- WM (Pierre, SD)
- …satisfactorily. Other minor duties may be assigned. + Designs, implements and manages systems for effective claims handling with consideration given to reporting ... and staff in identifying and quantifying risk of loss, and controls " claims cost" through the management, control and evaluation of expenditures associated with… more
- Ford Motor Company (Phoenix, AZ)
- …** + This position is with American Road Services Company, the insurance claims component of Ford Motor Credit Company, playing a critical role in supporting ... American Road Services Company is seeking an APD Physical Damage Catastrophe Claims Adjuster/Field Service Manager. This Field Service Manager role is a field-based… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …offices, clinics, social day cares, home care agencies, DME suppliers) regarding claim decision and payments across all Centers Plan for Healthy Living (CPHL) ... product offerings. + Thoroughly and efficiently gather claim information, assess and fulfill the caller's needs and...on the first call; navigate through the appropriate computer system (s) to identify the current status of the issue.… more
- UCLA Health (Los Angeles, CA)
- …organizational skills + Computer proficiency with Microsoft Office + Knowledge of claims adjudication systems + Flexibility and adaptability UCLA Health is ... that enables the efficient operation of a complex health system . Take your career to the next level. You...do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Claims Examiner III ensures that claims are processed according to department standards and assists the Claims manager in maintaining ... Key Responsibilities: + Review and release professional and institutional claims + Process Member Reimbursement claims +...builds teamwork + Ensure that the team utilizes the system capabilities to its maximum potential + Performs other… more
- CVS Health (Franklin, TN)
- …each and every day. **Position Summary** This role will have a focus on training Claims processing and Claims Call Center staff for all products including Final ... three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing +...and presentation skills. + Proactively and quickly learns new systems , tools or content areas to achieve results. +… more
- US Tech Solutions (Canton, MA)
- …with medical terminology and provider specialties + Experience working in medical claims systems + Healthcare experience (including HEDIS) + Experience in ... + Under the general direction of the Quality Program Manager(s), the Medical Claims Research Specialist(s) will review medical claims reports to help identify… more
- Indiana Farm Bureau Insurance (Petersburg, IN)
- **Description** **Primary Responsibilities:** + Handles property claims and interacts with customers that are filing these claims . + Researches and applies ... + Completes all aspects from investigation through settlement of property claims . + Monitors and adjusts reserves appropriately. + Discusses potential serious… more
- Providence (AK)
- **Description** **Senior Manager Claims \*Remote * Candidates residing in Alaska, Washington, Montana, Oregon, California, Texas or New Mexico are encouraged to ... apply.** The Senior Manager, Claims role is responsible for management and supervision of...file outcomes of the team in collaboration with key system leadership throughout Providence St. Joseph's Health. Also, the… more
- CVS Health (Hartford, CT)
- …** **Key Responsibilities** + Own engineering strategy and execution for commercial claims systems , including routing, adjudication, and operational reporting. + ... teams that support the development, maintenance, and modernization of legacy systems -primarily IBM Mainframe platforms-used for commercial claims routing,… more
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