• .Net Developer with insurance/ claims

    MSys Inc. (Richmond, VA)
    …must describe experience with large menu driven business systems, such as claims processing , payroll, medical, or insurance type applications. The candidate ... Years + Experience with large menu driven business systems, such as claims processing , payroll, medical, or insurance type applications. (See Req Description). 5… more
    MSys Inc. (01/12/26)
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  • Patient Claims Specialist - Bilingual Only

    Modernizing Medicine (FL)
    …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... or related experience required + Basic understanding of medical billing claims submission process and working with insurance carriers required (eg, Medicare,… more
    Modernizing Medicine (11/06/25)
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  • Business Analyst II Claims Systems

    Centene Corporation (Tallahassee, FL)
    …of business process or data analysis experience, preferably in healthcare. Strong claims processing experience highly preferred. Experience with SQL, Excel and ... ABS database strongly preferred. **_By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified._** Pay Range: $56,200.00 - $101,000.00 per year Centene… more
    Centene Corporation (01/14/26)
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  • Administrative Support Associate VI - Hospital…

    Albany Medical Center (Albany, NY)
    …preferred.Knowledge in billing codes and EDI requirements.Knowledge of electronic claims processing and edits.Excellent decision-making skills, detail oriented, ... and have the ability to submit factual, timely and compelling appeal letters to payors regarding payment variances and denials.Able to communicate effectively and successfully with team members, providers, contractors, payors, and their Leadership group daily.… more
    Albany Medical Center (11/05/25)
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  • Executive Director, Financial Review…

    City of New York (New York, NY)
    …Staff Analyst NM III to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop the operational activities ... of DFRP, ICP and SNAP-CR Directors as they administer their specific program areas which are responsible for initiating adverse actions on cash assistance cases due to information obtained via computer matches, sanctioning individuals who fail to cooperate… more
    City of New York (11/05/25)
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  • Claims Supervisor II - Commercial Auto - BI

    Philadelphia Insurance Companies (West Linn, OR)
    …and technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking ... A++ by AM Best. We are looking for a Claims Supervisor II - Commercial Auto - BI to...+ Experience with Windows operating system. + Basic Word processing skills. National Range : $112,165.00 - $125,360.00 Ultimate… more
    Philadelphia Insurance Companies (11/07/25)
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  • Assumed Reinsurance Claims Account Manager

    NextEra Energy (North Palm Beach, FL)
    Claims Account Manager will be responsible for the following: + Assumed Reinsurance Claims Management & Processing + Review and validate assumed reinsurance ... **Assumed Reinsurance Claims Account Manager** **Date:** Jan 1, 2026 **Location(s):**...will be able to handle and adjust assumed reinsurance claims that may be complex in nature on behalf… more
    NextEra Energy (11/06/25)
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  • Claims Representative - Workers…

    Sedgwick (Norfolk, VA)
    …collaboration, growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** Analyzing and processing claims through well-developed action plans to an ... claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting ...processing with the claimant and the client. Reporting claims to the excess carrier and responding to requests… more
    Sedgwick (01/13/26)
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  • Workers' Compensation Claims Examiner…

    Sedgwick (Marlton, NJ)
    …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Examiner | Dedicated Client / Capped Caseloads Are you looking for… more
    Sedgwick (01/13/26)
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  • Claims Examiner Workers Compensation |

    Sedgwick (Concord, CA)
    …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
    Sedgwick (01/13/26)
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