• Claims Auditor

    US Tech Solutions (Whittier, CA)
    …indicated by a high school diploma or equivalent; four years medical claims processing . **Preferred:** *Department Management to list. **DUTIES AND ... 9.Create, maintain and generate system reports 10.Interface with the Claims Director to ensure claims processing...10.Interface with the Claims Director to ensure claims processing functions meet legal and contractual… more
    US Tech Solutions (12/20/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies +… more
    Commonwealth Care Alliance (11/25/25)
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  • Enterprise Fraud Claims Analyst

    UMB Bank (Kansas City, MO)
    …**Knowledge & Skills** _MINIMUM:_ + Demonstrates in-depth knowledge of back office fraud claims processing in at least one area of the following: Check, ... position will report directly to the Manager, Enterprise Fraud Claims , supporting UMB's protection against multi-channel payment fraud loss....+ High School education + 2+ years fraud claim processing experience in card, check, ACH or wire +… more
    UMB Bank (11/21/25)
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  • Claims Representative

    EquipmentShare (St. Louis, MO)
    …(On call during the weekend only in special circumstances) Primary Responsibilities + Claims Processing : Efficiently process insurance claims from initiation ... years' experience in a customer service role, with prior experience in claims processing or the car rental industry highly desirable. + Skills: Excellent… more
    EquipmentShare (10/22/25)
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  • Medical Claims Processor - Remote

    NTT DATA North America (Plano, TX)
    …methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 years using a ... new software tools + High school diploma or GED. Preference + Experience processing claims in Amisys or Xcelys is a plus. + Ability to communicate (oral/written)… more
    NTT DATA North America (11/16/25)
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  • Sr. Health & Disability Insurance Claims

    DXC Technology (Nashville, TN)
    …and disability claims adjudication or related work. + Proficiency in claims processing , adjudication, and process optimization. + Strong MS Office skills. ... service delivery. **Essential Job Functions:** + Execute health and disability claims adjudication and processing , learning from experienced team members… more
    DXC Technology (12/19/25)
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  • Benefit and Claims Analyst

    Highmark Health (Harrisburg, PA)
    …the department. + Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
    Highmark Health (12/18/25)
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  • Analyst, Claims

    East Boston Neighborhood Health Center (Revere, MA)
    …Serves as a liaison with IT, specifically regarding Tapestry (fee schedule development, claims processing , referrals) and reports and workflows related to ESP ... Ocean Avenue - Revere Position Summary: Position Summary: The Claims Analyst, under the direction of the Manager of...Analyst, under the direction of the Manager of PACE Claims , is responsible for the overall claims more
    East Boston Neighborhood Health Center (01/01/26)
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  • Senior Claims Operations Lead

    AIG (Jeffersonville, IN)
    …extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. With ... they turn to us. Position Overview: Reporting to a Claims Team Manager, the Senior Claims Operations Lead works directly with the insured, service contractors,… more
    AIG (12/30/25)
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  • Adjudicator, Provider Claims -On the phone

    Molina Healthcare (GA)
    …with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. ... JOB DESCRIPTION Job Summary Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching,… more
    Molina Healthcare (12/28/25)
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