- Marriott (Bethesda, MD)
- …The Claims Support Specialist will provide administrative support for Claims Operations , including daily assignment of international claims , document ... handling, mail routing and check processing. The Claims Support Specialist reports to the Sr. Director, Global Claims and interacts with our customers and… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst ... and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the end-to-end… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into… more
- Mass Markets (Killeen, TX)
- …companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business ... industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical… more
- Providence (Mission Hills, CA)
- …years of experience of acquired in-depth technical knowledge of functional area ie, claims operations , + HMO products, industry claims processing procedures, ... **Description** Working under the general supervision of the Claims Director, provide an effective education program to...to advance the quality and production level of the Claims Department by developing and delivery claims … more
- Agile Cold Storage (Claymont, DE)
- Position Overview: The Billing and Claims Specialist will be responsible for managing all aspects of customer billing, including preparing invoices, reconciling ... and customers. + Maintain accurate and organized billing and claims records. + Collaborate with operations and sales teams to ensure proper billing for services… more
- C&S Wholesale Grocers, Inc. (Lathrop, CA)
- **Position Overview** As a Claims Investigator, you will be researching shortage claims based on calls received from our customer locations. These investigations ... Description** **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation… more
- MetLife (Aurora, IL)
- …Organizational and time management skills Preferred: * Bachelor's degree Business Category Operations - Claims At MetLife, we're leading the global ... meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and… more
- Healthfirst (NY)
- …Healthfirst_** + **_Work closely with numerous departmental partners, including operations , sales and finance_** **_Minimum Requirements:_** + **_Highschool Diploma ... or GED equivalent_** + **_Direct experience working with managed care operations and//or health plans_** + **_Claims experience including root-cause analysis, system… more
- Zurich NA (Rocky Hill, CT)
- …Basic Qualifications: + Bachelors Degree and 4 or more years of experience in the Claims or Operations area OR + High School Diploma or Equivalent and 6 ... limits in order to resolve customer issues. + Provide specialist advisory support to internal clients on a daily...or more years of experience in the Claims or Operations area OR + Zurich… more