbia, MD)
- Salary: $20-$22 / Hour The Unemployment Claims Coordinator provides support to the company in tracking, facilitating and managing all aspects of the unemployment ... process. Essential Duties and Responsibilities: + Partners with third party claims administrator (Equifax) for all Unemployment processes for the company + Completes… more
- NJM Insurance (Trenton, NJ)
- …with 3+ years of workers' compensation litigation experience to defend formal claims venued in central/southern New Jersey. Job Responsibilities: + Defend the ... case recommendations, updates, and analysis to clients and internal Workers' Compensation Claims staff + Build and maintain strong internal and external client… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... + Associate?s degree or equivalent work experience. Bachelor?s degree preferred . + 3 years of directly related experience. 1...directly related experience. 1 year in a supervisory role preferred . + Intermediate Excel + Typing, Data and Excel… more
- Command Investigations (San Jose, CA)
- …experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly ... hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more
- Banc of California (Santa Ana, CA)
- …from fraud-related losses and improve customer experience: ACH & Check Claims /Disputes, Deposit Reviews from ATM/Mobile/RDC/In- Mail deposits, Mobile & Online ... experience. + High School diploma or equivalent required. + Bachelor's degree preferred . + Demonstrates knowledge of, adherence to, monitoring and responsibility for… more