• Unemployment Operations & Verifications…

    Justworks (New York, NY)
    …Insurance Claims Team with resolving state inquiries (including child support fact-finding documents, mortgage and earning verifications, wage audits, and more) ... with the Senior Coordinator of Unemployment Operations and Verification to provide direct support to the claims and registration teams. + Pull, organize and… more
    Justworks (10/24/25)
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  • Medicaid Subject Matter Expert/Data Specialist…

    DATAMAXIS (Springfield, IL)
    …to make determinations relating to complex processes involving claims processing/adjudication, recipient/provider eligibility, and third-party liability. * ... projects like the following: CMS Federal Reporting, quality measures, claims processing, Medicaid program eligibility, provider enrollment, third-party liability. *… more
    DATAMAXIS (10/22/25)
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  • Denials Recovery Specialist I

    UHS (Binghamton, NY)
    …this role, you will investigate, analyze, and resolve denied insurance claims -ensuring timely reimbursement and supporting the financial integrity of our ... providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join a team where...guidelines and timelines. + Analyze and document trends in claim denials, identifying patterns related to payor behavior, system… more
    UHS (09/19/25)
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  • Accounts Payable Coordinator

    Philadelphia Insurance Companies (Plano, TX)
    …Company. Qualifications: + College degree preferred + 1 to 2 years experience as claims support staff + Basic Accounting background + Efficient and accurate ... Description Marketing Statement: TM Claims Service (TMCS) is an independent global ...Issue and clear payments in a timely manner. Provide support to PL, OTAI, and MCD departments. Maintain the… more
    Philadelphia Insurance Companies (11/12/25)
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  • Workers' Compensation Supervisor

    Piedmont Airlines (Charlotte, NC)
    …candidate will bring at least three years of experience managing workers' compensation claims and will play a critical role in shaping policies and practices that ... support injured employees and align with company goals. This...Duties:** + Lead, coach, and mentor a team of claims professionals, fostering a culture of accountability, collaboration, and… more
    Piedmont Airlines (11/08/25)
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  • Injury Examiner

    USAA (San Antonio, TX)
    …documentation to support accurate outcomes. + Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides ... you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to...(now or in the future) you will need immigration support (ie, H-1B, TN, STEM OPT Training Plans, etc.).**… more
    USAA (11/05/25)
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  • Payment Integrity DRG Coding & Clinical Validation…

    Excellus BlueCross BlueShield (Rochester, NY)
    …for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical ... Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Senior Manager, Pharmacy Pricing

    RxBenefits (Portland, OR)
    …Manager also assists with resolving client issues involving performance discrepancies and claims issues. This role will support the Director, Pharmacy Pricing ... the AM and Deal Governance teams for At-Risk accounts + Manage and support the current account claim and data requests + Respond to competing PBM offers to show… more
    RxBenefits (11/08/25)
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  • Medicare Specialist

    HCA Healthcare (Gainesville, FL)
    …Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. ... banking partnerships + Education assistance (tuition, student loan, certification support , dependent scholarships) + Colleague recognition program + Time Away… more
    HCA Healthcare (11/15/25)
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  • Plant Nurse (Nights)

    Access Dubuque (Dubuque, IA)
    …Food** 1 Positions ID: PLANT042513 Posted On 11/10/2025 **Job Overview** Provide support to employees in the facility by administering First Aid, processing medical ... paperwork for OSHA to meet Federal guidelines. Processes and files insurance claims for the facility. Communicates with all management personnel routinely. Completes… more
    Access Dubuque (11/12/25)
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