- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims ... either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer… more
- Providence (Mission Hills, CA)
- …of functional area ie, claims operations, + HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. ... Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- NTT DATA North America (Chicago, IL)
- …can inform automation strategies **Required Skills/Experience** + 5+ years of health insurance claims processing including experience working with complex ... **Chicago, IL** **Role Responsibilities** + Process and adjudicate health, dental , and vision insurance claims ...to identify patterns and opportunities for automation + Share claims processing expertise with team members and… more
- JB Hunt Transport (Lowell, AR)
- …is responsible for the management of the company's risk mitigation programs, including claims processing , as well as the structure, design, and procurement of ... **Job Title:** Vice President Insurance , Risk Management, and Claims **Department:**...dental benefit, vision benefit, 401(k) retirement plan, life insurance , short-term and long-term disability coverage, paid time off… more
- NJM Insurance (Parsippany, NJ)
- …basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Ability to manage return to work expectations ... The Workers Compensation department is searching for a Claims Account Specialist (I). The Claims ...match up to 8% and additional service-based contributions, Health, Dental , and Vision insurance , Life and Disability… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …with one year of supervisory experience 3. Maintain current knowledge of the insurance industry and Claim's processing ideas through regular attendance of ... of coverage and support. Eligible full-time teammates enjoy access to medical, dental , vision, life, disability, and AD&D insurance ; tax-advantaged savings… more
- Dignity Health (Bakersfield, CA)
- … discrepancies for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... for audit purposes. - Collaborate with internal departments, including claims processing , UM, compliance, and provider relations,...they want from a variety of options, including medical, dental and vision plans, for the employee and their… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …procedures, corporate policies and member contracts, will process, enter, and adjudicate insurance claims , request needed information, and work closely with ... addition to Level I Accountabilities) * Resolves moderately complex claims processing and claims history...rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid… more
- NTT DATA North America (Decatur, IL)
- …+ TPA Experience **Preferred:** + Experience in the GBAS system + Experience processing Dental Claims \#LI-NorthAmerica **About NTT DATA** NTT DATA ... Assist with audits for assigned group. + Assist with claims processing and over specific for new...of the role offered. Company benefits may include medical, dental , and vision insurance , flexible spending or… 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