- Peckham, Inc. (KY)
- …handling sensitive information and mentoring new staff. DUTIES AND RESPONSIBILITIES + Claims Adjudication (70%): Examine and process complex or specialty ... Peckham gives preference to individuals with disabilities. Peckham Inc. CGS Claims Processor 2 Important Information: Wage: $19.75Shift: First ShiftLocation: Remote… more
- State of Minnesota (St. Paul, MN)
- …honorable conditions must be issued by the Secretary. **Preferred Qualifications** + Claims adjudication experience + Experience in public speaking + Knowledge ... **Working Title** **: Veterans Claims Representative** **Job Class: Veterans Claims Representative** **Agency: Minnesota Department of Veterans Affairs** + **Job… more
- Centene Corporation (Harrisburg, PA)
- …business units to resolve claims issues to ensure prompt and accurate claims adjudication + Identify authorization issues and trends and research for ... Pennsylvania, or New Jersey. Preferred candidatess will have Facets Claims experience.** **Position Purpose:** Serve as the claims... Claims experience.** **Position Purpose:** Serve as the claims payment expert for the Plan and as a… more
- Molina Healthcare (Milwaukee, WI)
- …with suggested solutions. + Achieves individual performance goals as it relates to claims adjudication . + Assists with training needs of employees as needed. ... Description** **Job Summary** Responsible for work load assignment to the provider Claims adjudicators and senior provider claims adjudicators. Train and coach… more
- Commonwealth Care Alliance (Boston, MA)
- …specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication , clinical coding reviews for claims , settlement, ... 011250 CCA- Claims Hiring for One Year Term **_This position...the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr.… more
- State of Massachusetts (Boston, MA)
- …counseling, educational counseling, credit collection, credit interviewing, credit investigation, claims adjudication , claims settlement, claims ... * Claims Examiner/Job Service Representative I| Department of Family...Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative I is responsible for supporting… more
- American Water (Camden, NJ)
- …internal policies. o Monopolistic state Worker's Compensation programs. o State-specific claims adjudication guidelines and requirements. o Compliance with other ... wastewater services to our communities. Effective, efficient, and intelligent insurance claims management, oversight, and forecasting are essential to this mission.… more
- Sedgwick (Rochester, NY)
- …for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | New York Jurisdiction Job Description We are seeking a… more
- Independent Health (Buffalo, NY)
- …relates to production, accuracy, knowledge of policy and procedure and timeliness of claims adjudication . + Analyze, identify and research, as needed, edits ... a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental… more
- NTT DATA North America (MO)
- …computer systems, and learn new software tools + 1+ years of working with Claims Adjudication Systems + High School diploma or equivalent **Preference** + ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...Work independently to research, review and act on the claims * Prioritize work and adjudicate claims … more