- Excellus BlueCross BlueShield (Rochester, NY)
- … Specialist role. * Adept at multi-tasking to efficiently resolve moderately complex claims processing and claims history audits. * Capable of adequately ... processing . * Performs accurate, timely data-entry and transactional processing of nursing home , assisted living facility...addition to Level I Accountabilities) * Resolves moderately complex claims processing and claims history… more
- Sedgwick (Phoenix, AZ)
- …your location, and your career path. This role is open to a remote, telecommuter, work- at - home , or hybrid setting nationwide. + Be a part of a rapidly growing, ... FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly… more
- APTIM (Santa Fe, NM)
- …reviewers, estimators, and support personnel to ensure timely, accurate, and compliant claims processing in alignment with federal regulations and program ... customer service. **Key Responsibilities/Accountabilities:** + Supervise day-to-day work of claims reviewers and technical staff, ensuring timely claim...+ Respect and flexibility to live a full life at work and at home … more
- NTT DATA North America (Decatur, IL)
- …and insured members. + Assist with audits for assigned group. + Assist with claims processing and over specific for new or backlogged groups. **KNOWLEDGE, SKILLS ... providers and case management company for information regarding problem claims . + Print/mail EOBs and claim forms...High School Education required. + Minimum 3 Years of Claims Processing experience + TPA Experience **Preferred:**… more
- APTIM (Santa Fe, NM)
- … management software, databases, and other technology tools that facilitate claim processing , documentation, and communication. **Basic Qualifications:** + High ... management systems, databases, and other technology tools that facilitate claim processing , documentation, and communication **ABOUT APTIM**...+ Respect and flexibility to live a full life at work and at home … more
- APTIM (Santa Fe, NM)
- … management software, databases, and other technology tools that facilitate claim processing , documentation, and communication. **Basic Qualifications:** + High ... Reviewer is responsible for independently reviewing, analyzing, and processing complex claims related to disaster losses...+ Respect and flexibility to live a full life at work and at home … more
- New York State Civil Service (Albany, NY)
- …Cost Control Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on ... of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC...project documents and contractor records to determine if the claim has merit and the value of the … more
- NTT DATA North America (MO)
- …: Non-Exempt **Department** : Operations **Level** : Entry to mid-level **Location** : Work at Home **Pay Rate: 17.00-18.00** **In this Role the candidate will ... be responsible for:** + Processing of Professional and Hospital claim forms...Work independently to research, review and act on the claims * Prioritize work and adjudicate claims … more
- Humana (Augusta, ME)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims...(ILR) test as provided by the Federal Government. **Work at Home Guidance** To ensure Home… more
- Reynolds & Reynolds (Omaha, NE)
- …will include, but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract ... coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the...have a quiet designated work space to work from home ~^~Must have reliable internet with at least… more