- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist, Retirement - Lakeland **Department:** Benefits Administration **Location:** Lakeland, FL ... Matter Expert (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing premier customer service to lobby… more
- USAA (Plano, TX)
- …(preferably ClaimCenter). + Experience in leading Enhancement efforts across claims processes and systems , defining requirements, prioritizing features, ... are seeking a dedicated Business Process Owner Lead - Advanced Capabilities - Claims Optimization. We offer a flexible work environment that requires an individual… more
- CVS Health (Richardson, TX)
- …And we do it all with heart, each and every day. As part of the Rx Claim Adjudication team, you will be expected to be proficient in all critical functions of the ... impacts the lives of our pharmacy customers by creating systems that process prescriptions. The systems we...finding. + Experience with RxClaim or other PBM Adjudication system is preferred. + Experience on Cloud Technologies like… more
- TEKsystems (Myrtle Beach, SC)
- …and processing guidelines. Verifies the coding of procedure and diagnosis codes. *20% Resolves system edits, audits and claims errors through research and use of ... Description Responsible for the accurate and timely processing of claims . *75% Researches and processes claims according to business regulation, internal… more
- Providence (MT)
- **Description** **Senior Claims Manager - Employment Practice Liability \*Remote * Candidates residing in Alaska, Washington, Montana, Oregon, California, Texas or ... New Mexico are encouraged to apply.** The Senior Claims Manager- Employment Practice Liability ("EPL") is responsible for...within Providence that provides a variety of functional and system support services for our family of organizations across… more
- USAA (San Antonio, TX)
- …are seeking a dedicated Business Process Owner Senior - Advanced Capabilities - Claims Optimization. We offer a flexible work environment that requires an individual ... Process Management, or similar methodology. + Demonstrated experience with utilizing various systems to collect and analyze data. **What sets you apart:** + Proven… more
- TEKsystems (Federal Way, WA)
- …outbound calls, taking referrals from email and fax from clients for insurance claims . Navigate the system to schedule doctor appointments. Handling auto and ... workers comp claims . Additional Skills & Qualifications: + Need to be...the computer ideally 1-2 year of experience utilizing scheduling systems and MS office. Ability to type 40+ WPM.… more
- New York State Civil Service (Liverpool, NY)
- …Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) Claims Med Pay (NYHELPS) Occupational Category IT Engineering, Sciences Salary ... Code 13088 Duties Description As a member of NYSIF's Claims MedPay DBL-PHS team, incumbents of these positions will...support as needed. *Engage in all phases of the system development lifecycle. *Integrate security measures into coding practices.… more
- Atrius Health (Chelmsford, MA)
- …Optum family of businesses. We're an innovative healthcare leader, delivering an effective system of connected care for adult and pediatric patients at 28 practice ... Connecting. Growing together.* *SUMMARY* *This position is looking for a Medical Claims Representative to join the Self Pay team at our Chelmsford location… more
- Regions Bank (Hoover, AL)
- …your information by visiting and logging into the careers section of the system . **Job Description:** At Regions, the Fraud Strategy Analyst performs analysis and ... data and analytics capabilities + Previous experience with fraud claims is highly preferred for this role + Experience...highly preferred for this role + Experience with fraud claims from intake to final decision + Understanding of… more