- CHS (Clearwater, FL)
- …terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience- Payor/Carrier/TPA side + Must have reliable ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule...members and providers as needed + Initiates and completes claim investigations when indicated including pre-existing conditions, accidents, medical… more
- Dignity Health (Bakersfield, CA)
- … Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves ... Qualifications:** + Minimum of 5 years of experience in claims processing , quality assurance, or a related...they want from a variety of options, including medical, dental and vision plans, for the employee and their… more
- Elevance Health (Columbus, GA)
- **Title: Claims Representative I (Health & Dental ) - FEP** **Columbus, GA** **Location:** This role enables associates to work virtually full-time, with the ... 1/12/2026** **Hours:** **8 AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Reynolds & Reynolds (Des Moines, IA)
- …will include, but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract ... coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the...We offer a comprehensive benefits package including: - Medical, dental , vision, life insurance , and a health… more
- Reynolds & Reynolds (Warrenville, IL)
- …will include, but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract ... coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the...We offer a comprehensive benefits package including: - Medical, dental , vision, life insurance , and a health… more
- Humana (Augusta, ME)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services in the resolution of … more
- Marriott (Plano, TX)
- …years claims adjusting or equivalent/relevant experience. _Preferred_ Knowledge of claims processing . Applicable industry licensing. Associate in Claims ... **Pay Range:** $48,500 - $64,300 annually **Bonus Eligible:** Y **JOB SUMMARY** A Claims Adjuster I is responsible for the timely, good faith adjustment and… more
- APTIM (Santa Fe, NM)
- … management software, databases, and other technology tools that facilitate claim processing , documentation, and communication. + Proficient in assessing ... the APTIM Benefits Marketplace https://aptim.makeityoursource.com/ . + Medical, vision, and dental insurance : Through the marketplace, our employees can choose… more
- Kelly Services (Myrtle Beach, SC)
- …claims based on organizational policies and procedures. + Identifying and processing adjustments for incorrectly processed claims according to department ... years of customer service experience, including 1 year of claims or appeals processing ; or a Bachelor's...dental , vision, telemedicine, term life, whole life, accident insurance , critical illness, a legal plan, and short-term disability.… more
- Sedgwick (West Des Moines, IA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Recovery **Our teams connect! We collaborate in the ... financial and professional needs. **PRIMARY PURPOSE:** Processes and reviews subrogation claims across all lines of business and all jurisdictions within an… more