- CVS Health (Hartford, CT)
- …providing a summary of the corresponding actions taken regarding the adjudication of claims , and coordinating with a Health Care Benefits in-house and regional ... organizational skills in managing litigation matters. + Knowledge of Health Care benefits and claims adjudication process. + Knowledge of state and federal court… more
- Essentia Health (Duluth, MN)
- **Job Description:** Claims Paralegal's primary duties include claims management and administration for Essentia's major lines of insurance, including medical ... Office of General Counsel ("Legal Department"), Treasury and 3rd party claims administrator (for medical professional liability and general liability only), the… more
- CommonSpirit Health (Erlanger, KY)
- …is to manage and monitor the Short Term Disability and/or Statutory Disability claims processes to ensure timely and accurate claim decisions are made and ... will be responsible for the medical case management process of STD claims , which includes assessment, planning, coordination, implementation, and evaluation of the… more
- BrightSpring Health Services (Louisville, KY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist, where you'll play a key role in...Flexible Schedules + Competitive Pay with Shift Differentials + Health , Dental, Vision, and Life Insurance + Company-Paid Disability… more
- Novant Health (Winston Salem, NC)
- …ten years health care experience with five years professional liability claims experience, required. + Medical malpractice claims experience., required. + ... Job Summary The Claims Manager is responsible for analyzing, negotiating and...Graduate Degree, preferred. JD, MBA, MS in Nursing Allied Health or MHA preferred. + Experience: + Minimum of… more
- Dragonfly Health (Mesa, AZ)
- …supervisor or manager._ 1. Assist pharmacies with real-time and retrospective claims adjudication. Adjust and correct authorizations in dispensing and PBM systems ... to ensure timely claims submission. Research and resolve rejected claims by contacting hospices for approvals or updated authorizations. 2. Maintain accuracy of… more
- Elevance Health (Richmond, VA)
- **Clinical Documentation and Claims Integrity Director** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... considered for employment, unless an accommodation is granted as required by law. CareBridge Health is a proud member of the Elevance Health family of companies,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary ... Payment procedures as well as capable of manually processing claims according to all outlined Policies and Procedures. This...business school education is a plus. About At Brighton Health Plan Solutions, LLC, our people are committed to… 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 ... an accommodation is granted as required by law._ The ** Claims Auditor II** is responsible for audits of high...& Washington State In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Motion Recruitment Partners (Durham, NC)
- …+ Good math skills with excel + Health insurance underwriting experience + reviewing health claims **What You Will Be Doing** + Manage a Book of Business ... client, a nationally recognized and award-winning company in the health insurance vertical, has a contract opening for a...+ Dental & Orthodontia Benefits + Vision Benefits + Health Savings Account (HSA) + Health and… more