- NTT DATA North America (MO)
- **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** : Non-Exempt **Department** : Operations **Level** : Entry to mid-level ... training of NTT Data/Client * Work independently to research, review and act on the claims * Prioritize work and adjudicate claims as per turnaround time/SLAs *… more
- TEKsystems (Columbia, SC)
- …procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay ... claims following organizational policies and procedures. *45% Ensures effective...for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits… more
- Aston Carter (Spokane, WA)
- Job Title: Claims Adjudicator Job Description We are seeking a dedicated Claims Adjudicator to review, analyze, and adjudicate medical and vision claims in ... across systems. Responsibilities + Review, analyze, and adjudicate medical and vision claims . + Interpret complex benefit language and determine claim outcomes. +… more
- APTIM (Santa Fe, NM)
- **Summary:** The Senior-Level Claims Reviewer is responsible for independently reviewing, analyzing, and processing complex claims related to disaster losses in ... program guidelines. This position serves as a technical authority on claims interpretation, policy compliance, and documentation quality. The Senior Reviewer also… more
- APTIM (Santa Fe, NM)
- **Summary:** The Mid-Level Claims Reviewer supports the claims process by reviewing, evaluating, and documenting claims for disaster-related losses. This ... navigating documentation requirements, and contributes to a customer-focused, efficient claims lifecycle. Mid-level reviewers also identify when site inspections or… more
- NTT DATA North America (MO)
- …people who work here. NTT DATA is seeking to hire a **Remote Claims Processor** to work **remote (MO).** **Role Responsibilities:** * Processing of Professional ... training of NTT Data/Client * Work independently to research, review and act on the claims * Prioritize work and adjudicate claims as per turnaround time/SLAs *… more
- Elevance Health (St. Louis, MO)
- ** Claims Auditor II** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... considered for employment, unless an accommodation is granted as required by law._ The ** Claims Auditor II** is responsible for audits of high dollar claims … more
- Insight Global (Lower Providence, PA)
- …client's team. Responsibilities will include managing complex workers' compensation claims , ensuring fair and efficient resolution while maintaining compliance with ... The ideal candidate will have extensive experience handling indemnity claims , negotiating settlements, and collaborating with medical and legal professionals.… more
- Robert Half Technology (Tampa, FL)
- Description Robert Half has an exciting opening for a Claims Business Analyst with an Insurance client based here in Tampa, FL. Position kicks off on-site for ... (or Banking) + Experience w/ Guidewire Software and ClaimCenter Summary: The Claims Business Analyst will work with stakeholders across the enterprise to deliver… more
- Elevance Health (Waukesha, WI)
- **Clinical Documentation and Claims Integrity Director** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... home-care and community based services. **The Clinical Documentation and Claims Integrity Director** will lead CareBridge's efforts in diagnostic documentation… more