- Elevance Health (Tampa, FL)
- …information as needed. + Copies incoming and outgoing correspondence. + Ensures rejected claims were denied correctly or determines if those claims should be ... matched to a member. + Manually matches or denies claims that are halted in our system because of...be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with… more
- AnMed Health (Anderson, SC)
- …related to account information. Prepares and files electronically or hardcopy claims . Stays current of all Government/State/HIPPA, etc., rules and regulations ... and regulations governing billing compliance. + Maintains provider billing information so claims can be successfully processed and transmitted to third party payers.… more
- Robert Half Finance & Accounting (Bristol, PA)
- …for managing client deductions, analyzing trends, and ensuring accurate resolution of claims . This position is ideal for someone with a strong background in ... resolve client deductions, including promotional discounts, pricing discrepancies, shipping claims , rebates, freight charges, and product returns. * Analyze trends… more
- Centene Corporation (Lansing, MI)
- …support for business operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy, external reporting + ... visualization tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more
- Robert Half Legal (Encino, CA)
- …case managers in their daily tasks and responsibilities. * Facilitate claims processing with insurance carriers, including health insurance, Medicare, and Medi-Cal. ... * Coordinate property damage and loss of use claims , ensuring proper resolution. * Identify healthcare providers and...to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on… more
- Donegal Insurance Group (Marietta, PA)
- …Summary Donegal Insurance Group has an opening for a Claim Representative on our Casualty Claims team. As a member of our Claims team, this position is ... PA. Responsibilities and Duties + Investigate, evaluate, and settle claims as assigned by the Supervisor + Conduct thorough...base pay is just one component of Donegal's total compensation package for employees. This role may also be… more
- NJM Insurance (Parsippany, NJ)
- …make a determination as to coverage and course of action. + Evaluate claims for fraud indicators and potential underwriting issues and process appropriate referrals. ... Preferred Qualifications: + Bachelor's degree + 3-5 years of claims handling experience + 5-7 years of claims...for items like travel, service, car rental and more! Compensation : Salary is commensurate with experience and credentials. Pay… more
- HUB International (Wall Township, NJ)
- …+ Coordinates brokerage and client service efforts with captive management, actuarial, claims and loss prevention as required. + Working with Producer and client ... on presentations for existing & prospective clients. + Responsible for managing the claims process - working closely with claims resources. + Responsible for… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical ... tasks. Establish, manage, and communicate the process of billing medical claims for specialty facilities. **Responsibilities** **Job Duties:** + Manages the existing… more
- Transdev (Lombard, IL)
- …of Accounting on a variety key projects. We offer a competitive compensation and benefits package including: (Benefits may vary depending on location policy.) ... support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department...to support valuation of significant estimates related to insured claims + Create and maintain pricing model related to… more
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