• (USA) Part-time Pharmacy Tech Sam's Club

    Walmart (Augusta, GA)
    …resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims rescanning illegible images ... and procedures by assisting the pharmacist in the prescription fulfillment process processing third party insurance claims and/or rejections assisting patients… more
    Walmart (01/14/26)
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  • Admin - Medical

    ManpowerGroup (Joplin, MO)
    …you will be part of the Office support team, assisting with medical claims processing and customer service. The ideal candidate will demonstrate professionalism, ... + Learn to review, analyze, and process medical insurance claims in accordance with company policies and regulatory guidelines...very nice to have skill + Proficiency in Word Processing , Spreadsheets, and 10-Key data entry + Excellent telephone… more
    ManpowerGroup (01/13/26)
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  • VB.Net Middleware Developer

    Sedgwick (Orlando, FL)
    …applications and data flow between external systems via API/SFTP, middleware processing servers and Salesforce. Salesforce Maps, Salesforce Field Service Lightning, ... Gain deep familiarity with key application modules, including reports, parameters, claims management, intake services, IIS Servers, SQL Servers and Salesforce… more
    Sedgwick (01/13/26)
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  • Director, Provider Service

    BlueCross BlueShield of North Carolina (NC)
    …use of site visits to inform provider service strategy and resolve escalated claims and service issues + Oversee support of non-platinum providers through virtual ... ensuring that provider service agreements are met + Report operational updates to the Claims AVP and Operations VP; serve as a subject matter expert for provider… more
    BlueCross BlueShield of North Carolina (01/12/26)
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  • Specialist, Provider Network Administration (FL…

    Molina Healthcare (Pensacola, FL)
    …billing, or equivalent combination of relevant education and experience. * Claims processing experience, including coordination of benefits, subrogation, and/or ... and timely validation and maintenance of critical provider information on all claims and provider databases, and ensures adherence to business and system… more
    Molina Healthcare (01/11/26)
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  • Senior Fraud & Waste Investigator

    Humana (Oklahoma City, OK)
    …best outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas + Assist in developing FWA education to ... (Clinical Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and investigative process development + Experience in a… more
    Humana (01/10/26)
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  • Internal Provider Ntwk Rep I

    Health Care Service Corporation (Oklahoma City, OK)
    …+ Understanding of health care contracts, applications and products. + Working knowledge of claims processing systems. + 3 years experience utilizing a PC. + ... of health care contracts, applications and products. + Working knowledge of claims processing systems. **Are you being referred to one of our roles? If… more
    Health Care Service Corporation (01/10/26)
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  • (USA) Area Manager - Traffic (WM.com)

    Walmart (Plainfield, IN)
    …teaching and evaluation of associates and leaders Facilitate carrier operations by processing and monitoring carrier claims working with carriers and home ... office on resolution of claims scheduling carrier unloads and resolving concerns and maximizing...processing of shipload purchase orders inbound containers and claims by monitoring all activities conducting problems research and… more
    Walmart (01/10/26)
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  • Document Management Technician

    Amentum (Washington, DC)
    …duties may include the following: + Scan and copy incoming materials related to claims processing . + Data entry from paper document into the database. + ... Technicians to assist with the the Radiation Exposure Compensation Act (RECA/Downwinders) claims team. The Document Management Technician role is crucial in ensuring… more
    Amentum (01/07/26)
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  • Quality Analyst

    CGI Technologies and Solutions, Inc. (Indianapolis, IN)
    …By playing this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) ... Salesforce FSC. * Build automated testing solutions to validate large volumes of policy, claims , billing, and customer data in real time. * Leverage tools such as… more
    CGI Technologies and Solutions, Inc. (01/06/26)
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