• Remote Healthcare Claims Processing…

    NTT DATA North America (Columbus, OH)
    …of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Medical Claims Processing Associate** to work for our end client and their team. **Long Term ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
    NTT DATA North America (08/20/25)
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  • Remote Healthcare Claims Processing…

    NTT DATA North America (MO)
    …and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this Role the ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
    NTT DATA North America (08/08/25)
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  • Remote Healthcare Claims Processor…

    NTT DATA North America (MO)
    …the people who work here. NTT DATA is seeking to hire a **Remote Claims Processor** to work **remote (MO).** **Role Responsibilities:** * Processing of Professional ... claim forms files by provider * Reviewing the policies...Work independently to research, review and act on the claims * Prioritize work and adjudicate claims … more
    NTT DATA North America (08/08/25)
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  • Medical Claims Processor - Remote

    NTT DATA North America (Plano, TX)
    …and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this Role the ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
    NTT DATA North America (07/22/25)
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  • Claims Review Analyst

    WellSpan Health (York, PA)
    …Summary** Supports the system in charge capture, coding accuracy, and claim denials management. Conducts reviews of claim denials and submits appeals. ... party payer policies and coding guidelines to optimize reimbursement for the system while ensuring compliance with applicable laws and regulations. **Duties and… more
    WellSpan Health (08/19/25)
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  • Fraud & Claims Operations Representative

    Wells Fargo (West Des Moines, IA)
    **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Representative for Credit Card Fraud Claims L to U Team as part of Fraud & Claims ... **In this role, you will:** + Support fraud and claims functional area by proactively identifying opportunities to improve...as sensitive information as a part of resolving a claim + Oversee multiple claim types, take… more
    Wells Fargo (09/13/25)
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  • Claims Customer Service Representative

    TEKsystems (Columbia, SC)
    …appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of ... procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay … more
    TEKsystems (09/12/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Waukesha, WI)
    **Clinical Documentation and Claims Integrity Director** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... home-care and community based services. **The Clinical Documentation and Claims Integrity Director** will lead CareBridge's efforts in diagnostic documentation… more
    Elevance Health (09/09/25)
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  • Collections Claims Specialist

    Enterprise Mobility (Tulsa, OK)
    …those damages. Each specialized position within the DRU handles a portion of the claim file, passing it from one person to the next for completion. The **Recovery ... our team with opportunities for growth. **Responsibilities** + Review claim files to determine potential coverage and develop collection...files + Make decisions for settlement strategy + Update system notes and data fields + Document and explain… more
    Enterprise Mobility (09/13/25)
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  • Claims Specialist - USFHP

    Pacific Medical Centers (Seattle, WA)
    **Description** Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex ... claims for advanced processing needs. Responds to Customer Service...needs. Responds to Customer Service Requests and resolves problem claim situations. Providence caregivers are not simply valued -… more
    Pacific Medical Centers (08/27/25)
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