- CVS Health (Franklin, TN)
- …each and every day. **Position Summary** This role will have a focus on training Claims processing and Claims Call Center staff for all products including Final ... experience + Two to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing + One to three (1-3)… more
- CDM Smith (Albuquerque, NM)
- …process. * Performs other duties as assigned. \#LI-LP2 **Job Title:** FEMA Claims Specialist **Group:** WAF Field Mod Fringe **Employment Type:** Temporary ... has been supporting FEMA for two years in developing policy, procedures, and processing claims in support of the Hermit's Peak Calf/Canyon fire. We are looking for… more
- Modernizing Medicine (Phoenix, AZ)
- …Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient ... all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections + Initiate outbound calls… more
- C&S Wholesale Grocers, Inc. (Lathrop, CA)
- **Position Overview** As a Claims Investigator, you will be researching shortage claims based on calls received from our customer locations. These investigations ... Description** **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation… more
- MetLife (Warwick, RI)
- …member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and appropriately investigates ... Experience and Technical Skills: Required: . A comprehensive understanding of the disability contractual provisions, especially the definition of disability . .… more
- Healthfirst (NY)
- …experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, system set-up, etc + Strong communication ... for positions and are evaluated without regard to mental or physical disability , race, color, religion, gender, gender identity, sexual orientation, national origin,… more
- UNUM (Chattanooga, TN)
- …looking for candidates to fill various roles related to managing leave requests and disability claims . When you apply, you'll be considered for positions such as ... Integrated Paid Leave Specialist , STD Benefits ...or relevant experience is preferred. + Experience in medical, disability claims , or leave management is a… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** Under the direct supervision of the Safe Choice Claims Manager the Claims Adjuster is responsible for the review, analysis and processing of ... assigned claims within their authority limits and consistent with policy...from third parties Maintains communication with doctors, attorneys, safety specialist , and nurse specialist and outside vendors… more
- CDPHP (Latham, NY)
- …these values and invites you to be a part of that experience. The Claims Representative shall assume full responsibility and ownership for all aspects regarding ... claims adjudication and adjustments. In addition, the incumbent will...quality standards and adhering to prompt pay regulations. The specialist will address and resolve service-related issues including claim… more
- Allied Universal (Fargo, ND)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... with us and make a difference. Allied Universal(R) is hiring a Surveillance / Claims Investigator. Surveillance / Claims Investigator validate the facts of loss… more