- Medica (Madison, WI)
- …coordinates and guides cross-functional teams-including network, Technology, and claims operations-from concept and requirements through delivery, ongoing ... Visio, Onenote, Teams, etc.) and experience with other Program functions (workflow, eligibility, claims , etc.) Ability to lead and be a good role model, influence… more
- Symetra (Bellevue, WA)
- …That's what makes me proud to be part of the Symetra team." - Lilly H., Claims Team Lead "I chose Symetra because I heard it was a pro-employee company-and it's ... role and beyond-make it a great place to build your career." - Alicia L., Claims Examiner What we offer you Benefits and Perks We don't take a "one-size-fits-all"… more
- Medica (Madison, WI)
- …& Analytics Develop, generate, and analyze business performance reports (eg, claims , provider, utilization data) Identify trends and provide actionable insights to ... regulations, CMS/DHS requirements, and encounter data standards Understanding of claims processing, risk adjustment, and healthcare quality measures Analytical &… more
- Encova Insurance (Charleston, WV)
- …responsible for providing general or specific Information to our customers regarding claims , medical billing, or policy related questions via telephone, email or ... fax. ESSENTIAL FUNCTIONS: Provides general or specific information to customers regarding claims , medical billing or policy related questions via telephone, email or… more
- Munich RE (Schaumburg, IL)
- …marine lines of insurance as well as surety risks and customs bonds with in-house claims solutions. We are seeking a full time Underwriter, Cyber & Tech to join the ... cybersecurity landscape to make informed underwriting decisions Monitor and analyze claims data to identify trends and refine underwriting criteria accordingly Job… more
- Firstsource (Louisville, KY)
- …Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims . Essential Duties and Responsibilities: * File claims using all ... appropriate forms and attachments * Handle Outbound calls and Maneuver between several different software systems * Research account denials and file written appeals, when necessary. * Evaluate the information received from the client to determine which… more
- Delta Dental of California (Alpharetta, GA)
- …and reliability of software applications, infrastructure, and systems of the Claims Processing System, MetaVance. Along with writing effective code, the position ... specific server is a plus Knowledge of MetaVance Application or any Healthcare Claims processing system is a plus Flexible with work schedule (supporting on-call for… more
- Munich RE (Wayne, PA)
- Enter new claims into system, attach policies, and other necessary documentation to facilitate adjusters ability to process claims . In addition, achieve ... turnaround and production requirements and meet quality expectations. Cross train on at least one horizontal skill within HSB's Customer Solution Center and/or Quote Prep Department. Provide continued support to HSB's external and internal customers. Work in a… more
- AmerisourceBergen Corporation (Cencora) (Clarinda, IA)
- …staff. Assists with the reviews and handling of all adjudicated prescription claims to ensure appropriateness of reimbursement, co-pay and related financials and, if ... needed, as directed, follows up all such claims deemed inappropriate. Assists Pharmacist by providing required information for therapeutic consults with patients.… more
- Spectraforce Technologies (Columbia, SC)
- …a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a ... validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line… more
