- 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
- Great Southern Bank (Springfield, MO)
- …Specialist is responsible for preventing, responding to, investigating, resolving, and reporting claims of loss due to kite, forgery, or theft. Reviews, maintains, ... is performed about 55% of the time. + Interviews customers and/or employees regarding claims of fraud, takes steps to prevent additional losses to customers and the… more
- Suddath (Lubbock, TX)
- …quality of our Driver Fleet. Position responsibilities include performing site visits for claims , as well as Independent Contractor job checks and site visits for ... Meet Trucks. Position will be initial contact for all claims and in dealing with insurance companies. **Company Values** Must understand and support the company's… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …salary and benefits package. Responsibilities: + Experience with billing Part B claims , review and handle denials. + Knowledge with vaccine billing, including Covid. ... + Must research claims and denial codes. + Must correctly resubmit ...individuals without regard to gender, race, age, marital status, disability , veteran status, sexual orientation, gender identity, or any… more
- The Hartford (Hartford, CT)
- …performance, there will be ongoing partnership with the Personal Insurance (PI) Homeowners reserving/ claims team, the PI Product team, and the enterprise Claims ... with the broader Product organization. The candidate will partner closely with actuarial, claims analytics, and product management areas and will be a key business… more
- FlexStaff (New York, NY)
- …time off. In this role you will be ensuring timely and accurate claims processing, managing denials, and assisting with billing-related reporting and audits. This is ... the office. Requirements: * 5+ years of experience in medical billing and claims processing, and insurance follow-up. * Certification in medical billing and coding… more