• Claims Trainer Specialist - Hybrid,…

    CVS Health (Franklin, TN)
    …each and every day. **Position Summary** This role will have a focus on training Claims processing and Claims Call Center staff for all products including ... experience + Two to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing + One to three… more
    CVS Health (11/27/25)
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  • Medical Claims Contract/Benefit…

    Trinity Health (Columbus, OH)
    …+ In conjunction with the 3rd party vendor, create/maintain DLT's for claims processing staff **Minimum Qualifications** + .Education: Associate or Bachelor's ... **Description:** Successful candidates will have a strong understanding of Medical claims particularly within Medicare guidelines. Researching claims that do… more
    Trinity Health (12/08/25)
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  • FEMA Claims Specialist

    CDM Smith (Albuquerque, NM)
    …CDM Smith has been supporting FEMA for two years in developing policy, procedures, and processing claims in support of the Hermit's Peak Calf/Canyon fire. We are ... * Performs other duties as assigned. \#LI-LP2 **Job Title:** FEMA Claims Specialist **Group:** WAF Field Mod Fringe **Employment Type:** Temporary **Minimum… more
    CDM Smith (11/26/25)
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  • Patient Claims Specialist

    Modernizing Medicine (Phoenix, AZ)
    …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient… more
    Modernizing Medicine (11/06/25)
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  • Fraud and Claims Consumer QA QC Sr…

    Citizens (Johnston, RI)
    Description As the Consumer QA QC Sr. Specialist you will work to understand, monitor and process requests that relate to high risk or complex processes. You will ... Primary responsibilities include + Primary focus is on execution within defined processing parameters with some expansion based on developing capabilities and or… more
    Citizens (12/04/25)
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  • Business Processing Specialist

    CGI Technologies and Solutions, Inc. (Nashville, TN)
    **Business Processing Specialist ** **Category:** Administration **Main location:** United States, Tennessee, Nashville **Position ID:** J1125-1445 **Employment ... of affordable housing has an opening for a Business Processing Specialist in Nashville, TN. Under the...determining their annual rent adjustments, reconciling monthly payment requests, processing claims for unpaid rent and damages… more
    CGI Technologies and Solutions, Inc. (11/19/25)
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  • Claims Services Representative 1/Trainee…

    New York State Civil Service (Melville, NY)
    …but are not limited to:* Oversee all aspects of workers' compensation claims processing from inception to closing.* Initially determine the compensability ... Law. Examples of eligible titles include but are not limited to: Administrative Specialist Trainee 2, Claims Services Representative DB Trainee 2, Underwriter… more
    New York State Civil Service (12/03/25)
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  • Claims Representative

    CDPHP (Latham, NY)
    …preferred. Strong PC skills and Microsoft Windows and working knowledge with on-line claims processing and procedural review highly preferred. + Experience with ... + Demonstrated ability to determine, analyze and solve problems related to benefits, claims appeals, claims pricing/ processing by utilizing all applicable… more
    CDPHP (11/20/25)
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  • Claims Adjuster - Texas Non-Subscription

    Baylor Scott & White Health (Dallas, TX)
    …Manager the Claims Adjuster is responsible for the review, analysis and processing of assigned claims within their authority limits and consistent with ... of quality service while protecting the assets of the organization. The Claims Adjuster's primary duty includes the exercise of discretion and independent judgment… more
    Baylor Scott & White Health (11/27/25)
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  • Claims Investigator

    Allied Solutions (Plano, TX)
    …Loss, GAP, CPI and others as assigned. This position will involve the initial processing and investigation of 20-40 claims per day. This position ensures that ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months to 2… more
    Allied Solutions (10/12/25)
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