- 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
- Axis (Short Hills, NJ)
- …actionable management reports and insights * Prior experience functionally administering business systems and platforms * Familiarity with system upgrade and ... taking part in the selection process. Part of AXIS Claims Shared Services, the Claims Litigation Services...Experience designing and delivering education material and training to system users * Excellent written and verbal communication skills… more
- State of Massachusetts (Boston, MA)
- …questionable or difficult to determine. 7. Prepare accurate case notations within claims management system which contain accurate, specific, and sufficient facts ... * Claims Examiner/Job Service Representative I| Department of Family...reports generated by the agency and/or agency partners computer systems . 3. Identify discrepancies or issues and escalate or… more
- Access Dubuque (Dubuque, IA)
- …the client program. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Sets up and enters new claims into claims management system . + Inputs and reviews ... notes/diaries in claims management system as instructed. + Processes payments. + Processes mail;...and learning resources that focus on our culture, procedures, systems and performance expectations. We evaluate the educational needs… more
- Price Benowitz LLP (Washington, DC)
- …Position Overview Price Benowitz LLP is seeking a dedicated and detail-oriented Claims Verification Paralegal to support our Personal Injury team in our Washington, ... and ensuring that all necessary documentation is obtained to support a claim . The ideal candidate is organized, resourceful, and comfortable working in a… more
- Providence (WA)
- … Manager is responsible for day-to-day oversight of general and professional liability claims in accordance with the System 's claims program policies ... & Claims on evaluations, litigation trends, department policies and procedures, system -wide claims and litigation processes, and appropriate System risk… more