- Sedgwick (Richfield, MN)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and… more
- Cognizant (Winston Salem, NC)
- …Adjudicator in Winston Salem, North Carolina with 1 to 2 years of experience in Claims Adjudication . _Training will be 4-6 weeks In-Office, then this role will ... + FACETS experience is an added advantage + Experience in claims hospital and professional claims adjudication is mandatory. + Experience in other clinical… more
- Sedgwick (Fayetteville, NC)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and… more
- Sedgwick (West Hills, CA)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and… more
- State of Massachusetts (Boston, MA)
- …counseling, educational counseling, credit collection, credit interviewing, credit investigation, claims adjudication , claims settlement, claims ... *Lead Claims Examiner/Job Service Representative II| Department of Family...completely and that the determination (s) confirm that proper adjudication procedures have been followed throughout the determination process… more
- Sedgwick (San Antonio, TX)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and… more
- Brighton Health Plan Solutions, LLC (NC)
- …and claims processing and procedures. + 5+ years of advanced claims adjudication experience, including facility, professional, and ancillary claims . ... + Research and respond to escalated issues and pertinent information on claims requiring adjudication . + Review and process High Dollar claims and conduct… more
- Aston Carter (Spokane, WA)
- …Identify process inefficiencies and contribute to best practice discussions. Essential Skills + Claims adjudication + Medical claim processing + Data entry + ... field preferred. + Minimum of 3-5 years of experience in medical claims adjudication . + Proficiency in interpreting benefit plan documents and EOBs. + Experience… more
- Ascension Health (Austin, TX)
- …and accurately, in accordance with regulatory requirements. + Strong understanding of claims adjudication process, provider contracts, fee schedules and system ... Additional Preference: + Three (3) years of experience in health-care claims adjudication required. + Expertise in the Facets platform preferred. + Experience… more
- UCLA Health (Los Angeles, CA)
- …COB + Knowledge of medical terminology + Experience in benefit determination and claims adjudication + Ability to accurately key 6,000-8,000 keystrokes or type ... skills + Computer proficiency with Microsoft Office + Knowledge of claims adjudication systems + Flexibility and adaptability UCLA Health is a world-renowned… more