- Humana (Atlanta, GA)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve customer… more
- TEKsystems (Concord, CA)
- … staff). You'll drive strategy, optimize workflows, and ensure accurate, timely claims processing across Medi-Cal, Medicare, and commercial lines of business. ... Claims Director About the Role: We're looking for a Claims Director to lead claims operations for Contra Costa Health Plan (CCHP), a large public health plan… more
- Under Armour, Inc. (Sparrows Point, MD)
- Logistics Compliance & Claims Analyst **Logistics Compliance & Claims Analyst** **Values & Innovation** At Under Armour, we are committed to empowering those who ... **Purpose of Role** The Logistics Compliance & Claims Analyst (Baltimore Distribution House) leads complex investigations… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Serves as a liaison with IT, specifically regarding Tapestry (fee schedule development, claims processing , referrals) and reports and workflows related to ESP ... Ocean Avenue - Revere Position Summary: Position Summary: The Claims Analyst, under the direction of the Manager of...Analyst, under the direction of the Manager of PACE Claims , is responsible for the overall claims … more
- Marriott (Plano, TX)
- …+ 1+ years claims adjusting or equivalent/relevant experience. + Knowledge of claims processing . _Preferred_ + Applicable industry licensing. + Associate in ... Management **Pay Range:** $54,900-$72,700 annually **Bonus Eligible:** Y **JOB SUMMARY** A Claims Adjuster I is responsible for the timely, good faith adjustment and… more
- AIG (Atlanta, GA)
- …of smaller vendors with an annual spend of less than $500K for Insurance Claims processing and adjudication commodities. This includes: + + Negotiate commercial ... About the role Reporting directly to the Claims Sourcing Manager, the role will be responsible...role will be responsible for supporting the contracting of claims vendors, engaging in the collection of vendor due… 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
- Penske (Reading, PA)
- …"Customer Provides" claims . **Major Responsibilities:** * Receives & routes incoming claim inquiry calls to appropriate examiner or department * Review claims ... to determine coverage * Handle tender of customer provides claims * Review Rental & Lease agreements * Review...Litigation round robin * Review 24/7 accident reports for processing * Distribute Insurance ID cards * Maintain Insurance… more
- DXC Technology (Nashville, TN)
- …life insurance death claims business experience are mandatory** + **Death claims processing experience is mandatory** + **Strong understanding of the Life ... **Essential Job Functions:** + Follows procedures to process **death claim ** transactions by corresponding with agents, beneficiaries, and other departments… more
- Sedgwick (West Des Moines, IA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Recovery **Our teams connect! We collaborate in the office.** ... financial and professional needs. **PRIMARY PURPOSE:** Processes and reviews subrogation claims across all lines of business and all jurisdictions within an… more
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