• Senior Claim Benefit Specialist - Stop Loss…

    CVS Health (Plymouth, MN)
    …stop loss carrier. **Required Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with the suite ... challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker… more
    CVS Health (08/02/25)
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  • Claims Adjudicator

    Robert Half Accountemps (Spokane, WA)
    …claim issues and provide resolutions. Requirements * Proven experience in medical claims processing and adjudication. * Strong knowledge of medical billing ... with insurance companies, patients, and healthcare providers. * Proficiency in using claims processing software and related tools. * Understanding of healthcare… more
    Robert Half Accountemps (08/09/25)
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  • Multi-Line Claims Adjuster (District…

    Salt Lake County (Salt Lake City, UT)
    …MINIMUM QUALIFICATIONS Four (4) years of experience investigating, negotiating, and adjusting claims and claim settlements; of which two (2) years may ... eligibility and prepares file documentation for mandatory reporting. + Manages claim files including preparing proper documentation, processing required… more
    Salt Lake County (07/30/25)
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  • Claims Examiner

    Insight Global (Irvine, CA)
    …individual will be responsible for the investigation, determination, and reporting of claims processing through auditing billing processes, including pre and ... prevent recurrence. They will assist management with implementation of measures to ensure claim processing and payment accuracy. They will also help monitor and… more
    Insight Global (08/08/25)
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  • Claims Supervisor

    Brighton Health Plan Solutions, LLC (NC)
    …+ Advanced knowledge of Excel. + Strong knowledge of contracts, medical terminology, and claims processing and procedures. + 5+ years of advanced claims ... About the Role The Claims Supervisor is responsible for supervising a staff of Claim Examiners and Claim Team Leads, 12-20 direct reports. The expectations… more
    Brighton Health Plan Solutions, LLC (08/08/25)
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  • Claims Setup Specialist

    Raphael and Associates (Rutherford, NJ)
    …the claims management system. You will play a key role in preparing claims for further processing by entering data, verifying policy details, and assigning ... adjuster and supervisor. + Set adjuster diaries with new claim notifications and necessary actions. + Claims ...new claim notifications and necessary actions. + Claims Acknowledgement Letters: + Generate and send acknowledgement letters… more
    Raphael and Associates (08/07/25)
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  • All Lines Claims Adjuster

    City of Jacksonville (Jacksonville, FL)
    …records and bills; analyzes city, state, and federal documents for liability claims and establishes claim value. + Makes decisions determining settlements, ... settlement values, payment processing or denial of claims utilizing knowledge...and federal statutes as they apply to a particular claim . + Attends and participates in depositions and mediations;… more
    City of Jacksonville (07/23/25)
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  • Head of Management Liability Claims - D&O

    Axis (Alpharetta, GA)
    …training, and retaining top talent and developing appropriate succession plans + Reviewing, processing , and assigning new D&O claims to adjusters, and meeting ... Description** AXIS is seeking a Head of Management Liability Claims - D&O to join our North America ...the efficient workflow and timely claim service goals for the AXIS D&O team +… more
    Axis (07/22/25)
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  • Claims Processor - Remote

    Cognizant (Lansing, MI)
    …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the role:** As ... * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding...to be considered:** * A minimum of 1 year claims processing is required. * Knowledge of… more
    Cognizant (08/01/25)
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  • Claims Examiner - Workers Compensation…

    Sedgwick (Indianapolis, IN)
    …files are properly documented and claims coding is correct. + Communicating claim activity and processing with the claimant and the client. **QUALIFICATIONS ... service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to...and gathering information to determine the exposure on the claim . + Reporting claims to the excess… more
    Sedgwick (08/08/25)
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