- New York State Civil Service (White Plains, NY)
- …include, but are not limited to:* Oversee all aspects of workers compensation claims processing from inception to closing* Initially determine the compensability ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 (Group 90) -...with case analysis over the anticipated life of the claim * Recommend cases for appeal to WCB *… more
- Molina Healthcare (Albany, NY)
- …equivalent combination of relevant education and experience. * Medical claims processing experience across multiple states, markets, and claim types. * ... requests. * Assists with reducing rework by identifying and remediating claims processing issues. * Locates and interprets claims -related regulatory and… more
- M&T Bank (Getzville, NY)
- …reports outlining workflow and processing needed. + Understand difference between the claim types: Short Sales, Foreclosure Claims , Third Party Claims , ... moving the loan to the next phase of the Claim process. + Review claims completed by...**Education and Experience Preferred:** 5 years' Default experience. Full processing knowledge of all disposition types. Knowledge of M&T… more
- DXC Technology (Nashville, TN)
- …and disability claims adjudication or related work. + Proficiency in claims processing , adjudication, and process optimization. + Strong MS Office skills. ... service delivery. **Essential Job Functions:** + Execute health and disability claims adjudication and processing , learning from experienced team members… more
- Highmark Health (Harrisburg, PA)
- …the department. + Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...accordance with Medical Policy Guidelines. + Monitor and identify claim processing inaccuracies. Bring trends to the… more
- Health Care Service Corporation (Wichita Falls, TX)
- …and meet testing criteria. * Must have trained on the six-eight-week Blue Chip claims processing system or have the ability to fully complete the six-eight-week ... **Job Summary** Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination… more
- ManpowerGroup (Roseland, NJ)
- … Claims Customer Service Representative, you will be part of the Claims Processing department supporting healthcare members and providers. The ideal candidate ... coursework in healthcare administration or related field preferred. + Experience in medical claims processing or customer service within a healthcare setting. +… more
- TEKsystems (Santa Barbara, CA)
- …claims specialist with expertise in D-SNP (Dual Eligible Special Needs Plan) claims processing . Skilled in researching, correcting, and resolving pended ... CPT, and HCFA codes. + Review, price, and release claims for assigned claim types (paper and...adherence. + Maintain daily activity logs and assist with claims processing . + Perform additional duties and… more
- GuideOne Insurance (Atlanta, GA)
- … Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...coverage and reservation of rights letters. + Maintains effective claim file documentation and diary system. Monitor diary to… more
- Sedgwick (Houston, TX)
- …documentation. Efficiently manages a case load using technology for efficient claim processing . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Property Claims Desk Adjuster - Remote after training **PRIMARY PURPOSE** **:** Handles… more