- CRC Insurance Services, Inc. (NC)
- …and audit claims process ensuring proper documentation was created in the system and/or files. 7. Review claims and approve payments under the appropriate ... Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND… more
- ADP (San Dimas, CA)
- …state-of--the art predictive modeling, and metrics, data analytic tools and HRIS and claims systems . + Requires comprehensive knowledge of CA and western region ... ADP is hiring a ** Claims Lead Examiner** . **_RESPONSIBILITIES:_** + Assist ...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… more
- Equitable (Charlotte, NC)
- Disability Claims Contact Center Representative (Disability Claims Experience Required) ( 250000H0 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other ... Equitable is looking for an experienced, passionate customer service-oriented Disability Claims Contact Center Representative to join our Employee Benefits (group… more
- City of Minneapolis (Minneapolis, MN)
- Workers' Compensation Claims Analyst Print (https://www.governmentjobs.com/careers/minneapolismn/jobs/newprint/5047991) Apply Workers' Compensation Claims ... + Benefits + Questions Position Description The Workers' Compensation Claims Analyst is responsible for investigating and processing workers' compensation… more
- Guidehouse (El Segundo, 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
- Insight Global (Deerfield Beach, FL)
- …Adhere to all established department processes and utilize company specific computer systems to maintain detailed and accurate electronic claim -related records ... Job Description Key Responsibilities: The automotive claims adjuster handles inbound calls from dealerships and mechanics, reviewing and deciding on warranty … more
- Providence (CA)
- …feedback and recommendations, evaluations, litigation trends, department policies and procedures, system -wide claims and litigation processes, and appropriate ... **Description** **Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many...for each matter:** + Develop and document for each claim or lawsuit a plan of action for resolution… more
- Centene Corporation (Harrisburg, PA)
- …all Medicaid Bulletins for changes and updates and submit change requests (CRs) to update payment system + Audit check run and send claims to the claims ... of New York, Pennsylvania, or New Jersey. Preferred candidatess will have Facets Claims experience.** **Position Purpose:** Serve as the claims payment expert… more
- MetLife (Oriskany, NY)
- …Review claims submission for completeness and accuracy. Records data in the Claims system for adjudication and payment to the Beneficiary. May also be ... to handle the original customer inquiry. 3. Use FEGLI claims system to access information required to...call ups and perform any necessary follow-ups regarding the claim . 6. Clearly and concisely communicate content of inquiry… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... organizations, insurance marketing organizations, and employers. One core service, claims administration, is where submissions for payment/reimbursement/sharing from medical… more