- NTT America, Inc. (Plano, TX)
- NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for: * ... methodology/ fee schedule Requirements: * 3 year(s) hands-on experience in Healthcare Claims Processing * High school diploma or GED. * Previously performing -… more
- Centene Corporation (Indianapolis, IN)
- …related field, or equivalent experience. 4+ years of related Heath insurance or claims processing experience. Previous experience as a lead in a functional ... or CPT.** **Position Purpose** Manage the prospective review of high risk claims to ensure payment integrity and provide immediate feedback on findings including… more
- State of Massachusetts (Boston, MA)
- …providers, community partners, law enforcement, and other state agencies to assist with processing claims * Using case management systems, oversee processing ... directly with individuals seeking services or assistance * Experience in claims processing and/or case tracking preferred * Proven leadership capabilities and… more
- Philadelphia Insurance Companies (Harrisburg, PA)
- …and technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking ... A++ by AM Best. We are looking for a Claims Supervisor II - General Liability to join our...related studies. Experience with Windows operating system. Basic Word processing skills. EEO Statement: Tokio Marine Group of Companies… more
- Philadelphia Insurance Companies (West Linn, OR)
- …and technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking ... A++ by AM Best. We are looking for a Claims Supervisor II - Commercial Auto - BI to...+ Experience with Windows operating system. + Basic Word processing skills. National Range : $112,165.00 - $125,360.00 Ultimate… more
- Texas Veterans Commission (Borger, TX)
- …of Veteran Affairs. . Knowledge of laws, rules, and regulations applicable to the processing of veterans' claims ; and of assessment techniques. . Fluent in ... Ability to interpret laws, rules, and regulations applicable to the processing of veterans' claims . . Ability to communicate effectively both orally and in… more
- Humana (Augusta, ME)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that involve… more
- CVS Health (Annapolis, MD)
- …quality assurance, and compliance monitoring. This role ensures timely and accurate processing of Medicaid claims in accordance with state and federal ... all with heart, each and every day. **Position Summary** The Manager of Claims Management is responsible for overseeing Medicaid claims operations, inventory… more
- Marriott (Plano, TX)
- …years claims adjusting or equivalent/relevant experience. _Preferred_ Knowledge of claims processing . Applicable industry licensing. Associate in Claims ... - $64,300 annually **Bonus Eligible:** Y **JOB SUMMARY** A Claims Adjuster I is responsible for the timely, good...the timely, good faith adjustment and disposition of self-administered claims . Responsibility extends to all aspects and phases of… more
- Kelly Services (Myrtle Beach, SC)
- …claims based on organizational policies and procedures. + Identifying and processing adjustments for incorrectly processed claims according to department ... possess 2 years of customer service experience, including 1 year of claims or appeals processing ; or a Bachelor's Degree in lieu of work experience. + Exhibit… more
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