- Kelly Services (Rancho Cucamonga, CA)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... always easy. That's where Kelly(R) comes in. We're seeking Claims Examiner - Workers Compensation to work in a...your life. Why you should apply to be a Claims Examiner - Workers Compensation: Day - Mon to… more
- NTT America, Inc. (Little Rock, AR)
- …will possess in-depth expertise in Medicaid systems, particularly in all facets of claims adjudication and demonstrate a strong ability to translate complex ... and document business, technical, and user requirements related to Medicaid Claims Adjudication and other functional areas. * Collaborate with state business… more
- Huron Consulting Group (Chicago, IL)
- …within Optum CES. + Collaborate with cross-functional teams to enhance claims adjudication workflows. + Troubleshoot and resolve **system configuration ... in Facets Configuration/implementation to support one of our clients in optimizing claims editing and adjudication processes. The ideal candidate will have… more
- Access Dubuque (Dubuque, IA)
- …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… more
- Sedgwick (Dubuque, IA)
- …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… more
- Elevance Health (Tampa, FL)
- … systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Perform pre- adjudication claims reviews ... position is not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies,… more
- State of Massachusetts (Boston, MA)
- …counseling, educational counseling, credit collection, credit interviewing, credit investigation, claims adjudication , claims settlement, claims ... notes in accordance with internal procedures. * Review employment history and adjudication issues on the claimant's prior claim * Review wages/earnings and issues… more
- CVS Health (Woonsocket, RI)
- …the operations organization providing key metrics to guide various projects impacted by claims adjudication . The ideal candidate will be an adept communicator, ... domains and underlying data sources. + Familiarity with pharmacy workflow and claims adjudication . + Experience as a project lead with cross-functional teams to… more
- USAA (New Orleans, LA)
- …of repair plan and timeline for repair in support of fast and accurate claims adjudication . + Responsible for reviewing additional damages received from repair ... responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate… more
- NTT DATA North America (Lincoln, NE)
- …role reviewing medical benefits and claims . + 2 years of claims adjudication experience, preferably in life, and supplemental products (eg, critical ... our team in Lincoln, Nebraska (US-NE), United States (US). **Position: Medical Claims Case Manager:** **Must live in the Continental United States** **Pay:**… more