- Citizens (Irving, TX)
- …complex methods, procedures, and knowledge of the business unit's product(s) and system application(s) such as LoanSphere Claims . Qualified candidate will need ... Description The FNMA(Fannie Mae)/FHLMC(Freddie Mac) Claims Specialist performs all tasks associated with reimbursement...a claim for submission + Filing the claim within the correct internal/government system to… more
- HCA Healthcare (Nashville, TN)
- …+ Continuous and appropriate documentation within, and maintenance of, the electronic claims system for designated caseload, including reviewing daily diaries of ... and effective claims management. + Manage local claims workflow/processes from the time a probable claim... claims workflow/processes from the time a probable claim is filed through closure. Assure timely collection and… more
- Humana (Lansing, MI)
- …share billing guidance and answer provider questions. + Work with internal resources and systems (eg, claims adjudication system ) to provide the Perfect ... an impact** **Required Qualifications** + 5+ years of technical experience with claims systems , adjudication, submission processes, coding, claims dispute… more
- Independent Health (Buffalo, NY)
- …and Federal regulations. + Effectively utilize critical thinking skills to process claims . + Efficiently navigate through systems and applications to locate ... a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental… more
- Hendrick Automotive Company (Charlotte, NC)
- … experience and maintaining, enhancing, developing, and implementing Risk Management's claims database systems , computer models, and information technology ... company philosophy and expected outcomes. + Ensure accurate documentation of legal claims , including maintaining the risk management information system , Origami,… more
- AIG (Atlanta, GA)
- … claims performance against standards and goals. + In depth knowledge of claim handling procedures, claims performance strategies, and claim best ... Complex Claims Director- AL/GL Field Claims -Lexington and...follow up to complete timely and accurate reserves and claim resolution. + Analyze coverage; evaluating liability and damages,… more
- AssistRx (Phoenix, AZ)
- … reimbursement, Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, ... teams on enrollment discrepancies (missing info and duplicates) + Partners with claim adjudication vendors ensure proper claims processing and data integrity.… more
- Adecco US, Inc. (Syracuse, NY)
- …required. + Strong analytical, negotiation, and communication skills. + Proficiency in claims systems and documentation practices. **Pay Details:** $45.00 to ... **Job Title:** Compensation Claims Analyst / Claims Specialist **Location:**...Calculate and assign reserves; monitor reserve adequacy throughout the claim lifecycle. + Approve and process timely claim… more
- AIG (Atlanta, GA)
- …+ Developed computer proficiency with an aptitude for both common and specialized claims systems programs and applications. + Self-motivated, ability to manage ... customers to manage risk. Join us as a Complex Claims Director - Aviation to play your part in...serves as a technical referral point for NA Aerospace claim team members and will collaborate with NA Aerospace… more
- Brighton Health Plan Solutions, LLC (NC)
- About the Role The Claims Supervisor is responsible for supervising a staff of Claim Examiners and Claim Team Leads, 12-20 direct reports. The expectations ... and training while promoting quality and superior customer service. The Claims Supervisor is accountable for identifying opportunities for enhancements and changes… more