- NJM Insurance (Trenton, NJ)
- Join NJM Insurance Group's Medical Claim Services (MCS) team as a Business Process Analyst, where you will play a key role in driving process improvement and support ... expertise (SME) in Personal Injury Protection (PIP), Workers' Compensation, and/or General Claims . The ideal candidate will have a strong understanding of current… more
- Robert Half Technology (Tampa, FL)
- …of system changes Requirements Qualifications: + Strong knowledge of claims processing and related systems + Strong analytical and problem-solving ... management team. Responsibilities: + Elicit and document detailed business requirements for systems necessary to administer claims in accordance with established… more
- Reynolds & Reynolds (Warrenville, IL)
- …coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS\u2019 system Training On ... an affiliate of Reynolds and Reynolds, is seeking a Claims Adjuster - Automotive for our growing team at...but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract… more
- American Electric Power (Columbus, OH)
- …day before the posting end date. **Job Summary** Responsible for processing claims with a moderate degree of supervision. **Job Description** **_American Electric ... 2025 list (https://www.forbes.com/lists/best-large-employers/) **What You'll Do:** + Adjust liability claims by investigating the matter with the claimant, researching… more
- Robert Half Accountemps (Mount Holly, NJ)
- …team members on EHR systems and best practices in medical billing and claims . * Develop and implement strategies to improve billing accuracy and reduce claim ... of 5 years of experience in medical billing, accounts receivable, and claims management. * Proficiency in accounting software systems , including Allscripts… 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
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and ... adjusting claims and other duties as necessary. Key Responsibilities: +...Ensure that the proper benefits are applied to the claim using the appropriate tools (eg CMS guidelines) +… more
- Select Medical (Camp Hill, PA)
- **Overview** **Senior Claims Resolution Specialist** **Starting at $18.50.00/hr but flexible for experienced candidates** Do you enjoy puzzles and research? Are you ... results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career...responsible party to establish reason for non-payment document in system all verbal and written communication relative to open… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Claims Adjudicator** **Job Class: State Program Administrator, Intermediate** **Agency: Department of Employment and Economic Development** + **Job ... **Division/Unit** : Paid Family & Medical Leave / Paid Leave- Claims 9 + **Work Shift/Work Hours** : Day Shift,...serving Minnesotans. It is a start-up environment without legacy systems or preconceived ways of working, so we have… more
- AIG (Atlanta, GA)
- …of Claims Processing: Success in this role requires a deep understanding of Claims processes, systems , and pain points, paired with the ability to drive ... Claims IT Platform Director - GenAI Be part...complex delivery challenges that may span multiple teams or systems - Leverages expert problem-solving skills to remove obstacles… more