• Manager, Supplemental Health Claims

    Lincoln Financial (Salt Lake City, UT)
    …a Glance** We are excited to bring a dynamic, innovative leader to our Supplemental Health Claims Team! This position will manage a team and processes for Group ... of more complex claims . If you are passionate about Supplemental Health Claims , please read on! **What you'll be doing** + Maintains knowledge on current… more
    Lincoln Financial (09/18/25)
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  • Specialty Health Plans Auditor III…

    LA Care Health Plan (Los Angeles, CA)
    Specialty Health Plans Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... net required to achieve that purpose. Job Summary The Specialty Health Plans Auditor III Claims is responsible for all aspects of planning, execution, reporting… more
    LA Care Health Plan (09/03/25)
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  • Vice President of Health Plan Operations…

    Prime Healthcare (Ontario, CA)
    …Responsibilities This position requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the ... to improve the quality and minimize process cost of Claims for all Prime Healthcare's self-insured Employee Health... Claims for all Prime Healthcare's self-insured Employee Health Plans. Through in-depth audit and review of … more
    Prime Healthcare (09/24/25)
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  • Behavioral Health Clinical Consultant,…

    Guardian Life (Pierre, SD)
    As the **Behavioral Health Clinical Consultant** resource in disability claims , you will be responsible for reviewing and analyzing a wide range of medical ... Health background preferred. Will consider LCSW or other licensed Behavioral Health professional with disability claims experience. + Excellent verbal and… more
    Guardian Life (09/20/25)
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  • Claims Examiner II, Accident…

    AIG (Lenexa, KS)
    …skills and experience as a valued member of the team. Make your mark in Accident and Health Claims Our Claims teams are the proven problem solvers of choice ... at least 1+ year(s) with exposure to Identity Theft and/or Accident and Health claims , which include identity theft, sickness and bodily type injury claims more
    AIG (07/04/25)
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  • Claims Specialist, Accident…

    Axis (Red Bank, NJ)
    …for candidates taking part in the selection process. Job Title: Accident and Health Claims Specialist Level: "I" Division: A&H Position Summary: This position ... provides claims handling expertise for all of the accident and health claims , both claims adjudicated in-house and by third party administrators (TPAs).… more
    Axis (07/31/25)
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  • Pharmacy Technician - Claims Analyst

    CVS Health (Phoenix, AZ)
    … Analyst is responsible for reviewing pharmacy claims submitted through the CVS Health claims processing systems. The Claims Analyst will identify and ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
    CVS Health (09/18/25)
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  • Claims Examiner II

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …or GED + Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably + ... Position Purpose: The Claims Examiner is responsible for providing expertise and/or...Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting… more
    DOCTORS HEALTHCARE PLANS, INC. (09/17/25)
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  • Claims Representative I ( Health

    Elevance Health (Columbus, GA)
    **Title: Claims Representative I ( Health & Dental)** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... unless an accommodation is granted as required by law._ The ** Claims Representative Ir** esponsible for successfully completing the required basic training.… more
    Elevance Health (09/25/25)
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  • Senior Stop Loss Claims Analyst/HNAS

    Highmark Health (Olympia, WA)
    …Bachelor's degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing ... 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst… more
    Highmark Health (09/20/25)
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