- Robert Half Finance & Accounting (Yarmouth Port, MA)
- …Claims Support: Process adjuster reports, payments, and communicate claim processes to policyholders. Underwriting: Handle policy transactions, review ... insurance? Join my clients team as an Underwriting & Claims Assistant and support claims , underwriting, billing,...homeowners policies required + Experience with Guidewire or similar systems is a plus If your or someone you… more
- AssistRx (Orlando, FL)
- …implement and support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day ... and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account minimum balances… more
- Molina Healthcare (Savannah, GA)
- …issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems . ... and investigation/research experience. Outcome focused and knowledge of multiple systems . 1+ years of claims research and/or...knowledge of multiple systems . 1+ years of claims research and/or issue resolution or analysis of reimbursement… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... guidelines, performs random medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits in assigned audit… more
- DXC Technology (Nashville, TN)
- …**Essential Job Functions:** + Follows procedures to process death claim transactions by corresponding with agents, beneficiaries, and other departments ... learn new payment processes and/or other processes within death claims depending on where the need is on any...worked + Ensure transactions are processed on our administrative systems accurately and in a timeframe considered suitable by… more
- State of Minnesota (St. Paul, MN)
- **Working Title** **: Veterans Claims Representative** **Job Class: Veterans Claims Representative** **Agency: Minnesota Department of Veterans Affairs** + **Job ... of Veterans Affairs / Veterans Affairs-MAPE + **Division/Unit:** Programs and Services / Claims East + **Work Shift/Work Hours:** Day Shift / 8:00 am - 4:30… more
- Magellan Health Services (Albuquerque, NM)
- The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and ... analyzing systems and processes that span across multiple operational areas....operational areas. + Investigates and facilitates the resolution of claims issues, including incorrectly paid claims , by… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing/ Claims + **Schedule:** Full-Time, Days Mon. - Fri. + **Hospital:** Ascension St. Vincent's + **Location:** 3 Shircliff Way ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Rady Children's Hospital San Diego (San Diego, CA)
- …process claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for all capitated & shared services accounts. This position is ... responsible for the accurate review, input & adjudication of claims using payment policies & methodologies that are consistent with and recognized by Health Plans… more
- Blue KC (Kansas City, MO)
- …**Employee discount program** **Job Description Summary:** The Senior Workers' Compensation Claims Adjuster is responsible for the initial investigation, analysis of ... exposure, claim management, and file resolution. **Job Description** + Ability...level of knowledge of the worker's compensation industry and claims processes, reporting and regulatory requirements. + Excellent research… more