- Raphael and Associates (Rutherford, NJ)
- …appropriate adjuster and supervisor . + Set adjuster diaries with new claim notifications and necessary actions. + Claims Acknowledgement Letters: + Generate ... , ensuring all information is accurately entered into the claims management system . You will play a...included (claimant info, loss date, incident description). + Enter claim details into the system , including policy… more
- Apex Health Solutions (Houston, TX)
- Job Title: Claims Processor Department: Operations Supervisor : Manager, Claims Operations Summary: Position is responsible for the timely and accurate ... of paper/electronic claims for inpatient, outpatient and professional medical claims Resolve claim edits, review history records and determine benefit… more
- Guidehouse (San Marcos, CA)
- …Reconciliation **Duties and Responsibilities** + Performs daily download and reconciliation of claims from patient accounting system to electronic billing ... system . + Transmits or releases claims at a minimum daily. + Works all assigned claims daily by resolving edits, validating claim , or placing on… more
- Library of Congress (Washington, DC)
- …authors of literary, dramatic, musical, artistic, and other works. The Copyright Claims Officer has responsibilities and delegated authority for the oversight and ... representation on copyright issues; administers the national copyright registration system ; provides collections materials to the Library through voluntary… more
- CHS (Clearwater, FL)
- …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Establishing production requirements for Examiners, and along with the Supervisor monitoring performance against the requirements. * Establishing and… more
- Billings Clinic (Billings, MT)
- …here. About Us Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 ... every four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) PATIENT FINANCIAL SERVICES - 120.8855… more
- Dragonfly Health (Mesa, AZ)
- … claims adjudication. Adjust and correct authorizations in dispensing and PBM systems to ensure timely claims submission. Research and resolve rejected ... * Excellent verbal and written communication skills * Ability to learn proprietary systems used for claims management and facility tracking. Equipment * Working… more
- State of Colorado (Denver, CO)
- Director of the Industrial Claims & Appeals Office Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5109103) Apply Director of the Industrial ... Claims & Appeals Office Salary $105,720.00 - $144,528.00 Annually...10.25 Department Department of Labor and Employment Division Industrial Claim Appeals Office Opening Date 10/16/2025 Closing Date 10/27/2025… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits...with accuracy, and work with the MPS Call Center Manager/ Supervisor /Team Lead and analyze the data for training purposes.… more
- Texas Veterans Commission (Houston, TX)
- …job histories, which includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of duties performed.To receive ... assisting veterans and eligible persons with the Department of Veterans Affairs claims process. Work involves collaboration with external partners to include the… more