- CVS Health (Austin, TX)
- …and contribute to test plan development. + Analyze and resolve complex claims scenarios within established timeframes. + Respond to internal and external customer ... **Required Qualifications** + 1-2+ years of experience in a quality audit or claims testing environment. + Working knowledge of PPO networks and healthcare claims… more
- The Hertz Corporation (Oklahoma City, OK)
- …Day in the Life:** The Recovery Specialist is responsible for managing claims including billing, collections, and adjustments. This role partners with internal Sales ... and Operations teams and works with customers and insurance carriers to resolve claims over the phone and through email. We expect the starting wage to be around… more
- Superior Ambulance Service (Elmhurst, IL)
- …our clients. Specific tasks include resolving insurance carrier denials, appealing claims , contacting carriers on open accounts and responding to insurance carrier ... 72 hours of receipt + Responsible for resolving unpaid claims that are Greater than 60 days from date...comprehensive benefits options that include medical, vision, dental, 401k, disability , FSA, HAS, vacation and paid time off here:… more
- Caterpillar, Inc. (Griffin, GA)
- …Summary:** The Warranty Analyst is responsible for managing and analyzing warranty claims to ensure accurate processing, cost control, and continuous improvement in ... you will do:** + Evaluate, process, and resolve warranty claims in accordance with company policies and customer agreements....Employee Discounts* + Career Development* + Incentive bonus* + Disability benefits + Life Insurance + Parental leave +… more
- PRGX (Grand Rapids, MI)
- …methodologies, you'll investigate payment processes, detect discrepancies, and prepare claims with clear documentation. This role requires strong analytical skills, ... statements, freight charges, and buyer files. + Prepare and document audit claims with accurate support, ensuring compliance with internal and client-specific audit… more
- Cognizant (Everett, WA)
- …our iSeries/AS400 systems ensuring seamless operations within the Medicare and Medicaid Claims domain. With a hybrid work model and day shifts the candidate ... teams to integrate system enhancements that support Medicare and Medicaid Claims processing. + Provide technical guidance and support to team members… more
- The Hartford (Hartford, CT)
- …science, technology, and operations teams to co-design scalable, production-ready solutions. + Claims Domain Expertise: Apply a deep understanding of claims ... understand business needs, and design AI solutions that deliver measurable value. + Claims Knowledge: Strong familiarity with claims operations in P&C or Group… more
- US Tech Solutions (Columbia, SC)
- …provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, ... collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines… more
- IQVIA (Durham, NC)
- …RWE development for regulators, payers, and clinicians. + Leverages administrative claims , electronic medical records, registries, or other real-world data and ... and abilities:** + In-depth knowledge of RWE databases, including large administrative claims data, EMR, disease registries, and clinical trial data. + Demonstrated… more
- Donegal Insurance Group (Marietta, PA)
- …Summary Donegal Insurance Group has an opening for a Claim Representative on our Auto Claims team. As a member of our Claims team, this position is responsible ... for handling auto claims , with a focus on non-injury general liability, in...benefits include company-paid basic life insurance; short & long-term disability insurance; employee stock purchase plan; and employee assistance… more