- Sedgwick (Phoenix, AZ)
- …total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to join… more
- APTIM (Santa Fe, NM)
- …reviewers, estimators, and support personnel to ensure timely, accurate, and compliant claims processing in alignment with federal regulations and program ... minimum of ten (10) years of combined experience in claims /case processing roles including customer service, data...extensive range of benefits that protect and promote the health and financial well-being of our employees and their… more
- Sedgwick (Lansing, MI)
- …level of expertise. This role will be responsible for analyzing and processing **complex commercial trucking transportation claims ** by reviewing coverage, ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Commercial Trucking | Remote Are you looking for an opportunity… more
- Sedgwick (Nashville, TN)
- …and specific client service requirements. **ESSENTIAL RESPONSIBILITIES** + Analyzing and processing claims through well-developed action plans to an appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Knowledge & NY Licensing Required Are you… more
- Sedgwick (Brea, CA)
- … and negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzing and processing claims through well-developed action plans to an appropriate ... health savings account, and other additional voluntary benefits._ \# Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 Qualified applicants with arrest… more
- CHS (Clearwater, FL)
- … claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party… more
- Humana (San Juan, PR)
- …assistance. See _Additional Information_ on testing. **Preferred Qualifications** + Prior claims processing experience. + Knowledge of healthcare terminology. ... operations-connecting with providers and members to resolve and settle claims that shape the health industry. You'll...resolve and settle claims that shape the health industry. You'll leverage your expertise and independent judgment… more
- Marriott (Plano, TX)
- …years claims adjusting or equivalent/relevant experience. _Preferred_ Knowledge of claims processing . Applicable industry licensing. Associate in Claims ... **Pay Range:** $48,500 - $64,300 annually **Bonus Eligible:** Y **JOB SUMMARY** A Claims Adjuster I is responsible for the timely, good faith adjustment and… more
- CVS Health (Irving, TX)
- …and leading modernization efforts. + Strong understanding of regulatory compliance in claims processing . ** ** **Preferred Experience** + Excellent communication ... At CVS Health , we're building a world of health...modernization of legacy systems-primarily IBM Mainframe platforms-used for commercial claims routing, adjudication, and operational reporting. This role ensures… more
- MyFlorida (Fort Lauderdale, FL)
- …Knowledge of Medicaid eligibility, programs, policies, and benefit limitations. Knowledge of medical claims processing and/or health insurance claims ... and determining managed care compliance with the SMMC contract as it relates to claims processing . Examples of work include: Analyzes programmatic reports of … more