- CVS Health (Austin, TX)
- …tools for data analysis and auditing. **Preferred Qualifications** + 1-2 year of DG Claims systems experience + Experience with quality assurance programs in a ... we do it all with heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist serves as a quality champion and advocate for the business by… more
- Prime Therapeutics (Boise, ID)
- …and Medicaid Services rules and regulations + 1 year of experience working with claims systems Every employee must understand, comply with and attest to the ... and drives every decision we make. **Job Posting Title** Claim Technical Analyst - JUDI Ops Team - Remote...remediation analysis caused by errors coded into the JUDI claims processing system . This position also researches… more
- MetLife (Oriskany, NY)
- …perform leave follow-ups as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, etc. * Update systems to ... attention to detail Preferred: * Bachelor's degree * Knowledge of system applications and Disability claims knowledge/working knowledge of FMLA/Disability/Leave… more
- Donegal Insurance Group (Marietta, PA)
- …there when it matters most. Job Summary Donegal Insurance Group has an opening for a Claim Representative on our Auto Claims team. As a member of our Claims ... At Donegal, our values are founded on supporting the independent agency system , providing best-in-class service, and building relationships customers can trust. By… more
- CVS Health (Augusta, ME)
- …day. **Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and ... redirects misdirects -Responsible for prepping the authorization in the system and triage cases to medical staff for review. -Organized and prioritizes work to meet… more
- Elevance Health (Norfolk, VA)
- **Business Architect Sr. - Claims Systems ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Business Architect Sr. - Claims Systems ** will be part of Elevance...and other claims -based root-cause investigations leveraging intimate claims system and business process knowledge to… more
- Travelers Insurance Company (Melville, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... local expertise and outstanding client service. We handle litigation arising from claims asserted against policyholders or the company and take cases from inception… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. ... claims per day. This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more
- Walmart (Bentonville, AR)
- …rates, litigation rates, and return-to-work outcomes. + Leverage "views" within the claim system to effectively manage inventory, ensure accurate claim ... manager with the necessary skill set to achieve an optimal claim outcome. + Escalate claims to leadership based on the internal escalation guidelines and ensure… more
- Walmart (Bentonville, AR)
- …rates, litigation rates, and return-to-work outcomes. + Leverage "views" within the claim system to effectively manage inventory, ensure accurate claim ... manager with the necessary skill set to achieve an optimal claim outcome. + Escalate claims to leadership based on the internal escalation guidelines and ensure… more