- Insight Global (Tempe, AZ)
- …work experience in any of the following areas: data analytics, provider data, claims processing , broker commissions, eligibility and billing * Must be within ... The Claims Production Representative is responsible for accurately reviewing, processing , and adjudicating health insurance claims in compliance with company… more
- Idaho Division of Human Resources (Boise, ID)
- …assignments. The incumbent will become an expert in Electronic Data Interchange (EDI) Claims , capable of assisting claim reporters in proper filing, report ... of Idaho employees must apply through their internal Luma account. Summary: The Senior Claims Specialist (TRS2) will work in the Claims and Benefits Department… more
- Sedgwick (Dallas, TX)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... and pursues subrogation opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- NTT DATA North America (Plano, TX)
- …DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client. **NOTE** : This is a US ... fee schedule **Requirements:** + 3 year(s) hands-on experience in **Healthcare Claims Processing ** + **In-depth, hands-on, practiced experience processing… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …supervisory experience 3. Maintain current knowledge of the insurance industry and Claim 's processing ideas through regular attendance of workshops, seminars, ... Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND… more
- US Tech Solutions (Myrtle Beach, SC)
- …according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct ... coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards. + Identifies complaints and… more
- MetLife (Oriskany, NY)
- …to the Beneficiary. May also be responsible for setting up new claims , processing incoming mail, and handling expired call-ups. Principal Responsibilities: ... and receive (standardized) e-mail for communication with agencies/OFEGLI staff and managers. 8. Processing incoming mail for new and existing claims . 9. Write… more
- Axis (New York, NY)
- …to resolve complex or contentious claims . Leading initiatives to enhance claims processing efficiency and accuracy within the team. Providing expert opinions ... is hiring a Claims Specialist, Health Care Claims , for its North America Claim Team....and directing the development of training materials relevant to claims processing . Show a commitment to continuous… more
- NTT DATA North America (Plano, TX)
- …methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 years using a ... this Role the candidate will be responsible for: + Processing of Professional and Hospital claim forms...+ High school diploma or GED. Preference + Experience processing claims in Amisys or Xcelys is… more
- New York State Civil Service (New York, NY)
- …Representative 2, the incumbent will oversee all aspects of workers compensation claims processing from inception to closing; initially determine the ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative Trainee 1 (NY HELPS) Occupational...with case analysis over the anticipated life of the claim ; recommend cases for appeal to WCB; negotiate and/or… more