- Kemper (Alpharetta, GA)
- …Alpharetta, GA. 40 hrs./wk. Duties include: Mng. team of employees to support claim processing systems. Mng. new integrations & changes to existing integrations. ... teams; managing developers & business sys. analysts. 5 yrs. exp with: Guidewire Claim Center. Travel: Up to 5% short-term, domestic travel may be involved to… more
- Robert Half Legal (Stockton, CA)
- …including drafting pleadings, conducting discovery, and trial preparation * Knowledge of Claim Administration procedures, including claim processing and ... dispute resolution * Proven track record in Complaint Handling, resolving customer issues in a timely and effective manner * Understanding of Consumer Electronics for the purpose of handling related cases * Comfortable with Court Appearances, including… more
- Penn Medicine (Philadelphia, PA)
- …CFA tickets for denials, edits or questions as well as collaboration on department Claim Edit work queues. Monitors the flow of uncoded records across departments to ... coded or correctly placed on the appropriate coding hold for timely processing . Coordinates with the Coding Coordinators, Coding Managers and Operations Managers to… more
- CVS Health (East Lansing, MI)
- …and timely policy and eligibility data utilizing administration systems for claim payment purposes and product production, ensuring services and products meet ... issues. + Partner directly with clients, vendors, internal teams, and/or local claim operation to resolve problems and achieve positive outcomes. + Anticipate and… more
- Robert Half Legal (Mckinney, TX)
- …effectively with clients, court officials, and other legal professionals. * Support claim administration tasks, ensuring timely processing and resolution. * ... * Strong communication skills, both written and verbal. * Experience with claim administration and related legal processes. * Proficiency in using legal software… more
- Health Care Service Corporation (Mesquite, TX)
- …Ability to travel to the client(s) office/facility on a regular basis. + Prior claim processing /health insurance experience + Ability to work in a fast-paced, ... Luminare Health office. The associate meets face-to-face with members to resolve claim issues, assist with understanding of benefits, assist with Open Enrollment… more
- Philadelphia Insurance Companies (Jersey City, NJ)
- …staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work ... Control, Audit, Loss Experience, file documentation, maintenance, and overall processing + Prepare all transactions including referrals, quotations, renewals,… more
- Genesis Healthcare (PA)
- …records management. * Processes all correspondence (mail, etc). * Follows up on claim statuses, decisions, etc. * Performs other duties as assigned. Qualifications * ... Nursing Facility or Hospital Billing/collections. * 1-2 years experience with claim appeal/denial resolution. * Experience with data entry, spreadsheets and word… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved...must attach a copy of your certification for your claim to be accepted toward meeting the minimum requirements.… more
- Adecco US, Inc. (Cary, NC)
- …* Manage inbound calls from patients, providers, payors, and clients * Handle insurance claim processing and interpret pharmacy claim responses * Assist with ... annual reverification and other special projects * Identify and report adverse events (AEs) and product complaints (PCs) to clinicians * Respond to internal communications via email or chat * Perform other related duties as assigned **What We're Looking For**… more