- Stanford Health Care (Palo Alto, CA)
- …on matters that may have the potential to rise to the level of a claim . Assists in handling general claims or risk management issues as necessary. **Education ... job.** **A Brief Overview** Investigates, manages and resolves reported claims and adverse events defined by Risk Management. Requires...facts and circumstances evolve over the life of the claim . + Inputs all work product and case information… more
- Highmark Health (Harrisburg, PA)
- …and claims experience. + Working knowledge of Highmark products, systems (eg, customer service and clinical platforms, knowledge resources, etc.), operations and ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
- Health Care Service Corporation (Wichita Falls, TX)
- …and meet testing criteria. * Must have trained on the six-eight-week Blue Chip claims processing system or have the ability to fully complete the six-eight-week ... Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and...also has been helping to make the health care system work better for all Americans. To remain a… more
- MTA (New York, NY)
- …Agency Protective Liability (AAPL) and Premises claims are accurately entered into the claims system . + Process and settle subrogation claims on behalf ... all requests and assist with the preparation of all claim reports. + The Claims Specialist is...assigned. Required Qualifications: Required Knowledge/Skills/Abilities: + Experience with varied Claims Management and RMIS Systems + Thorough… more
- CH Robinson (Kansas City, MO)
- …allow proper response to claim losses and legal documents + Processes new claims , disseminates the claim to the appropriate carrier or insurance company, and ... CH Robinson is seeking a Claims Representative who will be responsible for entering,...enters claim settlement + Monitors and responds professionally with a… more
- Zurich NA (Schaumburg, IL)
- …strategic direction + Leverage AI and machine learning technologies to automated and streamline claim system processes + Drives the execution of a number of ... or product development area Preferred Qualifications: + P&C - Commercial Insurance, Claims system experience desired + Practical experience in defining and… more
- HCA Healthcare (Nashville, TN)
- …INCLUDE BUT NOT LIMITED TO:** Adjudicates and distributes work assignments including complex claims , resolving all system edits and audits for hard copy and ... relating to received claims . Processes high dollar claims in accordance with procedures. Identifies potential system...ICD-10, CPT, HCPCS, and revenue coding. Ability to analyze claim issues and "trouble shoot" claims problems.… more
- Idaho Division of Human Resources (Boise, ID)
- …assignments. The incumbent will become an expert in Electronic Data Interchange (EDI) Claims , capable of assisting claim reporters in proper filing, report ... of Idaho employees must apply through their internal Luma account. Summary: The Senior Claims Specialist (TRS2) will work in the Claims and Benefits Department… more
- The Walt Disney Company (Celebration, FL)
- …a team of Claims Representatives across varying levels of experience, analyze claims volume and identify claim file exposure, collaborate with the Legal ... claims , including comprehensive case evaluation + Demonstrated familiarity with automated claims administration and management systems + Ability to handle… more
- Robert Half Office Team (Oakland, CA)
- Description We are looking for an experienced Insurance Claims Examiner to join our team on a contract basis in Oakland, California. In this role, you will analyze ... and process medical claims , ensuring accuracy and compliance with healthcare regulations. Ideal...Medicare, and other healthcare regulations. * Research and resolve claim discrepancies, ensuring proper payment and documentation. * Utilize… more